Vascular Access Devices: External Central Vascular Access Devices

presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN

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Disclosure Statement:

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.

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Video Runtime: 53 Minutes; Learning Assessment Time: 38 Minutes

This course is the third in a series of six courses aimed at providing the home care nurse with the essential knowledge to safely care for patients who require a variety of home infusion therapies. Home care nurses must possess a high level of knowledge and skills to safely insert and manage vascular access devices, provide infusions via an array of infusion methods, recognize and respond to complications, and provide patient and caregiver education. This course focuses on understanding three categories of external central vascular access devices (CVADs). Important to safe practice are ongoing assessment, post-insertion catheter care and management, safe CVAD removal, and ongoing patient education.

Learning Objectives

Examine three categories of central vascular access devices (CVADs) used for home infusion therapy
Analyze a CVAD, addressing key areas for ongoing assessment
Deduce key aspects of post-insertion catheter care and management
Implement safe practices during CVAD removal

Meet Your Instructor

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,…

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Chapters & Learning Objectives

1. 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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