First South Carolina Nurse-Placed Internal Jugular CVC highlights a case in a Rehabilitation Hospital where a patient needed IV access for the administration of antibiotics, blood products, and blood draws. A Midline was ordered, but because of her extensive venipuncture history and prior PICCs...
Same Day Tunneled Permcath at the Bedside highlights a case where a patient with several medical conditions had accidentally removed his temporary dialysis catheter and the facility ordered a replacement Permcath, as the patient now needed long-term dialysis. Same Day Tunneled Permcath at the...
Newborn Urgently Needs IV Access describes how a newborn who was just hours old was having difficulty breathing and needed IV access for fluids. Newborn Urgently Needs IV Access – Clinical Case This case took place in a hospital where a baby was just born a few hours prior and was diagnosed with...
PICC Downgraded to PIVs after VA-BC Nurse Assessment describes a patient in a community hospital who was diagnosed with acute cholecystitis (inflammation of the gallbladder) and required vascular access for two days of antibiotics, as well as a cholecystectomy. The patient had two PICC lines that...
Tunneled, Vascath, IJ, PIV Lines – One Call Does it All describes a case where an Internal Jugular Central Line and shortly thereafter, a Temporary Dialysis Catheter (Vascath) for hemodialysis were ordered for an LTACH patient who also needed a Tunneled Central Line and Tunneled Permcath to be...
Occluded PICC Removed with Client Shadowing describes how a patient in a Hospice center had a PICC line that was being used for pain management, but it was no longer working, so the facility ordered a Midline to provide vascular access for the needed therapies. The occluded PICC line had to be...
Possible DVT Leads to Downgraded IJ describes a case where a hospital patient with difficult IV access and a medical history of renal failure requiring hemodialysis, was experiencing a gastrointestinal bleed and needed multiple blood transfusions. The patient's IV access failed in the middle of a...
Severely Contracted Patient Needs Vascular Access describes a case in an LTACH where a patient needed new vascular access because the arm with an existing Midline was swollen, red, and warm to the touch, and the facility suspected a DVT (deep vein thrombosis). The physician ordered the Midline to...
On-Call Expertise Prevents Unnecessary PICC Removal highlights a case where Vascular Wellness properly placed an ECG Tip confirmed PICC that the hospital mistakenly believed needed removal due to an X-ray reading. A Vascular Wellness on-call advanced clinician was immediately connected with the...
Ultrasound Guidance Insufficient for DIVA Patient describes a case where Emergency Department nurses and physicians tried multiple times using ultrasound guidance to achieve vascular access in a sick patient but were unsuccessful primarily due to the patient's contracted veins. Ultrasound Guidance...
Previous PIVs Fail Repeatedly highlights a patient case involving an elderly man in a Skilled Nursing Home who needed long-term IV antibiotics to treat pneumonia. The facility ordered a peripheral IV (PIV), however, each new PIV failed within a day, delaying therapy and leaving the patient...
Vascath Exchanged to Tunneled Permcath describes a case where a patient in an LTACH who had suffered many serious injuries in a motor vehicle accident needed emergent dialysis and Vascular Wellness promptly placed a Vascath; then ten days later, a Tunneled Permcath was ordered after determining...
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