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...
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...
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 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...
Reducing Treatment Costs for Skilled Nursing is a Nurse Clinicians in Action case that describes how a patient in a Skilled Nursing Facility needed fluid for dehydration, but her difficult IV access (DIVA) condition resulted in multiple failed attempts at placing a...
Clinician Reduces Skilled Nursing Treatment Cost describes how a patient in a Skilled Nursing Facility needed fluid for dehydration, but her difficult IV access (DIVA) condition resulted in multiple failed attempts at placing a Peripheral IV (PIV) by the local,...
Today’s Vascular Wellness Voice features a Wellness Wednesday case that took place in a Hospital Emergency Department where the patient needed vascular access to commence the sepsis protocol of treatment. Unfortunately, the patient was not only dehydrated but...
Vascular Access for Sepsis Protocol describes how a Skilled Nursing Facility resident with a fever of unknown origin was transported to the Emergency Department where she was put on the sepsis protocol for early diagnosis and treatment, and needed difficult-to-obtain...
Today’s Vascular Wellness Voice offers a moving Nurse Clinicians in Action Story. This Vascular Access for End of Life Care patient case occurred in a long-term care facility (LTC) with a critically ill patient whose family was faced with making decisions on the...
