About the Course
This experiential VR training and assessment is designed to help learners acquire the necessary skills to prepare for central venous catheter (CVC) insertion.
Central venous catheters are thin, flexible tubes with jugular, subclavian or femoral placements. These tubes are threaded into the superior vena cava, allowing for rapid delivery of required medication. Central venous catheters are essential for treating numerous conditions and are used to obtain critical information like ventricular preload, cardiovascular status and fluid balance in patients. While the catheter insertion is performed by the medical practitioner, nurses assist in tasks like preparing equipment, cleaning the insertion site, collecting data and performing post insertion activities. Core skills include preparing single transducer hemodynamic pressure monitoring systems, preparing the insertion site and tasks like flushing lumens and securing the catheter.
This interactive central venous catheter (CVC) VR course takes place in a realistic, zero-risk virtual environment where learners can use physics-based interactions to practice the procedure on a virtual patient. In training mode, the step-by-step guides enable a scaffolded learning experience, while the assessment mode provides the user with immediate feedback as mistakes are made. The user can only pass the assessment if the entire procedure is performed in the correct sequence without mistakes. Learner performance can be tracked through an advanced analytics portal, empowering administrators to manage compliance, identify areas for improvement, and gain a deeper understanding of their learners.
- Prepare the Single Transducer Hemodynamic Pressure Monitoring System for use with patients
- Prepare the insertion site using sterile technique
- Flush lumens and secure the catheter to support successful patient outcomes
Preparing the CVC
Before the practitioner performs an insertion, specific preparations should be made. This module is designed to perform and practice pre-insertion activities like preparing the single transducer hemodynamic pressure monitoring system, performing hygiene routines and verifying the availability of all required items. Given that this procedure involves a subclavian insertion, learners will practice positioning the patient in a Trendelenburg position.
Flushing Lumens and Securing the Catheter
Once the catheter has been inserted, a series of steps must be performed to reduce the chance of infection. Nurses should flush the lumens with a sterile, preservative free sodium chloride solution, assist the practitioner in securing the catheter, connect the catheter to the hemodynamic pressure monitoring system, open the stopcock, apply needle-free connectors to unused ports, label all tubing and observe the external centimeter marking of the catheter. Since each task is equally important, the lesson has been designed to ensure learners perform and complete every step.