In order to be authorized to administer the Intraosseous vascular device, you must demonstrate your competency by completing the following steps in order. These steps must be completed annually.

1. View Training Video

2. Read Over Policy

   View Policy

3. Read the Order Form for Training Purposes

   View Order Form

4. Take the Post Test

   Proceed to Test
   ×

   Adult Insertion & Care of Intraosseous Vascular Device Test

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   1. Optimal flow rates for the EZ-IO can be obtained using gravity drip rates.

   True

   False

   2. A rapid syringe bolus (flush) of the EZ-IO immediately after insertion will ensure optimal flow. “No flush, no flow”

   True

   False

   3. The EZ-IO is indicated for patients needing immediate vascular access and/or need emergent
      additional vascular access.

   True

   False

   4. Which of the statements concerning placement of the EZ-IO are correct?

   1. Grip the driver lightly & avoid excessive force during insertion
   2. Maintain a 90-degree angle to the bone during insertion
   3. Monitor the extremity for signs of complication
   4. Avoid attaching a syringe directly to the EZ-IO® catheter hub

   1, 2, & 3

   2, 3, & 4

   1, 3, & 4

   All of the above

   5. For patients that respond to pain consider: 2% lidocaine without preservatives or epinephrine
      (cardiac lidocaine) - IO prior to initial sterile saline bolus or flush

   True

   False

   6. The 45mm needle is the recommended needle for the proximal humerus on patients weighing greater than 40kg.

   True

   False

   7. In case of emergency, product failure or need for immediate assistance, clinicians should call the emergency number listed on the EZ-IO wristband and removal poster.

   True

   False

   8. The 25mm needle is only for adult patients and the 15mm needle is only for pediatric patients.

   True

   False

   9. You are unable to aspirate blood when confirming placement, you should:

   Try to flush the IO while looking for signs of extravasation

   Remove the IO and try a new site

   Do not use the IO and continue looking for a peripheral IV site

   10. You have inserted the Needle Set into the tissue and cannot see a black line:

   Continue with insertion into the bone

   Use a longer Needle Set

   Try to start an IV

   Complete Test

   Test Results

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   Congratulations!

   You have completed the Adult Insertion & Care of Intraosseous Vascular Device Test with a score of 0 out of 10.

   You have the option to: Take the test over to improve your score; Submit your results; or Exit without sending your results.

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5. Simulation Cadaver

   Please contact one of the following trainers via Kaleida Health email or by calling Kim Snyder at (716) 859-2260.

   Simulation Cadaver Trainers:

   • Jim Hereth
   • Lucy Campbell
   • Manoj Mammen

Upon completing the above steps, including demonstration of IO insertion on the simulator, the trainer will notify the Medical Staff Office:
Katherine Mielcarek
(716) 859-5507
Kaleida Health
1028 Main Street
Buffalo, NY 14203

Annual competency is required. The Medical Staff Office will send you a reminder.