catheter placement Archives

PICC changed to Internal Jugular on Dialysis Patient – Nurse Clinicians in Action – 55

PICC changed to Internal Jugular on Dialysis Patient describes an Emergency Department patient with chronic heart failure and renal disease who was prescribed a PICC line for administration of Milrinone, but the patient’s comorbidities made this a challenging and...

Same Day Tunneled Permcath at the Bedside – Nurse Clinicians in Action – 53

Same Day Tunneled Permcath at the Bedside highlights a case where a patient with several medical conditions had accidentally removed his temporary dialysis catheter and the facility ordered a replacement Permcath, as the patient now needed long-term dialysis. Same Day...

PICC Downgraded to PIVs after VA-BC Nurse Assessment – Nurse Clinicians in Action – 51

PICC Downgraded to PIVs after VA-BC Nurse Assessment describes a patient in a community hospital who was diagnosed with acute cholecystitis (inflammation of the gallbladder) and required vascular access for two days of antibiotics, as well as a cholecystectomy. The...

Possible DVT Leads to Downgraded IJ – Nurse Clinicians in Action – 48

Possible DVT Leads to Downgraded IJ describes a case where a hospital patient with difficult IV access and a medical history of renal failure requiring hemodialysis, was experiencing a gastrointestinal bleed and needed multiple blood transfusions. The patient’s...

Severely Contracted Patient Needs Vascular Access – Nurse Clinicians in Action – 47

Severely Contracted Patient Needs Vascular Access describes a case in an LTACH where a patient needed new vascular access because the arm with an existing Midline was swollen, red, and warm to the touch, and the facility suspected a DVT (deep vein thrombosis). The...

Vascath and Tunneled Permcath Patient Case

This month’s Wellness Wednesday, Vascath and Tunneled Permcath Patient Case, describes a case where a patient in an LTACH who had suffered many serious injuries in a motor vehicle accident needed emergent dialysis and Vascular Wellness promptly placed a Vascath. Ten...

Previous PIVs Fail Repeatedly – Nurse Clinicians in Action – 44

Previous PIVs Fail Repeatedly highlights a patient case involving an elderly man in a Skilled Nursing Home who needed long-term IV antibiotics to treat pneumonia. The facility ordered a peripheral IV (PIV), however, each new PIV failed within a day, delaying therapy...

Vascath Exchanged to Tunneled Permcath – Nurse Clinicians in Action – 43

Vascath Exchanged to Tunneled Permcath describes a case where a patient in an LTACH who had suffered many serious injuries in a motor vehicle accident needed emergent dialysis and Vascular Wellness promptly placed a Vascath; then ten days later, a Tunneled Permcath...

Complex Patient Needs Numerous IV Medications

This month’s Wellness Wednesday, Complex Patient Needs Numerous IV Medications, describes a case where a facility ordered a vascular access consult for Vascular Wellness to determine which central line was best for a DIVA patient with several serious conditions,...