Date of Award

Summer 7-31-2020

Document Type

Scholarly Project

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Dr. Jennifer Harris

Second Advisor

Dr. Amy Hite

Third Advisor

Dr. Greg Belcher


One-quarter of all emergency department visits in the United States results in peripheral intravenous line (PIV) placement for parenteral fluid administration (Fields, Piela, Au and Ku, 2014). When PIV access is delayed, critical care measures are also delayed. Meyer et al. (2014), reports the first attempt PIV access failure rate is approximately 25%. In the critically ill patient, timely PIV access may be the difference between survival and death. Difficult venous access is present in approximately one in ten ED patients requiring PIV access (Fields et al., 2014). The purpose of this scholarly project is to implement a quality improvement project regarding ultrasound guided peripheral intravenous line (USGPIV) access for difficult PIV in the rural hospital setting. The goal of this project ultimately giving the local nurses options and increased confidence when presented with difficult access patients and confidence in using USGPIV.

Included in

Nursing Commons