How to implement clinically indicated IV replacement

Posted by Mari Takashima on 27 August 2020
Clinically indicated removal has long been the norm in pediatrics and an unofficial policy in difficult-to-cannulate adults to avoid multiple, painful insertion attempts. Now that evidence strongly supports clinically indicated peripheral intravenous catheters (PIVC) removal for all patients, implementation requires a focused effort, which can be achieved through planned processes using the Consolidated Framework for Implementation Research (CFIR) framework. Specific considerations incl...
Posted in:cannulaintravenous catheterIV managementIV therapyvascular access devices  

Improving practices to prevent and manage CVAD occlusion,

Posted by Amanda Ullman on 19 August 2020
Improving practices to prevent and manage CVAD occlusion, by Associate Professor Amanda Ullman   What do you think is the most common CVAD dysfunction in healthcare? Reading journal articles you'll see most researchers and clinicians focussing on bloodstream infection and thrombosis. But - catheter occlusion, or blockage, is 5 times more common than both of these complications. CVADs are essentially long, narrow tubes, through which we frequently administer viscous fluids, ...
Posted in:central vascular access devicesintravenous cathetervascular access devices  

Take your vascular access practice to the next level!

Posted by Jessica Schuts on 29 July 2020
perito l  jártas
Adjective or Noun: 'having or involving a great deal of knowledge or skill in a particular area'   What is the course?

For the postgraduate student, vascular access clinician, or industry professional wanting to beef up their knowledge of vascular access, the Griffith University Vascular Access Devices And Intravenous Therapy: Transforming Evidence course could be the next best step in your career.
The course content has been d...
Posted in:assessmentcannulacatheter failurecentral vascular access devicesdressingseducationflushinginfection preventionintravenous catheterIV managementIV therapyvascular access devices  

Should you use a needleless connector with a continuous infusion?

Posted by Gillian Ray-Barruel on 27 July 2020
Needleless connectors are commonly used with continuous infusions, but is this best practice? Back in the not-so-good ol' days when we knew less about bloodstream infections, we'd quickly wipe the rubber cap with an alcohol wipe before connecting a needle to the secondary line and inserting this into the primary line via the rubber cap. We then applied paper tape to keep it in place for the duration of the medication administration. Needlestick injuries were common! Needleless c...
Posted in:administration setinfusionIV managementneedleless connectorvascular access devices  

Cochrane Round-up: Central venous catheter management

Posted by Gillian Ray-Barruel on 20 July 2020
This excellent evidence round-up from Sarah Chapman at Cochrane covers everything you want to know about the latest evidence for CVC management: Heparin vs normal saline for flushing CVCs Infection prevention measures Antimicrobial-impregnated CVCs Skin antisepsis Dressings Frequency of changing the administration set Prophylactic antibiotics ...
Posted in:central vascular access devicesdressingsflushinginfection preventionIV managementvascular access devices  

Peripheral intravenous catheter needleless connector decontamination study

Posted by Gillian Ray-Barruel on 14 July 2020
Needle-stick injuries in healthcare works are a serious issue that pose a risk of transmission of blood borne viruses such as HIV and hepatitis viruses. To reduce the risk of Needle-stick injuries, needleless connectors (NC) were developed. However, NCs are not without their own set of issues. The use of NCs has been associated with an increase in patient blood-stream infections (BSI). Evidence suggests that this is due to the design of the NC impacting ease of decontamination, as complia...
Posted in:AVATAReducationinfection prevention  

Mini-MAGIC is here!

Posted by Amanda Ullman on 8 June 2020
Addie, an 8-month old infant with osteomyelitis, needs IV access for 3 weeks of antibiotics. What device will best ensure successful therapy and low risk of complications? Liam, a 14 year old with cystic fibrosis, is hospitalized for the third time this year with an acute exacerbation. Despite multiple efforts by experienced clinicians, an IV cannot be successfully placed in a peripheral vein. Frustrated, the nurse says, "Let's just put in a PICC". Is this the best cho...
Posted in:cannulacentral vascular access devicesintravenous catheterinsertionpatient experiencepaediatricsPICCvascular access devices  

Ultrasound-Guided Peripheral Intravenous Catheter Insertion

Posted by Nancy Moureau on 2 June 2020
Ultrasound-Guided Peripheral Intravenous Catheter Insertion
As more and more patients in the world are receiving medical treatment via intravenous infusions, the task of establishing a reliable form of vascular access becomes more challenging. With the advent of improved technology of ultrasound and vein visualization technology clinicians are embracing the ability to find veins and effectively guide needles into the veins in real time. All levels of clinicians, nurses, doctors, junior doctors, and medical students are using visualization technologi...
Posted in:educationintravenous catheterIV managementpatient safety  

FACEDOWN, LOCKDOWN, for a Virus that's Crowned! PICC Done!

Posted on 4 May 2020
Here, guest blogger from the UK, Maya Guerrero, RN, VACNS (@CNS_IVnurse) presents her recent experience playing a peripherally inserted central catheter (PICC) in a Critical Care COVID19-positive patient in prone position, using ECG technology. What first was a "daunting idea" and a "scary thought process", planning the strategy I would take for the execution of my very first "PICC placement on a pronated-ventilated-patient" became what I would now consider a...
Posted in:central vascular access devicesinsertionIV managementPICCultrasoundvascular access devices  


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