PARENTERAL NUTRITION: VASCUAR ACCESS DEVICE SELECTION
|
|
- June Eaton
- 5 years ago
- Views:
Transcription
1 PARENTERAL NUTRITION: VASCUAR ACCESS DEVICE SELECTION Winifred Magambo-Gasana Vascular Access Nurse Practitioner Oxford University Hospitals NHS Foundation Trust
2 Aim An overview of the range of Vascular Access Devices (VADs) that can be used to administer Parenteral Nutrition Classification of VADs (short, intermediate, long term) Advances in technology Types of VADs Considerations when selecting VAD Presentation Title/Date Can Go Here
3 Background VADs have been inserted into the venous system for almost 100yrs Initially VADs used for short-term to administer antibiotics via peripherally accessed vein Introduction of silastic led to the introduction & use of long term VADs Advances in technology has seen a continued growth and evolvement of VADs
4 CLASSIFICATION OF VADS
5 Classification of VADs Short-term VADs Peripheral Cannula Non-irritant short-term treatments Short term IV medication Short-term administration of antibiotics Temporary central lines CVC (non-tunnelled) - CVP monitoring -Administration of fluid and/ toxic drugs -Short term access 7-10days
6 Classification of VADs Intermediate-term VADs Midline Catheters (*PIC) - Usually cm in length - Tip location in the axilla/upper arm - 2-6weeks dwell time -Administration of non-vesicants/non-irritant drugs Peripherally Inserted Central Catheter (PICC) - Usually 50-60cm in length -Tip location in lower third SVC /Cavo atrial junction -Used for treatments of 6weeks 1 year -Administration of vesicants/irritants -Conditions requiring regular blood sampling
7 Classification of VADs Long-term VADs Totally Implantable Ports (Port-a Cath) Used mainly in Oncology & CF patients Lower risk of infection Prolonged intravenous therapy Tunnelled Central Venous Access Devices Hickman, Broviac Dacron cuff Prolonged intravenous therapy
8 ADVANCES IN TECHNOLOGY
9 Power Injectables: Advances in Technology Vascular Access Devices that can have infusions through them at high pressures without causing damage to the device or the vessel. 5ml/sec 300psi. Polyurethane Open-ended Available in all ranges
10 ECG & Tip Location Systems (TLS) for Adult Patients Mechanism Magnetic field generated between console & stylet Real time display on interface as VAD is advanced Baseline ECG extravascular Confirmatory intravascular ECG changes in P waves Benefits Tip position confirmed at placement No need for X-ray Better accuracy Reduced time delay in starting treatment Reduced costs of having to resite PICC if mispositioned Miniature Printer
11 ECG & TLS Contra-indicated Patients in AF Patients with fast tachycardia Patients with Pacemaker
12 TYPES OF VADS
13 Venflons for Peripheral Parenteral Nutrition o Size 20G-18G o Dwell time 7-10 days unless clinically indicated o Complications - phlebitis, dislodgement, extravasations, infiltration (Epic )
14 MIDLINE: Power wand for Peripheral Parenteral Nutrition POWER WAND (Extended dwell catheter) o Size 4Fr-5Fr o 7cm-10cm o Dwell time 29 days o Power injectable 325psi ml/min o Kink resistant o Can withdraw blood o Low thrombosis & phlebitis rates Presentation Title/Date Can Go Here
15 MIDLINE: Power glide for Peripheral Parenteral Nutrition POWER GLIDE o Size 22G-18G o 8cm-10cm o Dwell time 29 days o Power injectable 300psi 2ml- 7ml/sec o Minimize vessel trauma o Can withdraw blood Presentation Title/Date Can Go Here
16 MIDLINE: Power Midline for Peripheral POWER MIDLINE o Size SL 3Fr & 4Fr o Size DL 4Fr & 5Fr o 8cm-10cm o Dwell time 29 days o Power injectable 300psi o Rates SL 3Fr 3ml/sec 4Fr 7ml/sec o Rates DL 4Fr 4ml/sec* 5Fr 7ml/sec o Minimize vessel trauma o Kink resistance o Can withdraw blood Parenteral Nutrition Presentation Title/Date Can Go Here
17 MIDLINES for Peripheral Parenteral Nutrition LIFECATH LEADERFLEX o Size 3Fr, 4Fr, 5Fr, 22G o Dwell time 2-4weeks o Complications lack of blood withdrawal Occlusion phlebitis Presentation Title/Date Can Go Here
18 PICCs for Parenteral Nutrition o Size 4Fr, 5Fr o Single or multi-lumen o Dwell time up to 18 months manufacturers guidance o Complications o thrombosis, o occlusions, o Dislodgement o CRBSI o Fracture Presentation Title/Date Can Go Here
19 Tunnelled VADs for Parenteral Nutrition 6.6fr, 7fr, 9fr Dwell time 3yrs-5yrs Complications CRBSI Thrombosis Fractures Occlusion PWO Displacement
20 CONSIDERATIONS WHEN SELECTING VAD
21 UK Vessel Health & Preservation Based on 4 Clinical Decision Aides Peripheral vein assessment tool Suitability of IV fluids/medications for peripheral vein administration Right line decision tool Re-evaluation of vascular access device Hallam C et al J Infect Prev Mar; 17(2):
22 Selecting a VADs Considerations Expected duration of therapy Regular or intermittent use Flow rate of prescribed therapy Any existing devices present Need for concurrent IV access/therapy Condition of patient s veins Considerations Need for CT Method of insertion o Palpation o USS o ECG TLS o Fluoroscopy Aftercare and maintenance
23 Overview of VADs Summary Classification Types of VADs Power injectables ECG TLS Considerations for selecting VAD
24 BAPEN CONFERENCE 2018
Appendix 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 informationTYPES AND USES OF VENOUS ACCESS DEVICES
FOR HEALTHCARE PROVIDER USE ONLY. THIS INFORMATION IS FOR REFERENCE PURPOSES ONLY AND DOES NOT TYPES AND USES OF VENOUS ACCESS DEVICES PERIPHERAL DEVICES 1 Typically inserted in the hand, arm, or foot
More informationValue Life Lifecath Midli n e uide to Lifecath Midline rse s G u N A
Value Life Lifecath Midl ine A Nurse s Guide to Lifecath Midline www.vygon.co.uk vygon@vygon.co.uk Useful Information Lifecath Midline Lifecath Midline Catheter Code: 1296 Peelable Cannula Introducer
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 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 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 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 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 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 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 informationVascular access in practice: best practice update
Vascular access in practice: best practice update Nicola York Clinical Nurse Manager Vascular Access Oxford University Hospitals NHS Foundation Trust June 2016 Objectives Patient assessment Best practice
More informationNavigating Vascular Access Issues
Navigating Vascular Access Issues The Oley Foundation 27 th Annual Consumer/Clinician Conference Redondo Beach, CA June, 27 2012 Anita Piano, BS, RN, VA-BC Administrative Nurse, PICC Service UCLA Health
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 informationThe Impact of Catheter Occlusion in Central Line Associated Bloodstream Infections M A R C H 15, 2017
The Impact of Catheter Occlusion in Central Line Associated Bloodstream Infections D A R C Y DOELLMAN M S N, RN, CRNI, VA - BC M A R C H 15, 2017 LOUISVILLE, KENTUCKY Cincinnati Children s Hospital 642
More informationCentral Venous Access Devices. Stephanie Cunningham Amy Waters
Central Venous Access Devices Stephanie Cunningham Amy Waters 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
More informationParenteral Nutrition in the Hospitalized Patient: which VAD, which policies? Rob Dawson DNP, MSA, APRN, ACNP-BC, VA-BC USA
Parenteral Nutrition in the Hospitalized Patient: which VAD, which policies? Rob Dawson DNP, MSA, APRN, ACNP-BC, VA-BC USA Disclosure Consultant, Vascular Access Consultants LLC: Analogic, Inc / BK Ultrasound
More informationLifecath Twin & Dualyse/Trilyse Permanent and Temporary Renal Catheters
Lifecath Twin & Dualyse/Trilyse Permanent and Temporary Renal Catheters Accurate locking dose Excellent flow rates Safe connections vygon@vygon.co.uk www.vygon.co.uk Product Information Product Information
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 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 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 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 informationPediatric ER Half-day Rounds October 12, 2011 Dr. Karen Bailey
Pediatric ER Half-day Rounds October 12, 2011 Dr. Karen Bailey Objectives to identify various enteral and vascular access lines what do they look like? indications & contraindications proper placement
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 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 informationOver the Wire Technique vs. Modified Seldinger Technique in Insertion of PICC
Over the Wire Technique vs. Modified Seldinger Technique in Insertion of PICC Deniz Kasikci Department of Radiology, Jena University Hospital Friedrich-Schiller-University, Jena, Germany Disclosure Speaker
More informationSupplementary Material* Supplement. Appropriateness Criteria for Vascular Access in Hospitalized Patients
Supplementary Material* Chopra V, Flanders SA, Saint S, Woller SC, O'Grady NP, Safdar N, et al. The Michigan Guide for Intravenous Catheters (MAGIC): Results From a Multispecialty Panel Using the RAND/UCLA
More informationThe C.L.O.T. Tool for Identifying Strategies to Prevent PICC Catheter Occlusions
The C.L.O.T. Tool for Identifying Strategies to Prevent PICC Catheter Occlusions page 2 TABLE OF CONTENTS Part 1: Definition and Scope of Catheter Occlusion Part 2: Predictors of Catheter Occlusion Part
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 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 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 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 informationHigh Flow Family. Short Term Dialysis Catheters. Dialysis
High Flow Family Short Term Dialysis Catheters Dialysis High Flow Triple Lumen 13.5 Fr Unique tip design, superior to the classic sidehole design: Clotting risk is considerably reduced Adhesion risk to
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 informationRESTORING PATENCY TO CENTRAL VENOUS ACCESS DEVICES
RESTORING PATENCY TO CENTRAL VENOUS ACCESS DEVICES Indications Venous access is poor Intravenous therapy involves venous sclerosants Ambulatory chemotherapy given as an outpatient Repeated sampling, or
More informationTissue Adhesive: A New Tool for the Vascular Access Toolbox. Marcia Wise, RN, VA-BC
Tissue Adhesive: A New Tool for the Vascular Access Toolbox Marcia Wise, RN, VA-BC Disclosure Consultant/speaker for Adhezion Biomedical Learning Objectives Review of vascular access device complications.
More informationTaking the Lead in Vascular Access Improving Patient Outcomes
Taking the Lead in Vascular Access Improving Patient Outcomes Tricia Kleidon Nurse Practitioner Lady Cilento Children s Hospital Alliance for Vascular Access Teaching and Research (AVATAR) Menzies Health
More informationTHE CARE AND MAINTENANCE OF TOTALLY IMPLANTED VENOUS ACCESS DEVICES (PORTS)
Children s Hospital for Wales Department of Paediatric Respiratory Medicine and Cystic Fibrosis THE CARE AND MAINTENANCE OF TOTALLY IMPLANTED VENOUS ACCESS DEVICES (PORTS) This protocol applies to the
More informationIV 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 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 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 informationNuovi materiali per la prevenzione di infezione e trombosi: quali evidenze?!
Nuovi materiali per la prevenzione di infezione e trombosi: quali evidenze?! Massimo Lamperti MD, MBA! Clinical Professor of Anesthesiology! Cleveland Clinic Lerner College of Medicine! Chief of General
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 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 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 informationProtecting Patients. Preserving Access.
MAHURKAR * Family of Acute Care Catheters Protecting Patients. Preserving Access. A full spectrum of acute care catheters for use in hemodialysis, apheresis, infusion and renal replacement therapy The
More informationChoosing the right access for long term parenteral nutrition: PICC lines or tunnelled catheters G. Goossens (BE)
ESPEN Congress Lisbon 2015 HOW TO MAKE HOME PARENTERAL NUTRITION SAFER Choosing the right access for long term parenteral nutrition: PICC lines or tunnelled catheters G. Goossens (BE) Choosing the right
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 informationManagement of Catheter Related Bloodstream Infection (CRBSI), including Antibiotic Lock Therapy.
Management of Catheter Related Bloodstream Infection (CRBSI), including Antibiotic Lock Therapy. Written by: Dr K Gajee, Consultant Microbiologist Date: June 2017 Approved by: Drugs & Therapeutics Committee
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 informationFundamentals of Flushing and Locking
Fundamentals of Flushing and Locking Vascular Access Devices Fundamentals of Flushing and Locking Purpose, Product, and Process 2016 BD. BD and the BD Logo are trademarks of Becton, Dickinson and Company.
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 informationTUNNELLED PERIPHERALLY INSERTED CENTRAL CATHERER- HOW WE DO THEM
TUNNELLED PERIPHERALLY INSERTED CENTRAL CATHERER- HOW WE DO THEM Vijaynanthan A 1, Nawawi O 1, Abdullah BJJ 1 1 Department of Biomedical Imaging, Faculty of Medicine, University of Malaya, 50603 Kuala
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 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 informationAdvancing Lives and the Delivery of Health Care. The High-Flow Port Designed for Apheresis
Advancing Lives and the Delivery of Health Care The High-Flow Port Designed for Apheresis Optimized for Long Device Life Bench Tested up to 1,000 Accesses 1 Bard is proud to introduce the first and only
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 informationTissue Adhesive: A New Tool for the Vascular Access Toolbox. What s in your toolbox?
Tissue Adhesive: A New Tool for the Vascular Access Toolbox What s in your toolbox? Disclosures/Disclaimers Consultant/speaker for Adhezion Biomedical Brand names to provide examples of products used in
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 informationDetermination of complication rate of PICC lines in Oncological Patients
Original Article Determination of complication rate of PICC lines in Oncological Patients Ghulam Haider, Shiyam Kumar, Basit Salam, Nehal Masood, Asim Jamal, Yasmeen Abdul Rasheed Section Hematology, Oncology
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 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 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 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 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 informationUltrasound Guided Vascular Access. 7/25/2016
Ultrasound Guided Vascular Access 7/25/2016 www.ezono.com 1 Objectives Indications for insertion of central and peripheral lines Complications associated with procedures Role of ultrasound in vascular
More informationCare of a port-a-cath
Patient information Care of a port-a-cath Ladywell Building Metabolic Medicine 0161 206 1899 All Rights Reserved 2017. Document for issue as handout. What is a port-a-cath? Why do I need a port? A port-a-cath
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 informationX: Infusion Therapy. Saskatchewan Association of Licensed Practical Nurses, Competency Profile for LPNs, 3rd Ed. 201
X: Infusion Therapy Saskatchewan Association of Licensed Practical Nurses, Competency Profile for LPNs, 3rd Ed. 201 Competency: X-1 Principles of X-1-1 X-1-2 X-1-3 X-1-4 X-1-5 Demonstrate knowledge and
More informationAlberta Health Services Infection Prevention and Control - Initiatives and Services. Surveillance Protocol January 12, 2010 Rev.
Alberta Health Services Infection Prevention and Control - Initiatives and Services Hospital Acquired Bloodstream Infections (HABSI) Hospital Wide- in Acute Care and Acute Rehabilitation Facilities Surveillance
More informationCaroline Polley, BSN, RN, VA-BC Clinical Specialist BD
Caroline Polley, BSN, RN, VA-BC Clinical Specialist BD Disclosures The speaker is a employee of BD. (Please consult BD product for any indications, contraindications, hazards, warnings, cautions and instructions
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 informationUniversity of Canberra. This thesis is available in print format from the University of Canberra Library.
University of Canberra This thesis is available in print format from the University of Canberra Library. If you are the author of this thesis and wish to have the whole thesis loaded here, please contact
More informationProtecting Patients. Preserving Access.
MAHURKAR * Family of Acute Care Catheters Protecting Patients. Preserving Access. The Gold Standard Mahurkar * Acute Care Catheter Family Ease of insertion. Optimal flow rates. Patient comfort. A variety
More informationW J C C M. World Journal of Critical Care Medicine. Focus on peripherally inserted central catheters in critically ill patients.
W J C C M World Journal of Critical Care Medicine Submit a Manuscript: http://www.wjgnet.com/esps/ Help Desk: http://www.wjgnet.com/esps/helpdesk.aspx DOI: 10.5492/wjccm.v3.i4.80 World J Crit Care Med
More informationSTRATEGY OR RISK: THE USE OF MIDLINE CATHETERS. Timothy R. Spencer BH, RN, APN, VA- BC
STRATEGY OR RISK: THE USE OF MIDLINE CATHETERS Timothy R. Spencer BH, RN, APN, VA- BC Learning Objectives: Recognize the appropriate clinical use of midline catheters. Review current practice and evidence
More informationCateteri venosi per emodialisi nel 2017: lo stato dell arte Maurizio Gallieni
Cateteri venosi per emodialisi nel 2017: lo stato dell arte Maurizio Gallieni Nephrology and Dialysis Unit Ospedale S. Carlo Borromeo, ASST Santi Paolo e Carlo, University of Milano, Milano, Italy Kidney
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 informationVenepuncture and Cannulation. Louise Smith Clinical Nurse Specialist
Venepuncture and Cannulation Louise Smith Clinical Nurse Specialist Outcomes By the end of this session you will be aware of: Basic anatomy Preparation procedures including patient identification Equipment
More informationLA NUTRIZIONE ARTIFICIALE DOMICILIARE: LUCI E OMBRE
LA NUTRIZIONE ARTIFICIALE DOMICILIARE: LUCI E OMBRE PAOLO COTOGNI SC Terapia del Dolore e Cure Palliative Dipartimento di Anestesia e Rianimazione AOU Città della Salute e della Scienza Università di Torino
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 informationREVIEWED/REVISED 12/12 DATE) MEDICAL STAFF (if applicable) DATE OTHER DATE Special Procedures Committee 10/12 Nursing Leadership Team 08/12
MANUAL: Clinical Page: 1 of 9 STANDARDIZED PROCEDURE I. POLICY: A. Function: To authorize the qualified Registered Nurses at St. Joseph Hospital (SJO) to insert Peripherally Inserted Central Catheters
More informationExtended Dwell Catheter Product Offerings. Providing optimal outcomes for long-term and intermediate therapies
Extended Dwell Catheter Product Offerings Providing optimal outcomes for long-term and intermediate therapies Argon Medical Devices Extended Dwell Catheter Product Offerings The Argon family of PICC and
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 informationVascular Access Service Dott.ssa Alessandra Palo Direttore AAT Pavia - SAV Dipartimento Medicina Intensiva Fondazione IRCCS San Matteo Pavia
Vascular Access Service Dott.ssa Alessandra Palo Direttore AAT Pavia - SAV Dipartimento Medicina Intensiva Fondazione IRCCS San Matteo Pavia Our story so far More and more patients with chronic illness
More informationA prospective, randomized comparison of three different types of valved and non-valved peripherally inserted central catheters
J Vasc Access 2014; 15 ( 6): 519-523 DOI: 10.5301/jva.5000280 ORIGINAL ARTICLE A prospective, randomized comparison of three different types of valved and non-valved peripherally inserted central catheters
More informationDesigned to Reduce the Risk of Occlusion (1)
Designed to Reduce the Risk of Occlusion (1) more efficient flushing better outcomes The Vortex* ports feature the Vortex Technology for a more efficient flushing. The Vortex Technology sets up efficient
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 informationPolyurethane Radiology PICC
Polyurethane Radiology PICC with Microintroducer Revised date: February 2016 Bard, PowerPICC, StatLock, and The Power of Purple are trademarks and/or registered trademarks of C. R. Bard, Inc. All other
More informationChristina Crapisi RN, BSN, VA-BC
DO YOUR VASCULAR ACCESS PRACTICES REFLECT CURRENT STANDARDS? Christina Crapisi RN, BSN, VA-BC Saint Luke s Vascular Access Specialist Independent Nurse Consultant for Genentech EMMY ALBERTA HEATH SERVICES
More informationLeaderflex, Lifecath and Sitimplant
Leaderflex, Lifecath and Sitimplant Integrated Product Solutions for Mid to Long Term Vascular Access Now incorporating Antimicrobial Technology Sodium Ions Silver Ions Maximum Sterile Barrier Agion Antimicrobial
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 informationESPEN Congress Florence 2008
ESPEN Congress Florence 2008 PN Guidelines presentation PN Guidelines in home parenteal nutrition M. Staun (Denmark) ESPEN-guidelines for home parenteral nutrition (HPN) Michael Staun, Andre Van Gossum,
More informationGalt Medical Corp. A leader in vascular and interventional medical devices. part of the GaltNeedleTech TM Family
Galt Medical Corp. A leader in vascular and interventional medical devices. part of the GaltNeedleTech TM Family MICRO-INTRODUCERS Micro-Introducer Kits Galt s Micro-Introducer Kits with smooth transition,
More informationTissue Adhesive: A New Tool for the Vascular Access Toolbox. What s in your toolbox?
Tissue Adhesive: A New Tool for the Vascular Access Toolbox What s in your toolbox? Disclosures/Disclaimers Consultant/speaker for Adhezion Biomedical Brand names to provide examples of products used in
More informationTrust Cook s line of ports to meet your vascular access needs.
Trust Cook s line of ports to meet your vascular access needs. Vascular access sets The convenience of power injection with the comfort of Vital-Port. Features: Maximum flow rate: 5 ml/sec Maximum pressure
More informationPrevention of thrombosis
Prevention of thrombosis Massimo Lamperti MD, MBA Chief of General Anaesthesia Department Anaesthesiology Institute Cleveland Clinic Abu Dhabi Clinical Professor of Anaesthesiology Cleveland Clinic Lerner
More informationPICC, port e trombosi cateterecorrelata: la prevenzione è legata alla tecnica di impianto!
PICC, port e trombosi cateterecorrelata: la prevenzione è legata alla tecnica di impianto! Massimo Lamperti MD, MBA! Clinical Professor of Anesthesiology! Cleveland Clinic Lerner College of Medicine! Chief
More informationVenous Access in Apheresis. Daniel Putensen, Apheresis Nurse
Venous Access in Apheresis Daniel Putensen, Apheresis Nurse Why is Vascular Access so important? Henrikson et al. Adverse events in apheresis: An update of the WAA registry data.transfus Apher Sci. 2016;
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 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 information