Clinician Reduces Skilled Nursing Treatment Cost describes how a patient in a Skilled Nursing Facility needed fluid for dehydration, but her difficult IV access (DIVA) condition resulted in multiple failed attempts at placing a Peripheral IV (PIV) by the local, on-site treatment team, requiring...
Pediatric Patient with Trisomy 18 describes how a young pediatric patient with Trisomy 18 (a rare genetic disorder) needed vascular access for antibiotics and due to painful, multiple failed attempts, she developed procedure-induced anxiety. Nurse Clinicians in Action is a spotlight series...
Vascular Access for Surgical Rehabilitation Patient describes how an expert Vascular Access clinician identified co-morbidities in a clinically complex post-surgical patient and worked with the medical team to obtain safe, appropriate vascular access needed to address an infection. Nurse...
Implanted Port Obstructs PICC Insertion illustrates how our Vascular Access Specialist determined that her attempted PICC insertion was obstructed by an implanted port, and the clinician was able to create and implement a solution to meet the vascular access needs of the patient. Nurse Clinicians...
Vascular Access for Sepsis Protocol describes how a Skilled Nursing Facility resident with a fever of unknown origin was transported to the Emergency Department where she was put on the sepsis protocol for early diagnosis and treatment, and needed difficult-to-obtain vascular access. Nurse...
Vascular Access with Bilateral Fistulas describes how a PICC line for antibiotics was prescribed for a patient, but during the pre-procedure patient assessment, the Vascular Wellness clinician discovered the patient had bilateral fistulas, making access in the upper extremities contraindicated....
Bilateral Arm Amputation Requires Emergent Vascular Access describes how a teen who suffered a life-threatening accident with a woodchipper, resulting in both arms severed just above the elbow, required emergent and lifesaving vascular access in the Emergency Department of the hospital. Nurse...
Fracture and Extravasation Complicates Vascular Access involves a case where a patient’s need for vascular access for a blood transfusion was complicated by a fracture and a Vancomycin extravasation, which the facility thought was a tape allergy, and multiple failed attempts at vascular access....
Clotted Fistula Requires Urgent Vas-Cath describes how a Vascular Access clinician placed a Vas Cath, or Temporary Dialysis Catheter, at the bedside in a patient whose fistula clotted off in the middle of dialysis and needed emergent Temporary Dialysis access. Nurse Clinicians in Action is a...
Emergent Temporary Dialysis Catheter at the Bedside describes how a Vascular Wellness clinician placed a Vas-Cath at the Bedside in a critically ill patient in need of emergent dialysis when no transportation options were available, enabling prompt hemodialysis. Nurse Clinicians in Action is a...
Vascular Access for Cardiac Rehabilitation Patient describes how a Vascular Wellness clinician notices an atrial fibrillation episode while placing a PICC line in an anxious quadruple bypass patient and promptly contacts the treating physician for additional medical attention, accelerating...
PICU Patient Needs Additional Vascular Access describes how a Vascular Wellness clinician, who was called to assist with vascular access and shortly after departure was recalled to the PICU for an emergent situation regarding the same patient whose condition had changed suddenly and rapidly,...
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