Dialysis Vascular Access Cases
Dialysis Vascular Access Cases highlights some of the interesting Nurse Clinicians in Action cases that Vascular Wellness clinicians have encountered and participated in treatment. Our nurses place Dialysis Catheters, including Acute/Temp Vas-Caths and Tunneled Perm Caths at the bedside 7 days a week, after-hours, weekends, and holidays. This helps eliminate transportation costs, avoid dependence on other departments, reduce length of stay, decrease infections, and, of the utmost importance, enables dialysis to begin faster – typically the same day, any day of the week.
Complex COVID-19 Patient Needs More Access | NCIA-10
Dialysis Vascular Access Cases: An intubated ICU patient required multiple critical care medications, including vasopressors. Additional complications included obesity and the development of cellulitis after the medical team failed to insert a left jugular. The patient experienced renal failure, and Vascular Wellness was consulted to place a temporary dialysis catheter. Upon assessment, the Vascular Wellness clinician concluded that in addition to a trialysis catheter, this patient also required additional central access that would preserve vasculature in case the patient required ongoing dialysis. Since the left jugular wasn’t an option and the right jugular was being used for dialysis, the Vascular Wellness clinician determined that the right internal jugular vein was large enough to double-stick safely. The clinician placed the lines in the same vein and independently dressed each, allowing four individual access points and the ability to remove the failing peripheral IVs.
Emergent Temporary Dialysis Catheter at the Bedside | NCIA-23
Dialysis Vascular Access Cases: While a Vascular Wellness clinician was inserting a PICC line, another patient began to decline and urgently needed a temporary dialysis catheter. Due to a bed shortage, transportation to Interventional Radiology for the dialysis catheter was not an option. The hospital partnered with Vascular Wellness for standard and advanced vascular lines except for temporary dialysis catheters, but they trusted the expertise of the clinicians and requested to quickly credential the clinician for the highly advanced procedure. The Vascular Wellness 24/7 Vascular Support Team immediately supplied the clinician’s competencies, and credentialing was approved. The clinician reviewed the patient’s medical history to verify there were no contraindications, assessed the patient’s vasculature via ultrasound, and placed a right internal jugular temporary dialysis catheter on the first attempt. The patient received the much-needed hemodialysis treatment.
Intubated Patient Needs Vascular Access After Failed Attempts | NCIA-11
Dialysis Vascular Access Cases: A COVID-19 patient with respiratory and renal failure received an emergent Temporary Dialysis Catheter but needed additional IV access. The patient’s peripheral IV failed, and the ICU nurses could not re-establish access. The physician attempted an internal jugular line but was unsuccessful. The patient continued to decline and required vasopressors, making the need for vascular access more urgent. Vascular Wellness was consulted to insert a PICC line; however, after assessing the patient, the clinician realized preservation of the upper arm veins was needed for future hemodialysis, and concluded a PICC was contraindicated. After an ultrasound assessment, the clinician consulted with the doctor to suggest a mid-thigh femoral, allowing for the safest delivery of therapies and preserving upper extremity vasculature. The Infection Control team and the physician were pleased, and the clinician arranged for the x-ray technologist to be at the bedside so rapid placement confirmation would allow critical care therapies to start immediately.
Dialysis Vascular Access Cases: Key Points
Vascular Wellness nurses are Vascular Access Board Certified (VA-BC), trained, credentialed, and bi-annually skill-verified in the placement of standard and advanced lines at the bedside, including Temporary and Permanent Dialysis Catheters.
Dialysis patients may need additional vascular access, and the comprehensive skill set of Vascular Wellness clinicians enables us to determine contraindications and offer immediate solutions for your patients at the bedside, affording faster, safer therapy and avoiding transportation costs.
Having a specialized vascular access partner who is skilled in handling complex and emergent procedures, such as dialysis, at the bedside 7 days a week, including after-hours, weekends, and holidays, greatly enhances your ability to successfully treat patients quickly, and helps improve patient outcomes, satisfaction, and Press Ganey scores.
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Vascular Access Services
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Vascular Access Services
As Vascular Access Experts, Vascular Wellness is the largest provider in the southeast of comprehensive vascular access services, including standard and advanced line placement, pediatrics, program management, education, training, and infection control and prevention to all healthcare settings such as Tertiary Hospitals, Community Hospitals, Long-Term Acute Care Hospitals, Skilled Nursing Facilities, Hospice, and At-Home. We support a 98+% Success Rate with 0% insertion-related infection rate across all lines, with an average response time of 3 hours. We help our clients improve patient outcomes, enable faster therapy, reduce costs, infections, and readmissions, decrease hospital length of stay, and eliminate transportation.
NURSE CLINICIANS IN ACTION case summaries involve challenging situations or intriguing clinical presentations where Vascular Wellness was able to create clinically appropriate access promptly, minimize sticks, and place the right line at the right time, the first time.
Find More NURSE CLINICIANS IN ACTION Case Summaries by clicking below
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