Urgent Vascath and Axillary Line describes a critically ill ICU patient in a Trauma Hospital who urgently needed a temporary dialysis catheter for hemodialysis treatment, as she was diagnosed with Diabetic Ketoacidosis (a severe, life-threatening complication with diabetes where the body does not...
PICC changed to Internal Jugular on Dialysis Patient describes an Emergency Department patient with chronic heart failure and renal disease who was prescribed a PICC line for administration of Milrinone, but the patient’s comorbidities made this a challenging and complex vascular access placement...
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...
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