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presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN
Financial: Lisa Gorski receives compensation from MedBridge for this course. She also receives compensation from 3M/Solventum, BD Medical, Genentech, and Nexus Medical. She is editor in chief of Home Healthcare Now. She also receives book royalties from F.A. Davis. Lisa has stock in ivWatch and is an employee at Ascension at Home.
Nonfinancial: Lisa Gorski is a professional member of the Infusion Nurses Society.
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.
Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN
Lisa A. Gorski has worked for 40 years as a clinical nurse specialist (CNS) and educator for Wheaton Franciscan Home Health & Hospice, now part of Ascension at Home, in Milwaukee, Wisconsin. As a CNS, she has played a key role in the home infusion therapy program, contributing to clinician education, policy and procedure development,…
Read full bio1. External CVADs: Categories
This chapter provides an overview of three categories of external CVADs: nontunnelled, peripherally inserted central catheters, and subcutaneously tunneled cuffed catheters.
2. Assessment
Ongoing assessment is important in identifying potential CVAD complications. Assessment includes the components of site/extremity visualization, palpation, and identification of any patient symptoms or complaints.
3. Post-insertion Care and Management
Post-insertion care includes attention to maintaining catheter patency; infection prevention, including catheter hub care; routine site care; and use of a securement intervention. Patient education addressing site protection and identification of potential complications is essential.
4. CVAD Removal
CVADs can be safely removed in the home when risks such as air embolism and thrombotic clots are understood. This session addresses key procedural interventions for safe catheter removal.
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