UC Davis

AbstractSecurAcath™ is a subcutaneously engineered anchoring device primarily used to secure peripherally inserted central catheters or what is commonly known as PICC lines. The University of California San Francisco Medical Center adopted the device into their PICC line insertion bundle in May 2019. Its operation requires competent and skilled clinicians due to the complexity of the way it is anchored in the subcutaneous layer of the skin. Most frequently, the Vascular Access Support Team (VAST) nurses have taken up the resource role for this procedure. Due to gaps in knowledge and training on the proper and safe removal of the device among the nurses and medical providers, the researcher created this educational module to provide an opportunity for training at the bedside by a Vascular Access Nurse Specialist. The applied project aimed to examine the usability of an educational module presented through just-in-time education, hands-on demonstration, and video-assisted training at the UCSF Medical Center acute care units in April and May 2021. A four-person panel of experts was consulted to evaluate the module’s content utilizing the Likert-like survey questionnaire. All the experts strongly agreed with the module’s content designed using the principle of just-in-time teaching, video-assisted training, and return demonstration. The video-assisted training highlights the three different methods of SecurAcath™ removal. Each video lasts for less than 2 minutes. In the return demonstration, a demonstration box mimics how an actual SecurAcath™ device is anchored in the skin. Seven practicing nurses selected through convenience sampling were also asked to evaluate the utility of the module content using a Likert-type questionnaire. All were in favor with the module content, supporting the importance of a blended education as a learning strategy in the medical center.