Vascular Access Archives

24-Hour Vascular Access Consult and Coordination – Nurse Clinicians in Action – 58

24-Hour Vascular Access Consult and Coordination describes a patient who came to an Emergency Department on a weekend with a suspected infection in her PICC line, which she had in place for long-term outpatient antibiotic therapy, and the ED wasn’t sure of the best...

Urgent Vascath and Axillary Line – Nurse Clinicians in Action – 56

Urgent Vascath and Axillary Line describes a critically ill ICU patient in a Trauma Hospital who urgently needed a temporary dialysis catheter for hemodialysis treatment, as she was diagnosed with Diabetic Ketoacidosis (a severe, life-threatening complication with...

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...

Nurse-Placed Central Lines in South Carolina

In the Room Where it Happened: Whitney Page and Nurse-Placed Central Lines in South Carolina Nurse-Placed Central Lines in South Carolina highlights the South Carolina Board of Nursing’s advisory opinion that adds central line placement by registered nurses...

First South Carolina Nurse-Placed Internal Jugular CVC – Nurse Clinicians in Action – 54

First South Carolina Nurse-Placed Internal Jugular CVC highlights a case in a Rehabilitation Hospital where a patient needed IV access for the administration of antibiotics, blood products, and blood draws. A Midline was ordered, but because of her extensive...

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...

Newborn Urgently Needs IV Access – Nurse Clinicians in Action – 52

Newborn Urgently Needs IV Access describes how a newborn who was just hours old was having difficulty breathing and needed IV access for fluids. Newborn Urgently Needs IV Access – Clinical Case This case took place in a hospital where a baby was just born a few hours...

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...