TEMPORARY DIALYSIS CATHETERS
Temporary Dialysis Catheters, also known as Vas Caths for Dialysis, are inserted in the Jugular Vein or Femoral Vein and used for Dialysis to address Kidney Disease and Renal Failure. As Vascular Access Specialists, Vascular Wellness pioneered nurse placed Large Bore Central Venous Catheters to be used as Temporary Dialysis Catheters, and is virtually the only nurse led company to perform, or who has significant experience with, these Vascular Access procedures. These Temporary Dialysis Catheters are for temporary dialysis access and treatment, as short-term alternatives to Arteriovenous fistula (AV Fistula) and Arteriovenous graft (AV Graft), and generally can be used for up to 45 days. Vascular Wellness’ approach to Temporary Dialysis Catheters helps improve patient outcomes and preserve veins, potentially expanding a dialysis patient’s expected lifespan by 5-7 years.
VASCULAR ACCESS SPECIALISTS
As Vascular Access Specialists, Vascular Wellness nurse clinicians are Vascular Access Board Certified (VA-BC), insured, skill-verified, and salaried W2 employees. Vascular Wellness requires bi-annual skill verification ensuring adherence to proprietary policies, procedures, competencies, and best practices. We focus on holistic and comprehensive care and do not follow the pay per procedure model plus performance bonuses used by others that may create some adverse incentives for speed at the bedside versus holistic medical care helping to ensure the placement of the right line at the right time, the first time. In fact, Vascular Wellness employs a Director of Research and Development who not only helps us stay up to date on best practices but helps us continue to innovate and improve upon Vascular Access Services.
Vascular Access Specialists practice holistic medical care, meaning talking to the patient, addressing questions and fears, and performing a comprehensive medical review. Prior to delivering any Vascular Access procedure, the Vascular Wellness clinician reviews the patient’s medical record, including history and lab reports, and independently verifies and confirms the doctor’s order. If our clinician has questions or disagrees with the prescribing doctor, the clinician will consult with the doctor. Our Vascular Access Specialists have earned the trust of many doctors, and such doctors will defer to the clinician’s recommendation by ordering a “consult” as compared to a specific line. Patient safety and vein preservation are critical – which is why a holistic, comprehensive evaluation and Advanced Lines are significant. Other companies claiming to be Vascular Access Specialists may not follow this same approach frustrating medical doctors and nurses primarily because those 1099 Contractor PICC nurses do not place Advanced Lines (i.e, no options other than PIVs, Midlines, and PICCs) and get paid on a pay per procedure model.
In states where nurses are permitted, as Vascular Access Specialists, Vascular Wellness clinicians can provide immediate X-Ray Clearance of lines when tip confirmation is not available or appropriate and X-Ray confirmation must be used. This saves money, time, and coordination with a Radiologist or other doctor and enables the lines to be used immediately to avoid delaying treatment. Quicker therapy leads to better outcomes.
As Vascular Access Specialists, Vascular Wellness uses top rated and hospital preferred supplies from Becton Dickinson, formerly Bard (BD). Superior supplies and services help mitigate the potential for poor outcomes such as bad placement, clotting, infections, and other adverse events. Other companies that are not Vascular Access Specialists may opt for inferior supplies and older equipment.
VASCULAR ACCESS FOR HEMODIALYSIS
Vascular Access for Hemodialysis is performed by Vascular Wellness, unlike many other nursing companies, and can be very advantageous. While Temporary Dialysis Catheters can be placed in the interventional radiology department by hospital clinicians, Vascular Access for Hemodialysis at the Bedside by the Vascular Access Specialists at Vascular Wellness can prove valuable, including less patient disruption, decreased transportation time and expense, decreased length of stay for the patient, easier coordination of treatment, more effective infection control, and improved use, efficiency, and effectiveness of resources such as equipment, supplies, facilities, and medical specialists. Since Vascular Access for Hemodialysis serves the critical need of providing kidney function when there is possible Temporary Renal Failure, speed is critical for Kidney preservation and restoration. Temporary Dialysis Catheters can be a great option for Vascular Access for Hemodialysis.
Temporary Dialysis Catheters enable effective Hemodialysis
Central Venous Lines for Temporary Dialysis Catheters
CENTRAL VENOUS CATHETER DIALYSIS
Central Venous Catheter Dialysis involves placing the Large Bore Vas Cath in the Jugular or Femoral Vein and takes the skills and experience of a Vascular Access Specialist. In order to place Central Venous Catheter Dialysis lines, each Vascular Wellness Clinician must meet certain prerequisites so that such clinician becomes eligible for Temporary Dialysis Catheter training. These prerequisites include being certified as Vascular Access Board Certified (VA-BC) by the Association for Vascular Access (AVA), being certified in Advanced Cardiac Life Support (ACLS), and having successfully inserted a minimum number of Small Bore Internal Jugular, Femoral, or Axillary Central Lines. Once these prequalifications are met, then the Clinician may sit for the Vascular Wellness Large Bore Insertion Class which includes both a classroom and skills test component around Central Venous Catheter Dialysis lines, specifically, Temporary Dialysis Catheters. In order for the competency to be completed and the Clinician to be certified, the Clinician must successfully place a minimum number of Large Bore Central Venous Catheter Dialysis lines with a Preceptor. Once certified, the Clinician is then subject to semi-annual skills assessments to help ensure skill maintenance and continued improvement and adoption of the latest best practices around Central Venous Catheter Dialysis lines. The proprietary policies, procedures, training, competencies, and ongoing semi-annual skills assessments for Temporary Dialysis Catheters are based on and incorporate recommendations from the National Renal Foundation, Centers for Disease Control, and American Vascular Association.
TEMPORARY DIALYSIS CATHETER INSERTION
Temporary Dialysis Catheter Insertion by Vascular Access Specialists is critical because veins are limited and non-renewable resources and treating infections can result in additional vein usage. Vascular Wellness’ approach of inserting Large Bore Catheters, which is what Temporary Dialysis Catheters are, anatomically lower and near the clavicle, decreases risk of a Central Line Associated Bloodstream Infection (CLABSI), and makes care and maintenance of the line much easier as compared to when the Temporary Dialysis Catheter Insertion is placed high on the neck. Further, Vascular Wellness has proven success with a sutureless approach referred to as Statlock Stabilization, which further mitigates the risk of CLABSIs. Finally, in the event a Permanent Dialysis Catheter becomes infected and must be removed, the Temporary Dialysis Catheter Insertion can be clinically appropriate therapy to enable the continuation of treatment until the infection is cleared at which point a replacement Permanent Dialysis Catheter can be provided and the Temporary Dialysis Catheter is removed. This approach of using the Temporary Dialysis Catheter Insertion in lieu of another Permanent Dialysis Catheter protects the replacement Permanent Dialysis Catheter from acquiring the same infection and then having to be removed as well. Inserting and removing Permanent Dialysis Catheters decreases a patient’s expected life span as veins are consumed and no longer available for later use.
Temporary Dialysis Catheters by Vascular Access Specialists
Nurse placed Temporary Dialysis Catheters for Hemodialysis
BEST VASCULAR ACCESS FOR HEMODIALYSIS
Best Vascular Access for Hemodialysis is beyond the scope of this page; however, in its simplistic form, the Best Vascular Access for Hemodialysis is the most prompt and timely dialysis, provided that it is clinically indicated. Vascular Access clinicians who can provide Temporary Dialysis Catheters at the bedside and then accurately read an X-Ray to confirm tip placement, can clear the Temporary Dialysis Catheter Line for usage often much quicker than other options. Contrast Dye Neuropathy (CIN) rates are high in the renal population and using the bedside dye-free approach and ultrasound eliminates this risk. Temporary Dialysis Catheter Insertion at the Bedside serves the important purpose of providing immediate care as Vascular Wellness serves its clients and patients seven (7) days a week and often within six (6) hours of service request. In our opinion, and depending on the criteria being evaluated, the Best Vascular Access for Hemodialysis may be Temporary Dialysis Catheters as they can be provided timely, without disrupting future care options enabling the patient’s care plan to be carefully developed. With Vascular Wellness, placing a Temporary Dialysis Catheter and the ability to commence dialysis after hours or over a weekend is a reality and therefore, could be the Best Vascular Access for Hemodialysis when clinically appropriate.
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Vascular Wellnesssm provides comprehensive, quality, timely, and innovative vascular access services, including standard and advanced line placement, pediatrics, program management, education, training, and infection control and prevention to all healthcare settings such as Tertiary Hospitals, Community Hospitals, Long-Term Acute Care Hospitals, Skilled Nursing Facilities, Surgical and Outpatient Centers, Hospice, and At-Home care. We support a 98+% Success Rate with zero (0) Insertion-Related Infections across all lines, with an average response time of 3 hours. We help our clients improve patient outcomes, enable faster therapy, reduce costs, infections, and readmissions, decrease hospital length of stay, and reduce transportation expenses.
Clinical Hours for Dispatch
Service Hours extend 2+ hours after Dispatch
Monday-Friday: 8am - 6pm
Saturday-Sunday: 8am - 3pm
Holidays: 8am - 1pm