Intensive Care Vascular Access Cases
Intensive Care 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 ICU and Critical Care Unit (CCU) patients’ complex needs.
Internal Jugular Line And Vasopressors | NCIA-07
Intensive Care Vascular Access Cases: A critically ill, unconscious patient was on vasopressors and needed additional vascular access. This patient was paralyzed in one arm and had received norepinephrine through the arm, resulting in vein constriction and making the upper arm veins unable to support a PICC line. Three different physicians tried unsuccessfully to insert an Internal Jugular (IJ), and, instead, placed an intraosseous device in his bone marrow. That line only supported one lumen, making it an inferior and temporary solution, so they called Vascular Wellness. Despite the difficult clinical scenario, the Vascular Wellness clinician was able to place a triple lumen IJ line on the first attempt and confirm placement quickly, and the physician was able to initiate life-saving therapy immediately. The physician was impressed with the clinician’s level of experience and expertise, particularly in complex cases such as this one.
Complex COVID-19 Patient Needs More Access | NCIA-10
Intensive Care 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.
Vascular Access Support Team (VST) | NCIA-18
Intensive Care Vascular Access Cases: The attending physician of a morbidly obese ICU patient with sepsis recognized that the patient, who required a central line, would be difficult to cannulate. A consultation call was placed to Vascular Wellness’ Vascular Access Support Team (VST) requesting an on-site consultation. As the Vascular Wellness clinician was en route to the hospital, the patient’s IVs infiltrated. The physician called VST to update the patient’s condition. The VST recognized that the urgent situation was now emergent and quickly escalated the call to the Clinical Administrator on duty and shared all relevant information over the phone and via our HIPAA-compliant app. When the field clinician arrived, she was fully prepared to address the patient’s failing condition. Using her training, experience and ultrasound, the clinician promptly visualized a deep vein. Using the dynamic needle tip position technique, she placed a multilumen IJ and the patient stabilized.
Intensive Care Vascular Access Cases: Key Points
Our clinicians perform standard and advanced vascular access procedures across diverse settings enabling the delivery of effective, efficient, comprehensive, and creative solutions for ICU and CCU patients’ complex needs.
Our clinicians are VA-BC certified, skill tested, and verified bi-annually in accordance with our proprietary competencies, ensuring consistent, reliable, and exceptional vascular access.
Our clinicians have hospital experience and offer a synergistic partnership with the medical team, ensuring seamless and integrated vascular access customized for each patient’s treatment plan, which is crucial for ICU and CCU patients.
Our clinical team is connected via technology and a dedicated daily clinical administrator, bringing our aggregate knowledge and experience to every ICU and CCU case.
Vascular Wellness is not a transactional company and adding Vascular Wellness to your team is a value-added approach for an ICU and CCU, and overall healthcare management.
Learn more about Mid-Thigh Femoral Vascular Access Services for Intensive Care
Learn more about Internal Jugular Vascular Access Services for Intensive Care
Learn more about all 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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