clinical case story Archives

Tunneled, Vascath, IJ, PIV Lines – One Call Does it All – Nurse Clinicians in Action – 50

Tunneled, Vascath, IJ, PIV Lines – One Call Does it All describes a case where an Internal Jugular Central Line and shortly thereafter, a Temporary Dialysis Catheter (Vascath) for hemodialysis were ordered for an LTACH patient who also needed a Tunneled Central Line...

Occluded PICC Removed with Client Shadowing – Nurse Clinicians in Action – 49

Occluded PICC Removed with Client Shadowing describes how a patient in a Hospice center had a PICC line that was being used for pain management, but it was no longer working, so the facility ordered a Midline to provide vascular access for the needed therapies. The...

On-Call Expertise Prevents Unnecessary PICC Removal – Nurse Clinicians in Action – 46

On-Call Expertise Prevents Unnecessary PICC Removal highlights a case where Vascular Wellness properly placed an ECG Tip confirmed PICC that the hospital mistakenly believed needed removal due to an X-ray reading. A Vascular Wellness on-call advanced clinician was...

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...

Anxious Patient Requires Hemodialysis

This month’s Wellness Wednesday, Anxious Patient Requires Hemodialysis, describes a case where an elderly patient who was newly diagnosed with ERSD (end-stage renal disease) was hospitalized and in need of emergent dialysis to address an acute kidney injury...

Ultrasound Guidance Insufficient for DIVA Patient – Nurse Clinicians in Action – 45

Ultrasound Guidance Insufficient for DIVA Patient describes a case where Emergency Department nurses and physicians tried multiple times using ultrasound guidance to achieve vascular access in a sick patient but were unsuccessful primarily due to the patient’s...

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,...