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...
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...
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...
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...
Numerous IV Medications for Complex Patient – Nurse Clinicians in Action – 41
Numerous IV Medications for Complex Patient describes a case where a facility ordered a vascular access consult for a DIVA patient with End Stage Renal Disease who had several other serious conditions and needed vascular access for administration of numerous IV...
Infrared and Ultrasound for Vein Visualization
Use of Infrared and Ultrasound in Vein Visualization Infrared and Ultrasound in Vein Visualization refers to the use of the two most popular aides to help clinicians locate veins when placing intravenous (IV) lines or performing blood draws. Infrared devices provide...
Patient Codes Repeatedly, Needs Access – Nurse Clinicians in Action – 39
Patient Codes Repeatedly, Needs Access describes how a hospital patient who was resuscitated after coding twice was moved to the ICU and needed fluids and vasopressors, but the care team was unable to achieve vascular access. Patient Codes Repeatedly, Needs Access –...
IV Infiltration and Extravasation Causes and Prevention
IV Infiltration Prevention and Management describes infiltrations and extravasations, common causes, and best practices to prevent and mitigate the risk of these complications from occurring…