Suzanne M., Vascular Access Team Lead, explains how the NIO™ simplifies central line establishment, especially in code situations.
"... we use them weekly—sometimes daily. It's been a real game-changer for us."
Manuela M. – Rapid Response Nurse
Manuela M., Clinical Lead Rapid Response Nurse, describes her facility's success with the NIO™, especially in code blue situations.
"Recently, I have used it in three code blues—it was the humeral head. Had no issues with it, [it had] good positioning."
Tonya S. – Rapid Response and Vascular Access Team
Tanya S., RN, is a member of the Rapid Response and Vascular Access Team. Here, she recounts how her team was able to quickly and safely reestablish central access with the NIO™ after a patient's peripheral IV had been lost in transit.
"I love that you're able to use them on patients of all sizes—that's another huge benefit. Especially in a more obese patient where we would typically have a harder time getting access..."
Tasha – Nurse Educator for Anaheim FD
Tasha, Nurse Educator for Anaheim FD, explains why her department chose to carry the NIO™ over a popular drill-based device.
"... it started off being cost-effective and then after we started using it after the trial, we realized how much easier it was to use..."
Nicholas M. – Assistant Chief
Assistant Chief Nicholas M. gives his firsthand account of how the NIO™ successfully established intraosseous access in a cardiac arrest code blue patient faster than our competition.
"Before they were even able to put the needle on the gun, we had the IO in place and established [with the NIO]. Immediately hooked up an IV line to it and we were able to infuse fluids without even having to put pressure on the bag."
Natalie – Atlanta Paramedic
Natalie, an Atlanta paramedic, describes her repeated success using the NIO™ to treat bariatric patients.
"I find this great with obese patients... I've found that I have not missed with obese patients."
Tanner – Atlanta Paramedic
Tanner, an Atlanta Paramedic, explains why usability and accessibility are some of his favorite features of the NIO™.
"I would swear by it if I could. It is by far the most easily accessible and easily insurable IO access that I've used. You can't miss."
Shane C. – Paramedic with Powder River First Responders
Shane C., Paramedic with Powder River First Responders, recounts an event in which the NIO™ allowed for IO access when traditional IV access wasn't feasible.
“The NIO is one of the slickest tools I have used. IO access was gained in seconds on a patient involved in a motorcycle wreck. IV access would have extended scene time especially as the injuries to the patient precluded using a tourniquet on either arm. The NIO allowed us to get fluids to the patient, where an IV wasn’t even feasible.”
Paul – Paramedic with Atlanta-Based Grady Health System
After experiencing issues with a popular drill-based device and manual devices, Paul, a paramedic with Grady Health Systems, decided to review the NIO™ as an intraosseous option.
Paul Beamon is part of the reason Georgia paramedics can perform intraosseous injections. Back in the early 2000s, he approached the board that governed the state’s paramedic practice and asked for the capability, and the successful study that resulted led to IOs being added to Peach State medics’ scope of practice.
The challenge since has been finding the best tool to deliver them. Back then his service used a gun-type device with an automatic spring-loaded needle, but that could jam and cause recoil without the right technique. More recently at Atlanta-based Grady Health System, providers used a popular drill system and manual devices but had problems with cost and loss.
“After reviewing the NIO™ and changes they’d made to it and using it a few times, I was sold,” Beamon says. “I found it very comparable with other devices, but with greater ease of use. The problems I’d experienced with previous devices were not there with this one.”
The NIO is a small, light automatic intraosseous device designed for safe, quick, and easy vascular access without drills, batteries, or extra parts. Coming assembled and ready to use, it provides vascular access in as fast as 10 seconds.
“Literally that day,” Beamon says, “we had people using it and having success and feeling great about it. It actually changed people’s minds from wanting to go back to [an alternative system] to wanting to just keep the NIO.”
That was this summer, and the positive reception has continued through the ensuing quarter.
“I’ve been very pleased with the use of the device—the success rate has been phenomenal,” Beamon says. “It’s just an all-around easy device to use, and I think patients benefit from it.”
November 2018 Issue EMS World Magazine
Sam O., BSN, RN-BC – Emergency Dept. Clinical Leader, UF Health Shands Hospital
After multiple failed attempts to gain peripheral IV access, Sam, Emergency Dept. Clinical Leader at UF Health Shands Hospital, turned to the NIO™ to gain rapid intraosseous access.
“We had a come in from EMS that was on and off coding and required numerous interventions and medications. Numerous attempts were made for peripheral access with no success. We had just begun to transition to the NIO™ devices and used this as an opportunity to both teach and obtain access on a critically ill patient.
The NIO worked flawlessly and the pigtail with stopcock allowed us to quickly administer and flush medications with ease.”