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...
Vascular Access Services Articles
Pediatric Patient with Trisomy 18 – Nurse Clinicians in Action 31
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 – Nurse Clinicians in Action – 30
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 – Nurse Clinicians in Action – 29
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 – Nurse Clinicians in Action – 28
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 – Nurse Clinicians in Action – 27
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 – Nurse Clinicians in Action – 26
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 – Nurse Clinicians in Action – 25
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....
Dialysis Catheters 365 days a year
National Kidney Month is wrapping up, but we do Dialysis Catheters 365 days a year.Many of you have seen us in our green National Kidney Month T-shirts, helping to bring awareness and compassionate care to those with Kidney Disease and Renal Failure. But no matter what the national focus may be,...
Clotted Fistula Requires Urgent Vas-Cath – Nurse Clinicians in Action – 24
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...
Patient-Centric Dialysis Catheter Placement
Patient-Centric Dialysis Catheter Placement at the Bedside"The needle goes into the patient one time, and one time only, and that happens with needle visualization. This ensures you're doing the best for every patient now and down the road." ~ Stephen Harris, Director of Research and Development,...
Vein Preservation in Patients with Kidney Disease
Patients with kidney disease and renal failure have limited vascular access routes, making vein preservation critically important. Gaining vascular access in these patients can be challenging due to stenosis – thickening, hardening, stiffening, and narrowing – of the veins.
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