Development of an Evidence-Based List of Vesicant Medications and Solutions
presented for AVATAR by
Lisa Gorski MS, RN, HHCNS-BC, CRNI®, FAAN
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI®
Barb Nickel, APRN-CNS, CCRN, CRNI®
Wiser Wound Care: An Update on Peripheral Intravenous Catheter Clinical Care Standards
To gain valuable insights into improving wound care and patient outcomes, we highly recommend watching the recorded webinar "Wiser Wound Care: An Update on Peripheral Intravenous Catheter Clinical Care Standards."
Wounds can significantly impact a patient's quality of life and pose various risks, including life-threatening infections. Whether it's a surgical wound, a wound from an intravascular device (drip), or a pressure injury, the research focuses on prevention and treatment, ensuring that this knowledge translates into effective policies and practices.
Don't miss the opportunity to stay informed and contribute to advancing wound care.
Essential Practices for Central Venous Access Devices Infection Prevention
As healthcare professionals, it's our responsibility to provide the best possible care for our patients. Don't miss out on these free and informative resources on CVAD infection prevention maintenance from Cancer Institute NSW and eviQ Education.
Check out the link for more information and enhance your skills today: https://education.eviq.org.au/videos-webinars/videos/central-venous-access-devices
Central Venous Access Devices
As healthcare professionals, it's crucial to stay informed and educated on the latest clinical practices to provide the best possible care for our patients. The Cancer Institute NSW and eviQ Education have recently released a series of eight videos highlighting clinical procedures for central venous access devices.
These videos can be accessed through the provided link or in Module 3: CVAD management of the Central Venous Access Devices course: https://bit.ly/41qCP5u
This free initiative serves as a valuable resource in enhancing your knowledge and skills in patient care: https://education.eviq.org.au/videos-webinars/videos/central-venous-access-devices
eviQ Education Central Venous Access Devices Course
This course has been designed to support and guide clinical management of central venous access devices (CVADs) based on the best, currently available evidence.
Link: https://education.eviq.org.au/courses/clinical-and-community-practice/central-venous-access-devices
Assessing a Peripheral IV Cannula by Dr Gillian Ray-Barruel.
Shared with permission by Ausmed (www.ausmed.com.au).
The Michigan Appropriateness Guide for Intravenous Catheters (miniMAGIC):
Here is a quick video (Presented by A/Professor Amanda Ullman) explaining the importance of selecting the correct catheter for the job, and how miniMAGIC can assist this process, as well as a link.
Link: https://pediatrics.aappublications.org/content/pediatrics/145/Supplement_3/
S269.full.pdf
Further viewing:
In these videos Dr. Vineet Chopra of the U-M Medical School, VA Ann Arbor Healthcare System and U-M Institute for Healthcare Policy and Innovation describes the newly published Michigan Appropriateness Guideline for Intravenous Catheters, or MAGIC -- a set of criteria for choosing the best and safest IV device for each patient based on research and expert consensus.
For consumers: http://umhealth.me/PICCvid
For clinicians: http://umhealth.me/piccvid2
Up to 70% of acute care hospital patients need a peripheral intravenous catheter (PIVC) for fluids or medicines during admission. However, up to 69% of PIVCs have painful complications or stop working before treatment is finished, requiring the insertion of a new device. There are numerous reasons for PIVC failure, some of which may be preventable with appropriate intervention. Improved assessment could help prevention and early detection of complications, but no comprehensive and validated IV assessment tool exists.
I-DECIDED® is the first comprehensive, evidence-based, valid and reliable vascular access device assessment and decision tool. This simple checklist promotes comprehensive IV assessment and management, and prompts timely removal of IV devices. The tool has been tested in English in 3 Australian hospitals.
I-DECIDED® is a summary of evidence-based guidelines for intravascular device care, we encourage its widespread use. You are authorised to I-DECIDED® in your institution.
Please note: I-DECIDED® is trademarked, therefore the mnemonic I-DECIDED cannot be changed.
To learn more and access the tool, follow the link.
Clinical decision making for safety: Managing vascular access devices during the pandemic and beyond.
This is a webinar developed by 3M and Gillian Ray-Barruel to highlight many of the key considerations surrounding vascular access device management during Covid-19.
Link: https://mmm.bravais.com/s/FHDZv0LFQ2xTgVOWm57W
Chart for determining catheter size/length versus appropriate vein diameter and depth from ultrasound assessment Peripheral vascular access devices
In this time of COVID-19, many nurses are upskilling to take care of critically ill patients. AVATAR recently collaborated with Continulus to create the following lecture:
Link: https://www.avatargroup.org.au/blog/nursing-care-of-critically-ill-patients-with-a-central-venous-catheterPractice Guidelines for Central Venous Access 2020: An Updated Report by the American Society of Anesthesiologists Task Force on Central Venous Access
Dr Evan Alexandrou and his team at Liverpool Hospital recently developed a mini documentary on the use of ultrasound guidance for pathology specimen collection.
The DIVA blood collection service was developed to reduce multiple attempts by pathology staff to access vessels for blood collection.
Patients from the Liver Clinic at Liverpool Hospital are a vulnerable group who have very poor access, may have a history of injecting drug use and are a high risk for loss to follow and treatment.
The DIVA blood collection service has had an unexpected benefit - it has improved patient engagement and removed a significant barrier (multiple painful attempts) to treatment in this high risk group.
A qualitative study is almost complete on the experiences of these patients using the DIVA blood collection service and this video will be an adjunct to the publication
On March 6, 2017 around 100 dedicated clinicians attended the inaugural AVATAR State of the Art in Vascular Access Management seminar, held at Rydges Parramatta. A key aim of the seminar was to present both the evidence and the art of vascular access care in relation to peripheral intravenous catheters (PIVCs); central venous access devices (CVADs) and paediatric vascular access. Attendees were a mixed bunch with vascular access clinicians being the largest group (32%), followed by critical care (18%), inpatient services (11%), cancer services (10%) and infection prevention (9%), with the balance made up of several other speciality groups.
The videos from this seminar are now available:
Video 1: Prof Claire Rickard presents an overview of the AVATAR group's research focus and interests and Prof Marie Cooke provides an brief snapshot on Hierarchies of Research Evidence.
Video 2: Dr Evan Alexandrou and Prof Claire Rickard outline the State of the Art in relation to peripheral intravascular catheters (PIVCs) with Evan detailing "Right patient, right catheter" principles and Claire presenting the issues and evidence around post-insertion care.
AVATAR educational video on PIVC insertion, maintenance and removal
Peripheral intravenous catheters (PIVCs) are the most commonly used vascular access device in health care with around 65% of hospitalized patients receiving PIVC therapy during their stay. The insertion of a PIVC is the most commonly performed invasive procedure in hospitalized patients. However, failure rates of PIVCs are high at around 40% before the completion of treatment this impacts significantly on patients, staff and the healthcare system. Failure can be a consequence of occlusion, dislodgement, infiltration/extravasation, phlebitis, or local/systemic infection. Prevention of these failures through evidence based practice is important, and as such AVATAR has developed, with an unrestricted grant from Baxter, this educational video on PIVC insertion, maintenance and removal that incorporates best practices based on current evidence. Reducing the complications and failure will provide patients with a better health care experience.
Is your doctor choosing the right IV?
In this article that appeared in The Conversation, October 24, 2015, Dr Vineet Chopra and Dr Scott Flanders from the University of Michigan discuss which IV is right for which patient.
Link: https://theconversation.com/is-your-doctor-choosing-the-right-iv-48199
IV Access Device Infection Risks webinar
This 20 minute webinar, produced by the Australian College of Infection Prevention and Control, is presented by Dr Gillian Ray-Barruel from the AVATAR Group.
Clincially indicated site rotation: How do we get there?
This is a presentation from AVA ASM 16 Sept 2015 at an AVAS/AVATAR seminar, given by Marcia Wise, recipient of the AVA 2015 Suzanne LaVere Herbst Award for Excellence in Vascular Assess.
Ultrasound-guided PIV placement
The following link provides access to a video in the New England Journal of Medicine on ultrasound-guided peripheral intravenous placement.
(REF) Joing S, Strote S, Caroon L, Wall C, Jess K, Roline C et al Videos in clinical medicine. Ultrasound-guided peripheral i.v. placement. N Engl J Med 2012; 366(25):e38
Infection prevention and control
Tasmanian Government Department of Health and Human Services provide a resource in relation to infection prevention and control that includes:
eLearning infection prevention and control series of short, self-directed educational videos provides basic infection prevention and control topics and principles
Four short videos demonstrate how to put on and remove PPE safely when using standard and transmission based precautions.
Link: http://www.dhhs.tas.gov.au/publichealth/tasmanian_infection_prevention_and_control_unit
How to Assess a Peripheral IV Cannula (Ausmed educational video)
In this 30-minute video produced by Ausmed, Dr Gillian Ray-Barruel, Senior Research Fellow with AVATAR, explains how to assess a PIVC using the I-DECIDED tool and what to do about PIVC complications.
Preventing Central Line-Associated Bloodstream Infections (Ausmed educational video)
In this 20-minute video, produced by Ausmed, Dr Gillian Ray-Barruel, a Senior Research Fellow with AVATAR, explains how to prevent central line-associated bloodstream infections.
The Canadian Institute of Health Research is a valuable resource for information in knowledge translation.
ImprovePICC is the premier destination for the latest PICC-related research and evidence, and is a valuable resource for PICC-related research and evidence.
A resource for Central line infections, CRBSI and CLABSI can be found at:
Link: http://lifeinthefastlane.com/ccc/central-line-infections/
