Ultrasound‐Guided Peripheral Intravenous Catheter ( <scp>USGPIVC</scp> ) Insertion: A Practical Guide for Sonographers

ABSTRACT Peripheral intravenous catheter (PIVC) insertion is a common clinical procedure, but it can be challenging, especially in patients with difficult intravenous access (DIVA). Ultrasound‐guided PIVC (USGPIVC) insertion is recognised as best practice in these cases, improving first attempt success rates, reducing complications, and enhancing patient comfort. Sonographers, with their advanced imaging and dexterity in anatomical assessment, are well positioned to contribute to vascular access services through USGPIVC. This educational article, informed by the 2025 ASA guideline, outlines scope of practice considerations, training and competency requirements, procedural techniques and infection control standards. Practical guidance is offered on vein selection, insertion approaches, artefact mitigation, and post‐procedural care. By adopting USGPIVC, sonographers can enhance patient outcomes, reduce procedural delays, and contribute meaningfully to multidisciplinary care teams. This resource supports professional development and encourages institutions to recognise sonographers' potential in delivering high‐quality vascular access services. With appropriate credentialing and ongoing education, USGPIVC represents a significant opportunity to enhance sonographic practice and meet evolving healthcare needs.