VASCULAR ACCESS CASES
Emergency Department Vascular Access Cases highlights some of the interesting Nurse Clinicians in Action cases that Vascular Wellness clinicians have encountered and participated in treatment. Our clinicians perform standard and advanced vascular access procedures including PICCs, Internal Jugulars, Mid-Thigh Femorals, Axillaries, Quad Lumens, Vas-Caths, Perm Caths, and Tunneled Central Lines at the bedside, enabling prompt therapy and treatment for our patients. We provide efficient and creative solutions for Emergency Department patients’ complex and emergent needs, and can often be the best and most responsive vascular access option available.
Bilateral Amputation Requires Emergent Vascular Access | NCIA-26
Emergency Department Vascular Access Cases: A teen patient who suffered life-threatening bilateral arm amputation in an accident was admitted to the Trauma unit with massive blood loss. The Trauma physicians made several unsuccessful attempts to place a central line and quickly switched to a Femoral approach. They obtained access, but the line was positional, making it less reliable. Seeing the urgency of the situation, the charge nurse acted quickly and asked the Vascular Wellness Clinician to come to the trauma room. Understanding the dire situation, the Vascular Wellness clinician quickly and successfully inserted a triple lumen catheter using ultrasound guidance into the right jugular vein, which was immediately utilized by the team saving this teenagers life. The Vascular Wellness nurse clinician suggested an additional central line be placed opposite of the positional left-sided femoral vein. The trauma physicians agreed, and this Mid-Thigh Femoral line was placed successfully on the first attempt and the positional line placed by the physician was removed. With two central lines in place, the trauma team was able to stabilize the patient for transport. During the patient’s three-week stay in the Pediatric ICU recovery unit, he was able to keep the stable central line access until it was no longer needed.
Emergent Vascular Access for Patient Transport | NCIA-19
Emergency Department Vascular Access Cases: A critically ill patient in the Emergency Department needed emergent vascular access in order to be sent via emergency transport to another facility. Several attempts by the hospital staff to place a central line had failed, the patient had coded twice, and the team was trying to stabilize her rapidly decreasing blood pressure. A Vascular Wellness clinician was placing a PICC line on a patient nearby, and the hospital’s supervising nurse asked her for assistance. The clinician entered while the medical team worked furiously to keep the patient alive and prepare her for transport. The Vascular Access Specialist quickly set up her ultrasound machine in the crowded and hectic room, visualized the upper arm basilic vein, and determined it was an appropriate choice for vascular access. Despite the gravity of the situation, the clinician calmly, confidently and rapidly prepped the insertion site, knowing that rapid insertion can occur even while following maximum sterile barrier precautions. With the whole care team working and watching, the PICC was inserted on the first attempt, and X-ray clearance was not required because her ECG technology eliminated this step, allowing for immediate usage of the peripherally placed central line. The patient was immediately wheeled out to the helicopter for transport. The doctor was thrilled and expressed his sincere gratitude to the Vascular Wellness clinician.
Patient with 14 Failed Peripheral IV Sticks | NCIA-08
Emergency Department Vascular Access Cases: A male patient in an Emergency Department needed a Peripheral IV (PIV) for blood work. The emergency department physicians tried to achieve access 14 times without success, due in large part to the fact that the patient was a heavy-set man with deeper veins. Not only was the patient very angry and frustrated from having received many painful sticks, but the hospital staff had opened and used 14 PIV kits and the much-needed vascular access still had not been achieved. At that point, Vascular Wellness was contacted, and a Vascular Access Board Certified nurse clinician arrived. The clinician quickly realized that he first had to calm the patient down and earn his trust in order to perform the procedure. The Vascular Wellness nurse took the time to explain the procedure, and shared that he would be using ultrasound guidance so he could visualize exactly where the vein was, and how it ensured that he would be successful on the first attempt. With permission, he put the ultrasound on his arm so that the patient could see his vein clearly, and even offered lidocaine to numb the area, but the patient felt so comfortable at that point that he declined. After vascular access was achieved, the patient thanked the Vascular Wellness clinician and said, “where were you 2 hours ago?”
EMERGENCY DEPARTMENT Vascular Access Cases:
Our clinicians can rely on the breadth of their intensive training to achieve successful access in complex patients and under challenging circumstances.
Our clients know our clinicians have the problem-solving skillsets to assist in critical situations, and they do not hesitate to reach out to our team. In return, we provided our clients and patients with the highest level of specialized vascular access care in the region.
Our clinician’s expertise often gets utilized successfully after failed attempts by other clinicians. We have a 98+% success rate with 0% insertion-related infection rate across all lines, including Advanced CVCs.
Our clinicians perform standard and advanced vascular access procedures across diverse and emergency settings, enabling the delivery of effective, efficient, and creative solutions for Emergency Department patients’ complex needs.
Our clinicians are VA-BC certified, skill tested, and verified bi-annually in accordance with our proprietary competencies.
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Vascular Access Services
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Mid-Thigh Femoral 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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