With proper training and board of nursing approval, vascular access nurses can perform the insertion of Vas Cath for Dialysis and other large bore lines. Vascular Wellness, a leader in the field of vascular access, is one of a select few companies that has received approval from a state (NC) Board of Nursing and has instituted a large bore line placement program including nurse placement or insertion of Vas Cath for Dialysis and Quad Lumen catheters.
What are Vas Caths for Dialysis and other Large Bore Central Venous Catheters (CVCs)?
Large bore CVCs have very large diameters that enable rapid fluid and blood administration. They are usually used in emergency situations such as trauma, the Intensive Care Unit (ICU), certain non-emergency situations as clinically indicated, and as a temporary central line for dialysis including Vas Caths (dual lumens) and Trialysis Catheters (triple lumens). A Quad Lumen can be used in the Emergency Department (ED) or ICU for a patient that is very sick and needs multiple points of access such as for blood pressure monitoring, heart rate monitoring, medications, and fluids. The diameters are typically eight (8) French catheter or higher and the CVCs can be placed in the Internal Jugular (IJ) or Femoral veins. While some physicians may place these lines anatomically, Vascular Wellness places these lines using UltraSound (US) guidance and the Seldinger Technique, with placement confirmed by X-ray.
What are the benefits of Vascular Access Nurses inserting Vas Caths for Dialysis and other Large Bore Central Venous Catheters (CVCs)?
There are many medical and financial benefits to having vascular access nurses inserting large bore CVCs at the bedside similar to the placement of other lines at the bedside. These benefits include better patient outcomes with less side effects due to the prompt vascular access for the patient, and lower costs due to the elimination of transportation expenses and the reduction of the need for higher cost medical specialists. Enabling physicians to focus on other medical procedures including the Permacath, when necessary, also helps with general healthcare efficiency and results. With its nurses placing or inserting Vas Caths for Dialysis and other large bore lines, Vascular Wellness continues to see:
- Less hemorrhaging of blood after catheter placement as compared to other dialysis options. Bleeding can happen because of anticoagulation, weak platelet function, and trauma to the vessel.
- Lower rates of infection due to the ability to place large bore lines in the IJ vein closer to the base of the neck and in the Femoral vein in the mid-thigh area away from the groin, as well as using Statlock Stabilization, a sutureless approach. A sutureless approach means no needle sticks that can introduce infections and it allows better cleaning of the dressing.
Furthermore, by receiving a Vas Cath at the bedside, the patient may:
- Avoid the need to undergo a more complicated surgical procedure. A Vas Cath is appropriate for a patient who is in acute kidney failure and needs temporary dialysis to help the kidneys recover, has pending cultures but needs emergency dialysis, or is wait-listed for a Permacath but needs urgent dialysis.
- Obtain faster treatment and usually not only in the same day but within six (6) hours from the time of the request. In a hospital setting, placing a Permacath, requires scheduling a patient with Interventional Radiology (IR) or Vascular Surgery (VS) and the coordination of staff, room assignments, and equipment can lead to the wait-listing of the patient, delaying the line placement until the next day or later.
Pursing its vision of advancing healthcare and empowering nurses, Vascular Wellness continues to innovate and nurse placement or insertion of Vas Caths for Dialysis and other large bore lines are additional examples of this. By bringing all the necessary equipment and supplies, Vascular Wellness efficiently handles large bore lines including Vas Cath for Dialysis which we have found, can be the most preferred option desired by the physician as it can be done quickly, at lower cost, at the bedside, and result in favorable patient outcomes, plus enable the physician to treat other patients where that physician’s skill set and experience can best be used.