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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.
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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. Peripheral Catheters: Categories
This chapter provides an overview of three categories of peripheral IV catheters. This includes short versus long peripheral catheters and midline catheters, which are increasingly used for shorter courses of home IV antibiotic therapy.
2. Short Peripheral IV Catheter and Site Selection
Attention to an appropriate catheter size and selecting the best insertion site for short PIVCs is important when considering both the safety of the home care patient and optimizing catheter dwell time.
3. Short Peripheral Catheter Insertion
Important to the actual insertion of a short peripheral catheter is attending to procedures to reduce the risk for infection, including skin antisepsis and aseptic insertion. Catheter securement and dressings are important to reduce the risk for both infection and inadvertent catheter dislodgment. Often under-addressed, pain management strategies should be considered during the insertion procedure.
4. Post-Insertion Care and Management
Post-insertion care includes attention to maintaining catheter patency, infection prevention, including needleless connector disinfection, and rotation of short peripheral catheters. For midline catheters with longer dwell time, ongoing site care is done minimally on a weekly basis. Prompt recognition of complications is accomplished through ongoing home care nurse assessment and through patient education.
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