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  • I would like to welcome everyone today to the first class of Intravascular Access for Prairie River Home Care. I am Nathan Little. I have worked for HealthEast Medical Transportation for 9 years, the last 6 as a paramedic and this year received training as a critical care paramedic.
  • Today we will define “what intravascular (IV) access is”, who needs IV access, and special considerations for vascular access. We will also describe different methods you may use or see for establishing IV access, techniques for establishing IV access. How to protect your IV access site, and how to trouble shoot any potential problems during, or after establishing your IV access site.
  • Intravascular access means establishing access into the veins of the body for the purposes of administering medications, fluid, or drawing blood.
  • Who needs intravascular access? Any patient who needs continuous or intermittent infusion of medications or fluid solutions. Any patient that is on hemodialysis, or who may require frequent blood draws.
  • There are many types of vascular access available. Some that you may have to work with are Central Vascular (CV) lines generally placed in the subclavian vein, jugular vein, or occasionally
  • Standard peripheral IV catheters are used to establish vascular access for continuous medication or fluid infusions. Standard IV catheters range in size from the largest at 14 gauge to the smallest at 24 gauge. The larger the catheter used the more volume can be delivered over a specified amount of time.

Transcript

  • 1. Prairie River Homecare Intravascular Access Nathan Little NREMT-P HealthEast Medical Transportation
  • 2. Welcome• Welcome to the Prairie River Home Care Intravascular Access class • Nathan Little NREMT-P / CCP – HealthEast Medical Transportation
  • 3. ObjectiveDefine: Describe:• “What intravascular access • Methods of IV access. means.” • Techniques for establishing IV access.• Who needs intravascular • Protecting your IV access access. site. • Troubleshooting IV access• Special vascular access problems. considerations.
  • 4. Intravascular Access“What does it mean?”
  • 5. Intravascular Access Means:• Establishing access into veins• To administer medications, fluid, or to draw blood.
  • 6. Who needs intravascular access?• Anyone who needs continuous or intermittent infusion of blood, medications or fluid solutions.• Patients on hemodialysis• Frequent blood draws.
  • 7. Types of Intravascular Access• Central vascular lines – Subclavian, Jugular, Femoral• PICC Lines – Peripheral Intravenous Central Catheter • Antecubital placement, Femoral, Jugular• Portacath Ports – Subclavian superior chest placement • Used for difficult vascular access especially in chemotherapy treatment.
  • 8. Types of Intravascular Access• Standard peripheral IV catheters for infusion.• Blood draws Access• Intraosseous Access