{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T01:08:51Z","timestamp":1785546531214,"version":"3.56.0"},"reference-count":28,"publisher":"AACN Publishing","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In this evidence-based practice project, point-of-care ultrasonography by advanced practice providers was implemented in a central Florida intensive care unit. The project was guided by the following question: Does implementation of point-of-care ultrasonography by critical care advanced practice providers over 3 months decrease time to intravenous fluid, vasopressor, or inotrope administration or modify the treatment plan for patients with undifferentiated shock, as compared with current practice without point-of-care ultrasonography?<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review of Evidence<\/jats:title>\n                    <jats:p>A strong body of evidence supports using advanced practice provider\u2013performed point-of-care ultrasonography to enhance care for critically ill patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implementation<\/jats:title>\n                    <jats:p>Baseline data on treatment of patients with undifferentiated shock, including intravenous fluid volume and time to intervention, were collected over 60 days. Advanced practice providers then completed in-person point-of-care ultrasonography training focused on clinical application and integration into decision-making. A second 60-day data collection period tracked evaluation and treatment by advanced practice providers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Evaluation<\/jats:title>\n                    <jats:p>Time to intervention did not significantly differ between preintervention and postintervention groups. However, point-of-care ultrasonography findings consistently changed or refined patient care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Sustainability<\/jats:title>\n                    <jats:p>The project site will continue advanced practice provider\u2013led point-of-care ultrasonography across all intensive care units.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Implementation of point-of-care ultrasonography by critical care advanced practice providers does not delay intervention, helps confirm clinical diagnoses, and refines treatment delivery for patients with undifferentiated shock. Point-of-care ultrasonography provides a structured approach to assessment and management and should continue to be used in intensive care units.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4037\/ccn2026613","type":"journal-article","created":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:03:29Z","timestamp":1785542609000},"page":"44-51","source":"Crossref","is-referenced-by-count":0,"title":["Point-of-Care Ultrasonography by Advanced Practice Providers for Patients With Undifferentiated Shock"],"prefix":"10.4037","volume":"46","author":[{"given":"Nicholas","family":"Fatolitis","sequence":"first","affiliation":[{"name":"Nicholas Fatolitis is a critical care nurse practitioner, University of South Florida College of Nursing, Tampa."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony W.","family":"McGuire","sequence":"additional","affiliation":[{"name":"Anthony McGuire is an associate professor and associate dean of graduate nursing, University of 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