Off-campus South Dakota State University users: To download campus access theses, please use the following link to log into our proxy server with your South Dakota State University ID and password.

Non-South Dakota State University users: Please talk to your librarian about requesting this thesis through interlibrary loan.

Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Lori Hendrickx


Current guidelines and recommendations from the American College of Surgeons Advanced Trauma Life Support and the American Heart Association (AHA) include intraosseous (IO) access as a second-line alternative when delayed or failed peripheral vascular access occurs in emergent or trauma situations. IO access is underutilized in the emergency department (ED) due to registered nurses’ knowledge deficit, lack of training and education, and lack of supplies (Cheung, Rosenberg, & Vaillancourt, 2014). The National Association of EMS Physicians (NAEMSP) supports the use of IO access and describes IOs as a significant time saving intervention in achieving vascular access and decreasing the time to administration of medications (Infusion Nurse Society, 2009). The purpose of the practice innovation project was to increase the knowledge, competency, and comfort level of registered nurses in assessing and utilizing the IO device as a second-line alternative to achieve vascular access in emergency trauma patients. The overall results of the IO education program were determined to be beneficial in improving a knowledge deficit on IO insertion. There was an increase in registered nurses completing IO access after the educational program, which is clinically significant for this ED.

Library of Congress Subject Headings

Intravenous catheterization
Cardiovascular emergencies
Emergency medicine


Includes bibliographical references (pages 51-53)



Number of Pages



South Dakota State University


In Copyright - Educational Use Permitted