Central Venous Access Devices. Stephanie Cunningham Amy Waters
|
|
- Damon Mosley
- 5 years ago
- Views:
Transcription
1 Central Venous Access Devices Stephanie Cunningham Amy Waters
2 5 Must Know Facts About CVAD s 1) What are CVAD s? 2) What are CVAD s used for? 3) How are these devices put in? 4) What are the complications related to CVAD s? 5) What are the signs and symptoms of these complications?
3 Central Venous Access Devices Catheters that are placed in large blood vessels (e.g., subclavian vein, jugular vein) of people who require frequent access to the vascular system. Central venous access can be achieved by three different methods: centrally inserted catheters, peripherally inserted central catheters (PICCs), or implanted ports.
4 Centrally inserted catheters and implanted ports must be placed by a physician whereas PICCs can be inserted by a nurse with specialized training.
5 CVADs permit frequent, continuous, rapid, or intermittent administration of fluids and medications. They allow for the administration of drugs that are potential vesicants, blood and blood products, and parenteral nutrition. They may also be used for hemodynamic monitoring and venous blood sampling. These devices are indicated for patients who have limited peripheral vascular access or who have a projected need for long-term vascular access.
6 Central Line Centrally Inserted Catheter is inserted into a vein in the neck, chest or groin with the tip resting in the distal end of the superior vena cava. They are inserted with the aid of local or general anesthesia. The other end of the catheter is either nontunneled or tunneled through subcutaneous tissue and exits through a separate incision on the chest or abdominal wall.
7 PICC PICCs are central venous catheters inserted into a vein in the arm and advanced to a position with the tip ending in the superior vena cava. They are intended for patients who need vascular access for 1 week to 6 months but can be in place for longer periods of time. The technique for placement of a PICC line involves insertion of the catheter through a needle with the use of a guide wire or forceps to advance the line.
8 Implanted Port The catheter is placed into the desired vein and the other end is connected to a port that is surgically implanted in a subcutaneous pocket on the chest wall. Drugs are injected through the skin into the port. After being filled, the reservoir slowly releases the medicine into the bloodstream. Implanted ports are good for long-term therapy and have a low risk of infection. Because the port is hidden it offers cosmetic advantages. Great for patients with poor peripheral venous access
9 Dressing Change Gather supplies Verify order, wash hands, ID patient Explain procedure and sensations Position patient in semi-fowlers Take outside covering off of dressing tray and put on gloves and mask Place mask on patient Carefully remove and dispose of old dressing Note any swelling, redness, tenderness, or exudate Inspect cath and hub for any kinked or weakened areas. Also note length of catheter exposed Remove gloves and wash hands Open dressing tray while maintaining sterility Put on sterile gloves & prepare your sterile field Using a vigourous back and forth motion clean around cath with chloraprep for 30 seconds and allow to dry for at least 1 minute Apply biopatch Apply transparent dressing (tegaderm) Label dressing with date, time, and initals Remove gear, discard soiled dressings and supplies, wash hands DOCUMENT, DOCUMENT, DOCUMENT!
10 Dressing Change Dressing should be changed at least every 7 days or earlier if it is no longer intact or visibly soiled. Transparent dressing permits observation of site
11 CVAD s Complications Thrombosis Dislodgement Pneumothorax Hemothorax Occlusion Cardiac Perforation Infection Signs & Symptoms Shortness of Breath Chest Pain Dizziness Anxiety Palpitations Fever Swelling at Site Redness at Site Heat at Site Drainage at Site Moveable Port Swishing Gurgling
12 Thrombosis
13 Dislodgement
14 Pneumothorax
15 Hemothorax
16 Cardiac Perforation
17 Infection
18 Extravasation
19 Hand Hygiene-# 1 intervention to prevent infection! Aseptic Technique Chlorhexidine Prep-Back & Forth Motion EVP proves chlorhexidine is more effective than alcohol or iodine EVP use of chlorhexidine reduces catheter related infections by nearly 50% when compared to iodine. Place mask on patient during dressing change EVP non heparinize saline is an effective alternative to heparinized saline and does not subject the patient to potential complications related to heparin
20 THE END
IV Fluids. Nursing B23. Objectives. Serum Osmolality
IV Fluids Nursing B23 Objectives Discuss the purpose of IV Discuss nursing interventions in IV therapy Identify complications of IV therapy Differentiate between peripheral line, central line, and PICC
More informationCentral Line Care and Management
Central Line Care and Management What is a Central Line/ CVAD? (central venous access device) A vascular infusion device that terminates at or close to the heart or in one of the great vessels (aorta,
More informationIV Fluids Nursing B23 Objectives Serum Osmolality 275 to 295 Isotonic
1 IV Fluids Nursing B23 2 Objectives 3 Serum Osmolality Serum osmolality solute concentration of a solution Higher osmolality means greater pulling power for water Normal serum osmolality is 275 to 295
More informationMary Lou Garey MSN EMT-P MedFlight of Ohio
Mary Lou Garey MSN EMT-P MedFlight of Ohio Function Prolonged and frequent access to venous circulation Allows for patient to carry on normal life; decrease number of needle sticks Medications, parenteral
More informationIf viewing a printed copy of this policy, please note it could be expired. Got to to view current policies.
If viewing a printed copy of this policy, please note it could be expired. Got to www.fairview.org/fhipolicies to view current policies. Department Policy Code: D: PC-5555 Entity: Fairview Pharmacy Services
More informationCentral Venous Catheter Care and Maintenance (includes catheter troubleshooting guide)
Central Venous Catheter Care and Maintenance (includes catheter troubleshooting guide) A Guide for Patients in the Home Phone Number: Nurse/Contact: Central Venous Catheters This manual is a guide for
More informationCentral venous access devices for children with lysosomal storage disorders
Great Ormond Street Hospital for Children NHS Foundation Trust: Information for Families Central venous access devices for children with lysosomal storage disorders This information explains about central
More informationCurraheen, Co. Cork. Guidelines on the Management and Care of Central Venous Access Devices
Curraheen, Co. Cork. Guidelines on the Management and Care of Central Venous Access Devices Date re-approved: 27 th Jan 2015. Version No: 2 Revision Due: 2018 Index code: CLIN028 Disclaimer: The information
More informationIV therapy. By: Susan Mberenga, RN, MSN. Copyright 2016, 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc.
IV therapy By: Susan Mberenga, RN, MSN 1 IV Therapy Types of solutions Isotonic Hypotonic Hypertonic Caution: Too rapid or excessive infusion of any IV fluid has the potential to cause serious problems
More informationThe University of Toledo Medical Center and its Medical Staff
Name of Policy: Policy Number: Department: 3364-109-GEN-705 Infection Control Medical Staff Hospital Administration Approving Officer: Responsible Agent: Scope: Chair, Infection Control Committee Chief
More informationCENTRAL VENOUS ACCESS DEVICES. BETHANY COLTON
CENTRAL VENOUS ACCESS DEVICES. BETHANY COLTON Aims and Objectives To know what central venous access devices (CVAD) are. Types of CVADS used in haematology. To understand why we use them To know the complications
More informationPeel-Apart Percutaneous Introducer Kits for
Bard Access Systems Peel-Apart Percutaneous Introducer Kits for Table of Contents Contents Page Bard Implanted Ports Hickman*, Leonard*, Broviac*, Tenckhoff*, and Groshong* Catheters Introduction....................................
More informationPer-Q-Cath* PICC Catheters with Excalibur Introducer* System
Bard Access Systems Per-Q-Cath* PICC and Catheters with Excalibur Introducer* System Instructions For Use Table of Contents Table of Contents Page Contents 1 Product Description, Indications & Contraindications
More informationSuccessful IV Starts Revised February 2014
Successful IV Starts Revised February 2014 Why Intravenous Therapy? Used for access to the body s circulation Indications: Administer fluids, blood, medications, and nutrition Obtain laboratory specimens
More informationIntravenous Catheter Complications
Vascular Access Device-Related Infection Inadequate skin antisepsis prior to VAD insertion Acute onset of fever, chills, and hypotension. No other apparent source of Notify Prescriber immediately Obtain
More informationInfusion Skills Competency Checklist To be used at annual skills fair or at any other time for IV Competency
Employee Profile Infusion Skills Checklist Last Name First Name Middle Initial Employee Number Employee Discipline Check one: RN LPN Per state specific LPN Practice Acts Direct Supervisor s Name: Date
More informationAppendix E: Overview of Vascular
Appendix E: Overview of Vascular 56 Peripheral Short Catheter, less than 3 inches (7.5 cm) in length; over-the-needle catheter is most common. Inserted by percutaneous venipuncture, generally into a hand
More informationEmergency clamp should always be readily available in case of accidental catheter fracture
Note: Please see individual policies for further information. Flushing best practice: Always use a 10 diameter syringe or larger when first accessing and when flushing vascular access device (VAD) Use
More informationCentral Venous Catheter Insertion: Assisting
Approved by: Central Venous Catheter Insertion: Assisting Gail Cameron Senior Director, Operations, Maternal, Neonatal & Child Health Programs Dr. Santiago Ensenat Medical Director, Neonatology Neonatal
More informationPort Design. Page 1. Port Placement, Removal, and Management. Selecting a Vascular Access Device. Thomas M. Vesely, MD
Non-Dialysis Procedures Port Placement, Removal, and Management Thomas M. Vesely, MD Saint Louis, Missouri Selecting a Vascular Access Device Duration of use Number of lumens Frequency used Blood flow
More informationVascular access device selection & placement. Alisa Seangleulur, MD Anesthesiology Department, Faculty of Medicine, Thammasat University
Vascular access device selection & placement Alisa Seangleulur, MD Anesthesiology Department, Faculty of Medicine, Thammasat University How to make the right choice of vascular access device.. Peripheral
More informationIntroduction to IV Therapy. BY Terry White, MBA, BSN
Introduction to IV Therapy BY Terry White, MBA, BSN Important It is West Virginia State Law that nursing students (LPN and RN) are forbidden to start IVs or draw blood samples on patients Taking this class
More informationIV Drug Delivery Systems used in Cancer Care
IV Drug Delivery Systems used in Cancer Care Cheri Constantino-Shor, RN, MSN, CRNI Seattle Cancer Care Alliance Nursing Staff Development Coordinator Presentation Objective Describe drug delivery devices
More informationDepartment Policy. Code: D:PC Entity: Fairview Pharmacy Services. Department: Fairview Home Infusion. Manual: Policy and Procedure Manual
Entity: Fairview Pharmacy Services Department: Fairview Home Infusion Manual: Policy and Procedure Manual Category: Home Infusion Subject: Midline (Extended Dwell Peripheral) Catheter Care and Management
More informationCOALINGA STATE HOSPITAL NURSING POLICY AND PROCEDURE MANUAL SECTION Treatments POLICY NUMBER: 428. Effective Date: August 31, 2006
COALINGA STATE HOSPITAL NURSING POLICY AND PROCEDURE MANUAL SECTION Treatments POLICY NUMBER: 428 Effective Date: August 31, 2006 SUBJECT: CENTRAL VASCULAR ACCESS DEVICES (CVADs): CARE AND USE 1. PURPOSE:
More informationATI Skills Modules Checklist for Central Venous Access Devices
For faculty use only Educator s name Score Date ATI Skills Modules Checklist for Central Venous Access Devices Student s name Date Verify order Patient record Assess for procedure need Identify, gather,
More informationExternal Ref: Andres, D.A., et al. Catheter Pinch-Off Syndrome: Recognition and Management.
Department Policy Code: D: PC-5530 Entity: Fairview Pharmacy Services Department: Fairview Home Infusion Manual: Policy and Procedure Manual Category: Home Infusion Subject: Complications With Intravenous
More information1/22/2016. Disclaimer. Disclaimer
Disclaimer Omnicare, Inc., as a provider of Infusion Pharmacy Services, is committed to the establishment and maintenance of the highest quality of care in infusion therapy services. This Infusion Therapy
More informationPeripherally Inserted Central Catheter (PICC) Booklet
Aintree University Hospital FT PICC Booklet: a real world example This local booklet is an example used in the NICE medical technology guidance adoption support resource for SecurAcath for securing percutaneous
More informationCARE OF A TUNNELED CATHETER (HICKMAN & BROVIAC ) with a Needleless Connector (MicroClave Clear)
CARE OF A TUNNELED CATHETER (HICKMAN & BROVIAC ) with a Needleless Connector (MicroClave Clear) Table of Contents Part 1 Learning about the Catheter...2 Part 2 Caring for Your Child s Catheter...3 A. Preventing
More informationIf viewing a printed copy of this policy, please note it could be expired. Got to to view current policies.
If viewing a printed copy of this policy, please note it could be expired. Got to www.fairview.org/fhipolicies to view current policies. Department Policy Code: D: PC-5575 Entity: Fairview Pharmacy Services
More informationMANAGEMENT OF INTRAVASCULAR (IV) LINES AND THERAPY. All GCC Countries
TITLE/DESCRIPTION: MANAGEMENT OF INTRAVASCULAR (IV) LINES AND THERAPY INDEX NUMBER: EFFECTIVE DATE: APPLIES TO: ISSUING AUTHORITY: 01/01/2009 01/01/2013 All GCC Countries GULF COOPERATION COUNCIL CENTRE
More informationOverview of CVADs. Type of device commonly used. Dwell time Flushing requirement Associated complications. lumens
Source: Clinical Skills Management of Vascular Access Devices Pre-course handbook. Adapted with permission from NHS Lothian Employee and Education Development Team. Overview of CVADs Type of device Veins
More informationVascu-PICC WITH CUFF PERIPHERALLY INSERTED CENTRAL VEIN ACCESS CATHETER INSTRUCTIONS FOR USE
Vascu-PICC WITH CUFF PERIPHERALLY INSERTED CENTRAL VEIN ACCESS CATHETER INSTRUCTIONS FOR USE INDICATIONS FOR USE: The Vascu-PICC with cuff Peripherally Inserted Central Vein Catheters are designed for
More informationYou have a what, inside you?
Costal Emergency Medicine Conference You have a what, inside you? Less than mainstream medical devices encountered in the ED. Eric Ossmann, MD, FACEP Associate Professor Duke University Medical Center
More informationYou have a what, inside you?
Costal Emergency Medicine Conference You have a what, inside you? Less than mainstream medical devices encountered in the ED. Eric Ossmann, MD, FACEP Associate Professor Duke University Medical Center
More informationIf viewing a printed copy of this policy, please note it could be expired. Got to to view current policies.
If viewing a printed copy of this policy, please note it could be expired. Got to www.fairview.org/fhipolicies to view current policies. Department Policy Code: D: PC-5530 Entity: Fairview Pharmacy Services
More informationA Primer on Central Venous Access: Peripherally-Inserted Central Catheters, Tunneled Catheters, and Subcutaneous Ports
Disclosures A Primer on Central Venous Access: Peripherally-Inserted Central Catheters, Tunneled Catheters, and Subcutaneous Ports No conflicts of interest relevant to this presentation Jason W. Pinchot,
More information1/22/2016. Objectives. Vascular Access Devices
Objectives 1. Discuss selection of appropriate vascular access device based on type and duration of prescribed therapy 2. Demonstrate correct procedure for short peripheral IV insertion including: preparation
More informationGuidelines for the Care and Maintenance of Intravenous Access Devices in Paediatric Patients
Guidelines for the Care and Maintenance of Intravenous Access Devices in Paediatric Patients These guidelines have been adapted for local use from the Collaborative Intravenous Nursing Services regional
More informationChildren s Acute Transport Service
Children s Acute Transport Service Vascular Access Document Control Information Author Ramnarayan Author Position Consultant, CATS Document Owner Polke Document Owner Position CATS Co-ordinator Document
More informationPeripherally Inserted Central Catheter & Midline Placement with ECG Confirmation of Tip Placement
Title/Description: Peripherally Inserted Central Catheter & Midline Placement with ECG Confirmation of Tip Placement Department: Patient Care Services Personnel: Nursing Services Effective Date: April
More informationESPEN Congress Brussels How to take care of central venous access devices (CVAD)? Eva Johansson
ESPEN Congress Brussels 2005 How to take care of central venous access devices (CVAD)? Eva Johansson How to take care of central venous access devices (CVAD)? Eva Johansson, RN, PhD Division of Hematology
More informationChildren's (Pediatric) PICC Line Placement
Scan for mobile link. Children's (Pediatric) PICC Line Placement A peripherally inserted central catheter (PICC line) is most often used to deliver medication over a long period. The doctor or nurse inserts
More informationVaxcel Implantable Ports Valved and Non-Valved. A Patient s Guide
Vaxcel Implantable Ports Valved and Non-Valved A Patient s Guide Vaxcel Implantable Port This pamphlet provides some answers to questions you may have about your implantable port and how to care for it
More informationPortacath Insertion. Patient Information Leaflet
Portacath Insertion Patient Information Leaflet What is a Portacath? A Portacath (also referred to as Port, Chemoport or Power Port) is an implanted central venous access device (CVAD) recommended for
More informationUnderstanding your HICKMAN CATHETER
Understanding your HICKMAN CATHETER Patient Information What is the purpose of this information sheet? This information sheet has been written by patients, members of the public and health professionals.
More informationComplications Associated With IV Therapy
Occlusion is the partial or complete obstruction of a catheter, which obstructs the infusion of solutions or medications. Occlusions can result from the coagulation of blood (thrombotic) or from obstruction
More informationInsertion of a totally implantable vascular access device (TIVAD)
Insertion of a totally implantable vascular access device (TIVAD) What is a TIVAD? A TIVAD is a long hollow tube that is inserted into one of the large veins in your body. One end of the tube sits in a
More informationFLEXIC ATH LTD. Peripherally Inserted. Instructions n For Use.
FLEXIC ATH LTD * M/29M Peripherally Inserted Catheter Instructions n For Use This leaflet contains instructions for both stan- dard needle-introducer er and protection con- tained M/29 models, i.e., with
More informationProcedures/Risks:central venous catheter
Procedures/Risks:central venous catheter Central Venous Catheter Placement Procedure: Placement of the central venous catheter will take place in the Interventional Radiology Department (IRD) at The Ohio
More informationSterile Technique & IJ/Femoral Return Demonstration
Sterile Technique & IJ/Femoral Return Demonstration Sterile Technique Description: This is a return demonstration checklist used to evaluate participants in the simulated hands on skills portions for certification
More informationNOTTINGHAM CHILDREN S HOSPITAL Nursing Guideline. P07 Care and Management of Children with a Totally Implantable Venous Access Device (Portacath).
NOTTINGHAM CHILDREN S HOSPITAL Nursing Guideline P07 Care and Management of Children with a Totally Implantable Venous Access Device (Portacath). Introduction A Portacath is a central venous access device
More informationThe High-Flow Port Designed & Indicated for Apheresis
The High-Flow Port Designed & Indicated for Apheresis Advancing Lives and the Delivery of Health Care Bard is proud to introduce the first and only high-flow, power-injectable port designed and indicated
More informationDRAFT. Caring for Your Central Venous Catheter. For adult patients. Contents
UW MEDICINE PATIENT EDUCATION Caring for Your Central Venous Catheter For adult patients Contents Page What is a central venous catheter?... 2 What can I expect when the catheter is placed?... 2 How is
More informationA. Complications With Intravenous Catheters FHI B. Central Line Protocol Management of Site Complications C. Intravenous Catheter Complications
Department Policy Entity: Fairview Pharmacy Services Department: Fairview Home Infusion Manual: Policy and Procedure Manual Category: Home Infusion Subject: Peripheral Venous Access Purpose: Fairview Home
More informationDocument No. BMB/IFU/40 Rev No. & Date 00 & 15/11/2017 Issue No & Date 01 & 15/11/2017
Central Venous Catheter Device Description Multi-lumen catheters incorporate separate, non-communicating vascular access lumens within a single catheter body. Minipunctur Access Sets And Trays: Used for
More informationGroshong Catheters with Introcan Safety Peripheral IV Catheter Introducer
Bard Access Systems Groshong Catheters with Introcan Safety Peripheral IV Catheter Introducer Instructions For Use Table of Contents Table of Contents Page Contents 1 Product Description 2 Product Description,
More informationPolicies and Procedures LPN Additional Competency: Care of Short Term, Tunneled, Implanted Central Venous Catheters
Policies and Procedures LPN Additional Competency: Care of Short Term, Tunneled, Implanted Central Venous Catheters Title: CENTRAL VENOUS CATHETERS SHORT TERM, TUNNELED, IMPLANTED - CARE OF - accessing
More informationompanionport Speciality Medical Devices For The Veterinary Community Surgical Suggestions
Speciality Medical Devices For The Veterinary Community suture holes Place the CompanionPort in the subcutaneous port pocket off to one side so that the septum of the port will not lie directly beneath
More informationPreventing CLABSI & CAUTI Preventive Measures for Central Line Associated Bloodstream Infection & Catheter Associated UTI
Preventing CLABSI & CAUTI Preventive Measures for Central Line Associated Bloodstream Infection & Catheter Associated UTI Kaiser Permanente For Internal use only Objectives By the end of this lesson, you
More informationTOTALLY IMPLANTED VENOUS ACCESS DEVICES
Information for Parents/Carers TOTALLY IMPLANTED VENOUS ACCESS DEVICES This leaflet tells you about having a totally implanted venous access device (Port). It explains what is involved and what the benefits
More informationVascular Access Devices & Infusion Therapy Specialist Practice Network 12 May 2016
Vascular Access Devices & Infusion Therapy Specialist Practice Network 12 May 2016 Meet the VAD&IT SPN Committee Chair - Nicole Gavin (Qld) Deputy Chair - Kerrie Curtis (Vic) Treasurer position vacant
More informationGroshong* PICC and Catheters
Bard Access Systems Groshong* PICC and Catheters Instructions For Use Table of Contents Table of Contents Page Contents 1 Product Description 2 Product Description, Indications & Contraindications 3 Contraindications,
More informationEducation for Self Administration of Intravenous Therapy HOME IV THERAPY PICC. Portacath
HOME IV THERAPY PICC Portacath Who To contact Cardio-Respiratory Integrated Specialist Services (CRISS) Office hours 0800 1630 hours Ph: 364 0167 Weekends and after hours, phone Christchurch Hospital operator
More informationHome Health Foundation, Inc. To create more permanent IV access for patients undergoing long term IV therapy.
PROCEDURE ORIGINAL DATE: 06/99 Revised Date: 09/02 Home Health Foundation, Inc. SUBJECT: PURPOSE: MIDLINE CATHETER INSERTION To create more permanent IV access for patients undergoing long term IV therapy.
More informationAdult Venous Access Policy including the Care and Management Central Venous Access Devices (CVADs)
Adult Venous Access Policy including the Care and Management Central Venous Access Devices (CVADs) Quality and safety for every patient every time Document Control Prepared By Sharon Harper Wendy Anderson
More informationPrevent Bloodstream Infections by Using Appropriate Devices
37 Prevent Bloodstream Infections by Using Appropriate Devices Situation Catheter-associated infections include exit, tunnel, pocket and bloodstream infections. In the United States, when these types of
More information2. Indications Infusion of hyperosmolar medication, e.g. TPN. Administration of vasoactive/irritant drugs.
Policy and Procedure for Insertion and care of Peripherally Inserted Central Catheters by Neonatal Staff (see Ch 8 TPN) 1. Introduction The peripherally inserted central catheter (PICC) is an intravenous
More informationClinical Nutrition 28 (2009) Contents lists available at ScienceDirect. Clinical Nutrition
Clinical Nutrition 28 (2009) 365 377 Contents lists available at ScienceDirect Clinical Nutrition journal homepage: http://www.elsevier.com/locate/clnu ESPEN Guidelines on Parenteral Nutrition: Central
More informationThe Impact of Healthcare Associated Infection (HCAI)
Instructions for use Save this presentation Feel free to add or delete slides as necessary, change information to suit local needs and as new guidance or evidence is published Disclaimer: Whilst the working
More informationPICC Care and Maintenance. Mary Lou Chaulk, RN
PICC Care and Maintenance Mary Lou Chaulk, RN Types: Valved: Bard - Groshong - valve at distal tip -Solo - valve at proximal hub - Power PICC Angio Dynamic (Navilyst) - Vaxcel -Xcela (Power PICC) - Bioflo
More informationGroshong Central Venous Catheters
Bard Access Systems Groshong Central Venous Catheters Long Term Instructions For Use Table of Contents Contents Page Introduction... 1 Description Placement Schematics Groshong Valve Function Indications
More informationSection: 2. Introduction
Section: 2 Introduction Associated Infection; Indian Society of Critical Care Medicine. How to cite this article: Associated Infection; Indian Society of Critical Care Medicine.. Introduction. Indian J
More informationNexSite HD, Hemodialysis Symmetric Tip Catheter for long term use. Directions for Use. Contents
NexSite HD, Hemodialysis Symmetric Tip Catheter for long term use Directions for Use Contents Note to Physicians: Please consult the on-line training video on www.marvaomedical.com for information on the
More informationNetwork Policy for the Care and Management of Central Venous Access Devices (CVAD) in Adults.
Network Policy for the Care and Management of Central Venous Access Devices (CVAD) in Adults. Quality and safety for every patient every time Document Control Prepared By Sharon Harper Wendy Anderson Issue
More informationUnit 11. Objectives. Indications for IV Therapy. Intravenous Access Devices & Common IV Fluids. 3 categories. Maintenance Replacement Restoration
Unit 11 Fluids, Electrolytes and Acid Base Imbalances Intravenous Access Devices & Common IV Fluids Objectives Review the purpose and types of intravenous (IV) therapy. Recall the nursing care related
More informationTotally indwelling venous access devices
Totally indwelling venous access devices Leeds MDT. April, 2008. Totally indwelling venous access devices [online]. Department of Respiratory Medicine, St James's University Hospital, UK. Available from
More informationPolicies and Procedures
Policies and Procedures Title: CENTRAL VENOUS CATHETERS CARE OF PERIPHERALLY INSERTED CENTRAL CATHETERS (S) - accessing - dressing changes - tubing and adapter changes - flushing Authorization: [x] SHR
More informationCLINICAL GUIDELINES ID TAG Percutaneous Insertion of a Central Catheter in the Neonate
Title: CLINICAL GUIDELINES ID TAG Percutaneous Insertion of a Central Catheter in the Neonate Author: Speciality / Division: Directorate: Maire Cullen ANNP, Una Toland Lead Nurse, Denise Quinn ANNP Neonatology
More informationAspira* Peritoneal Drainage Catheter
Aspira* Peritoneal Drainage Catheter Instructions For Use Access Systems Product Description: The Aspira* Peritoneal Drainage Catheter is a tunneled, long-term catheter used to drain accumulated fluid
More informationIs it Necessary to Verify Blood Return in Monthly Port Flushes?
Is it Necessary to Verify Blood Return in Monthly Port Flushes? Gloria B. Ascoli, RN, CRNI, Amy C. Brown, BSN, RN, Jessica L. Cooper, BSN, RN, Allison N. Crawford, BSN, RN, CRNI Background Research Aims
More informationARROW ENDURANCE. Extended Dwell Peripheral Catheter System. Rx only.
ARROW ENDURANCE Extended Dwell Peripheral Catheter System Rx only. Product Description: The ARROW Endurance catheter system is a sterile, single use peripheral intravascular device designed to permit access
More informationJo Kuehn, RN, MSN, CPHQ Jenell Westhoven, RN, BSN
Jo Kuehn, RN, MSN, CPHQ Jenell Westhoven, RN, BSN Disclosure Information Intravenous Therapy and Parenteral Nutrition Administration: Nursing In- Focus Jo Kuehn, RN, MSN, CPHQ and Jenell Westhoven, RN,
More information3M Tegaderm CHG Chlorhexidine Gluconate I.V. Securement Dressing Description 3M Tegaderm CHG Chlorhexidine Gluconate I.V. Securement Dressing is used
3M Tegaderm CHG Chlorhexidine Gluconate I.V. Securement Dressing Description 3M Tegaderm CHG Chlorhexidine Gluconate I.V. Securement Dressing is used to cover and protect catheter sites and to secure devices
More informationIV Therapy January, 08 Tip of the Month
Every Hub Every Time IV Therapy January, 08 Tip of the Month Every Hub Every Time No matter what the occasion, SCRUB the catheter ports every single time before access. Evidence Supports SCRUBBING using
More informationComplications of Central Vascular Access Devices
Complications of Central Vascular Access Devices Central vascular access devices, or central venous access devices (CVADs), are fundamental in the nursing care of the critically ill, those with chronic
More informationNottingham Renal and Transplant Unit
Nottingham Renal and Transplant Unit Full Title of Guideline: Author (include email and role): Division & Speciality: Scope (Target audience, state if Trust wide): Review date (when this version goes out
More informationSCIG INFUSIONS A PRACTICAL GUIDE FOR PATIENTS
PRIMARY IMMUNODEFICIENCIES SCIG INFUSIONS: A PRACTICAL GUIDE FOR PATIENTS SCIG INFUSIONS A PRACTICAL GUIDE FOR PATIENTS 1 PRIMARY IMMUNODEFICIENCIES ABBREVIATIONS IG IVIG PID SCIG Immunoglobulin Intravenous
More informationSTANDARDIZED PROCEDURE REPROGRAMMING AND REFILLING INTRATHECAL BACLOFEN PUMPS and ACCESSING THE CATHETER ACCESS PORT (Adult,Peds)
I. Definition The purpose of this procedure is to allow the Advanced Health Practitioner (AHP) to reprogram and refill intrathecal Baclofen pumps, as well as access the catheter access port for those AHPs
More informationPATIENT CARE PLAN FOR CARE OF PERIPHERAL MIDLINE. Manufacturers specific recommendations should be noted and adhered to by individual practitioners.
PATIENT CARE PLAN FOR CARE OF PERIPHERAL MIDLINE The care plan is designed to be used in conjunction with CINS Guidelines for vascular devices. Manufacturers specific recommendations should be noted and
More informationCENTRAL VENOUS CATHETER (CVC) - BASIC CARE AND MAINTENANCE ADULT
POLICY Principles for Care The recommended and optimal CVC tip position is the distal (lower third) superior vena cava (SVC) and the cavo atrial junction. Physician orders are required for the following
More information2. Need for serial arterial blood gas determinations. 2. Anticipation of the initiation of thrombolytic therapy
I. Subject: Arterial Cannulation II. Policy: Arterial cannulation will be performed upon a physician's order by Cardiopulmonary and Respiratory Therapy personnel certified in the arterial catheterization
More informationIR Central Venous Access [ ] Pre Procedure
IR Central Venous Access [1050200001] Pre Procedure Case Request/Scheduling Procedure Enter IR Case Request if not already completed (All hospitals except Grant Medical Center) [ ] Case Request IR Lab
More informationCaring for Your Peripherally Inserted Central Catheter (PICC)
PATIENT & CAREGIVER EDUCATON Caring for Your Peripherally Inserted Central Catheter (PICC) This information will help you care for your peripherally inserted central catheter (PICC) at home. A PICC is
More informationVenous Access and Ports. Helen Starosta
Venous Access and Ports Helen Starosta Venous access and ports Peripheral IV access Arterio-Venous Fistula Central venous access Peripherally Inserted Central Catheter (PICC) Non Tunnelled Central Venous
More informationDISCOVER NEW HORIZONS IN FLUID DRAINAGE. Bringing Safety and Convenience to Fluid Drainage Management
DISCOVER NEW HORIZONS IN FLUID DRAINAGE Bringing Safety and Convenience to Fluid Drainage Management DRAIN ASEPT Pleural and Peritoneal Drainage Catheter System 600mL or 1,000mL Evacuated Drainage Bottle
More informationKristin Wise, MD, FHM Division of General Internal Medicine and Geriatrics Hospital Medicine 2013
Kristin Wise, MD, FHM Division of General Internal Medicine and Geriatrics Hospital Medicine 2013 Objectives for CVC Placement Understand the indications and contraindications Determine appropriate CVC
More informationSARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE
SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE TITLE: ISSUED FOR: IMPLANTED VASCULAR ACCESS DEVICE (IMPLANTED PORT) CARE AND MAINTENANCE Nursing DATE: REVIEWED: PAGES: RESPONSIBILITY: *RN, LPN II 09/84 2/18
More informationDignity Dual Power Injectable Implantable Infusion Port INSTRUCTIONS FOR USE
DESCRIPTION: Dignity Dual Power Injectable Implantable Infusion Port INSTRUCTIONS FOR USE The Dignity Dual power injectable implantable infusion port is an implantable access device designed to provide
More information