Table 3 Round 2 results
Competency | Mandatory, no. (%) | Optional, no. (%) | Superfluous, no. (%) |
|---|---|---|---|
General competencies | |||
Appropriate infection prevention and control measures | 26/27 (96)* | 1/27 (4) | 0 |
Thoracentesis | |||
Characterization of pleural effusion (septations/etc.) | 21/27 (78)* | 5/27 (19) | 1/27 (4) |
Assessment to include deep breaths (lung movement) and diaphragm movement | 19/27 (70)* | 6/27 (22) | 2/27 (7) |
Ruling out vasculature (e.g. intercostal vessels) | 7/27 (26) | 17/27 (63) | 3/27 (11) |
Assessing for pneumothorax pre- and post- | 4/27 (15) | 18/27 (67) | 5/27 (19) |
Pleural effusion size estimation | 0 | 11/27 (41) | 16/27 (59) |
Paracentesis | |||
Assessment to include sliding/two planes to ensure a sufficient area surveyed | 22/26 (85)* | 3/26 (11) | 1/26 (4) |
Assessment to include compression to ensure depth of fluid collection remains sufficient | 17/27 (63) | 8/27 (30) | 2/27 (7) |
Central venous catheterization (CVC) | |||
Assessment to include ruling out deep vein thrombosis (in the access site vein, not thrombosis in the legs) | 16/27 (59) | 11/27 (41) | 0 |
Creep technique (to ensure visualization of needle all the way in) for all real-time guidance maneuvers | 23/27 (85)* | 4/27 (15) | 0 |
Internal jugular CVC: either in-plane or out-of-plane | 23/27 (85)* | 3/27 (11) | 1/27 (4) |
Internal jugular CVC: in-plane† | 0 | 9/26 (35) | 17/26 (65) |
Internal jugular CVC: out-of-plane† | 5/27 (19) | 6/27 (22) | 16/27 (59) |
Subclavian CVC: real-time guidance | 5/24 (21) | 13/24 (54) | 6/24 (25) |
Subclavian CVC: indirect guidance | 2/24 (8) | 13/24 (54) | 9/24 (38) |
Assessment to include confirming catheter is intra-vein with ultrasound | 8/27 (30) | 14/27 (52) | 5/27 (19) |
Assessing for pneumothorax pre- and post- | 3/27 (11) | 16/27 (59) | 8/27 (30) |
Saline flush test | 0 | 6/27 (22) | 21/27 (78)* |
Assessing for direction of catheter towards superior vena cava | 0 | 4/27 (15) | 23/27 (85)* |