This is a checklist with the criteria the learners needed to demonstrate to verify competency in accessing, using, and de accessing central venous access devices with external ports.
This is a checklist with the criteria the learners needed to demonstrate to verify competency in accessing, using, and de accessing central venous access devices with implanted ports.
This is a checklist with the criteria the learners needed to demonstrate to verify competency in accessing, using, and de accessing central venous access devices with implanted ports.
Radiological placement is consistently more reliable than surgical placement. There are fewer placement complications and fewer catheter infections overall.
It is convenient for the patient, quick, time saving, and cost effective
Interventional radiologists
placement and
management
research and development of hemodialysis catheters
Infection control guidelines for Prevention of Peripheral Venous Catheter (PV...drnahla
Infection Control Guidelines for Prevention of Peripheral Venous Catheter (PVC) Associated Infections
Dr. NAHLA ABDEL KADERوMD, PhD.
INFECTION CONTROL CONSULTANT, MOH
INFECTION CONTROL CBAHI SURVEYOR
Infection Control Director, KKH.
Introduction to the Visual Infusion Phlebitis (VIP) scoreivteam
The Visual Infusion Phlebitis score is a standardised approach to monitoring peripheral IV catheter sites.
The fact that it encourages site observation means that it also has an impact on other peripheral IV catheter problems such as dislodgement, infiltration and infection.
The innovation of this tool is the recognition of the visual nature of peripheral IV problems and the subsequent benefits of a visual tool to identify these issues early.
As health care workers we have a duty of care to monitor the condition of a patients IV site.
Failure to monitor IV sites is seen as failure in duty of care.
The VIP score is internationally acknowledged as a proven standardised tool for the monitoring of peripheral IV catheter sites.
Using the Central Line Bundle
Hand Hygiene
Remove Unnecessary Lines
Use of Maximal Barrier Precautions
Chlorhexidine for Skin Antisepsis
Avoid femoral lines
Report CLABSI rates to the units
Celebrate success!!
Safe iv cannulation (prevention of iv thrombophlebitis)Chaithanya Malalur
A basic introduction to applying an intravenous canula. A note on commonly accessible veins, purpose of IV cannulation, materials & procedure, after care, complications & management
Radiological placement is consistently more reliable than surgical placement. There are fewer placement complications and fewer catheter infections overall.
It is convenient for the patient, quick, time saving, and cost effective
Interventional radiologists
placement and
management
research and development of hemodialysis catheters
Infection control guidelines for Prevention of Peripheral Venous Catheter (PV...drnahla
Infection Control Guidelines for Prevention of Peripheral Venous Catheter (PVC) Associated Infections
Dr. NAHLA ABDEL KADERوMD, PhD.
INFECTION CONTROL CONSULTANT, MOH
INFECTION CONTROL CBAHI SURVEYOR
Infection Control Director, KKH.
Introduction to the Visual Infusion Phlebitis (VIP) scoreivteam
The Visual Infusion Phlebitis score is a standardised approach to monitoring peripheral IV catheter sites.
The fact that it encourages site observation means that it also has an impact on other peripheral IV catheter problems such as dislodgement, infiltration and infection.
The innovation of this tool is the recognition of the visual nature of peripheral IV problems and the subsequent benefits of a visual tool to identify these issues early.
As health care workers we have a duty of care to monitor the condition of a patients IV site.
Failure to monitor IV sites is seen as failure in duty of care.
The VIP score is internationally acknowledged as a proven standardised tool for the monitoring of peripheral IV catheter sites.
Using the Central Line Bundle
Hand Hygiene
Remove Unnecessary Lines
Use of Maximal Barrier Precautions
Chlorhexidine for Skin Antisepsis
Avoid femoral lines
Report CLABSI rates to the units
Celebrate success!!
Safe iv cannulation (prevention of iv thrombophlebitis)Chaithanya Malalur
A basic introduction to applying an intravenous canula. A note on commonly accessible veins, purpose of IV cannulation, materials & procedure, after care, complications & management
Collecting blood samples and other biological specimens is crucial to the understanding, prevention, and treatment of disease. However, from the patient’s perspective, it can also be painful, unnerving, frightening, and inconvenient.
IV Cannulation Introducing a single dose of concentrated medication directly...ssuser3155141
Introducing a single dose of concentrated medication directly into the systemic circulation
“Or”
The introduction of a large amount of fluid & electrolytes and other nutrients into the body via veins.
Program designed for educators to deliver to their respective nursing units. This document lists the videos and demonstration tools required to implement the program.
Central Venous Access Devices Made Incredibly Easy!Cathy Lewis
Target audience: RNs during New Hire Orientation and nurses needing additional training on identifying, assessing, and maintaining central lines.
Developed in conjunction with subject matter experts (SMEs) from IV Team. Principles based on practice at this particular institution.
Developed for New Hire Orientation to review principles and assess learning. Main slide has categories and prize amounts. Hyperlinks from each lead to appropriate slide. Click enter to display answer. Click enter again to display answer. Click Back to return to Main slide. (Sorry links do not work on this site.)
This is a recreation of a presentation that I created in the early 2000s for a nursing inservice about femoral vascular access site complications. Post cardiac catheterization and post interventional radiology patients were a new patient population for these nurses.
RMD24 | Retail media: hoe zet je dit in als je geen AH of Unilever bent? Heid...BBPMedia1
Grote partijen zijn al een tijdje onderweg met retail media. Ondertussen worden in dit domein ook de kansen zichtbaar voor andere spelers in de markt. Maar met die kansen ontstaan ook vragen: Zelf retail media worden of erop adverteren? In welke fase van de funnel past het en hoe integreer je het in een mediaplan? Wat is nu precies het verschil met marketplaces en Programmatic ads? In dit half uur beslechten we de dilemma's en krijg je antwoorden op wanneer het voor jou tijd is om de volgende stap te zetten.
Attending a job Interview for B1 and B2 Englsih learnersErika906060
It is a sample of an interview for a business english class for pre-intermediate and intermediate english students with emphasis on the speking ability.
RMD24 | Debunking the non-endemic revenue myth Marvin Vacquier Droop | First ...BBPMedia1
Marvin neemt je in deze presentatie mee in de voordelen van non-endemic advertising op retail media netwerken. Hij brengt ook de uitdagingen in beeld die de markt op dit moment heeft op het gebied van retail media voor niet-leveranciers.
Retail media wordt gezien als het nieuwe advertising-medium en ook mediabureaus richten massaal retail media-afdelingen op. Merken die niet in de betreffende winkel liggen staan ook nog niet in de rij om op de retail media netwerken te adverteren. Marvin belicht de uitdagingen die er zijn om echt aansluiting te vinden op die markt van non-endemic advertising.
"𝑩𝑬𝑮𝑼𝑵 𝑾𝑰𝑻𝑯 𝑻𝑱 𝑰𝑺 𝑯𝑨𝑳𝑭 𝑫𝑶𝑵𝑬"
𝐓𝐉 𝐂𝐨𝐦𝐬 (𝐓𝐉 𝐂𝐨𝐦𝐦𝐮𝐧𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬) is a professional event agency that includes experts in the event-organizing market in Vietnam, Korea, and ASEAN countries. We provide unlimited types of events from Music concerts, Fan meetings, and Culture festivals to Corporate events, Internal company events, Golf tournaments, MICE events, and Exhibitions.
𝐓𝐉 𝐂𝐨𝐦𝐬 provides unlimited package services including such as Event organizing, Event planning, Event production, Manpower, PR marketing, Design 2D/3D, VIP protocols, Interpreter agency, etc.
Sports events - Golf competitions/billiards competitions/company sports events: dynamic and challenging
⭐ 𝐅𝐞𝐚𝐭𝐮𝐫𝐞𝐝 𝐩𝐫𝐨𝐣𝐞𝐜𝐭𝐬:
➢ 2024 BAEKHYUN [Lonsdaleite] IN HO CHI MINH
➢ SUPER JUNIOR-L.S.S. THE SHOW : Th3ee Guys in HO CHI MINH
➢FreenBecky 1st Fan Meeting in Vietnam
➢CHILDREN ART EXHIBITION 2024: BEYOND BARRIERS
➢ WOW K-Music Festival 2023
➢ Winner [CROSS] Tour in HCM
➢ Super Show 9 in HCM with Super Junior
➢ HCMC - Gyeongsangbuk-do Culture and Tourism Festival
➢ Korean Vietnam Partnership - Fair with LG
➢ Korean President visits Samsung Electronics R&D Center
➢ Vietnam Food Expo with Lotte Wellfood
"𝐄𝐯𝐞𝐫𝐲 𝐞𝐯𝐞𝐧𝐭 𝐢𝐬 𝐚 𝐬𝐭𝐨𝐫𝐲, 𝐚 𝐬𝐩𝐞𝐜𝐢𝐚𝐥 𝐣𝐨𝐮𝐫𝐧𝐞𝐲. 𝐖𝐞 𝐚𝐥𝐰𝐚𝐲𝐬 𝐛𝐞𝐥𝐢𝐞𝐯𝐞 𝐭𝐡𝐚𝐭 𝐬𝐡𝐨𝐫𝐭𝐥𝐲 𝐲𝐨𝐮 𝐰𝐢𝐥𝐥 𝐛𝐞 𝐚 𝐩𝐚𝐫𝐭 𝐨𝐟 𝐨𝐮𝐫 𝐬𝐭𝐨𝐫𝐢𝐞𝐬."
Discover the innovative and creative projects that highlight my journey throu...dylandmeas
Discover the innovative and creative projects that highlight my journey through Full Sail University. Below, you’ll find a collection of my work showcasing my skills and expertise in digital marketing, event planning, and media production.
Implicitly or explicitly all competing businesses employ a strategy to select a mix
of marketing resources. Formulating such competitive strategies fundamentally
involves recognizing relationships between elements of the marketing mix (e.g.,
price and product quality), as well as assessing competitive and market conditions
(i.e., industry structure in the language of economics).
What is the TDS Return Filing Due Date for FY 2024-25.pdfseoforlegalpillers
It is crucial for the taxpayers to understand about the TDS Return Filing Due Date, so that they can fulfill your TDS obligations efficiently. Taxpayers can avoid penalties by sticking to the deadlines and by accurate filing of TDS. Timely filing of TDS will make sure about the availability of tax credits. You can also seek the professional guidance of experts like Legal Pillers for timely filing of the TDS Return.
Kseniya Leshchenko: Shared development support service model as the way to ma...Lviv Startup Club
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Kyiv PMDay 2024 Summer
Website – www.pmday.org
Youtube – https://www.youtube.com/startuplviv
FB – https://www.facebook.com/pmdayconference
Business Valuation Principles for EntrepreneursBen Wann
This insightful presentation is designed to equip entrepreneurs with the essential knowledge and tools needed to accurately value their businesses. Understanding business valuation is crucial for making informed decisions, whether you're seeking investment, planning to sell, or simply want to gauge your company's worth.
Premium MEAN Stack Development Solutions for Modern BusinessesSynapseIndia
Stay ahead of the curve with our premium MEAN Stack Development Solutions. Our expert developers utilize MongoDB, Express.js, AngularJS, and Node.js to create modern and responsive web applications. Trust us for cutting-edge solutions that drive your business growth and success.
Know more: https://www.synapseindia.com/technology/mean-stack-development-company.html
3.0 Project 2_ Developing My Brand Identity Kit.pptxtanyjahb
A personal brand exploration presentation summarizes an individual's unique qualities and goals, covering strengths, values, passions, and target audience. It helps individuals understand what makes them stand out, their desired image, and how they aim to achieve it.
What are the main advantages of using HR recruiter services.pdfHumanResourceDimensi1
HR recruiter services offer top talents to companies according to their specific needs. They handle all recruitment tasks from job posting to onboarding and help companies concentrate on their business growth. With their expertise and years of experience, they streamline the hiring process and save time and resources for the company.
What are the main advantages of using HR recruiter services.pdf
External Port Competency
1. Fairview Southdale Hospital Nursing Competency Validation 1
External Central Venous Access Devices (CVADs): Flushing, Drawing Blood, and
Administering Fluid
Jugular and Subclavian Catheters, Tunneled Catheters, and Percutaneously Inserted
Central Catheters (PICCs), Dialysis Catheters
Name: ____________________________ Unit: ______________
Trainer: _________________________ Date: ______________
Criteria for competency was MET NOT MET
Action Plan: _________________________________________________________________________
____________________________________________________________________________________
Signature Date
Competency Criteria
YES NO
Before Procedure
1. Verifies the order for labs, meds, or fluids.
2. Identifies the type of catheter to access (implanted vs. external), number of
lumens, and type of catheter tip (open-end vs. valve).
3. Ensures that VENOUS ADDESS DEVICE PROTOCOL is in patient medical
record and verifies appropriate flush.
4. Checks for allergies.
YES NO
Setup for Procedure
1. Correctly identifies patient. Introduces self and explains procedure to patient.
2. Gathers appropriate equipment on a clean dry surface.
Supplies for drawing blood via vacutainer (PREFERRED METHOD): (3-4) pre-filled 10 ml.
syringes of sterile NS and needless connectors; vacutainer barrel, female adapter; and
needleless connector; blood tubes for lab; labels; biohazard bag.
Supplies for drawing blood via syringe: (3-4) pre-filled 10 ml. syringes of sterile NS and
needless connectors; adequate number 10 ml. syringes to draw to fill blood tubes;
vacutainer barrel and female adapter; blood tubes for lab; label; biohazard bag.
Supplies to flush valved catheter: non sterile gloves; alcohol wipes; (1-2) pre-filled 10 ml.
syringes of sterile NS.
Supplies to flush open-end catheter: non-sterile gloves; alcohol wipes; (1) pre-filled 10 ml.
syringe of sterile NS; pre-filled syringe of heparinized flush solution (as prescribed in Venous
Access Device Protocol); needleless adapter.
New injection cap or PosiFlow adapter, in case blood cannot be cleared.
3. Inspects the insertion site and catheter tract for signs and symptoms of
infection including erythema, edema, warmth and/or drainage. If findings are
positive, does not access catheter and notifies M.D.
Developed by FSH VAT: October, 2004 C
2. Fairview Southdale Hospital Nursing Competency Validation 2
External Central Venous Access Devices (CVADs): Flushing, Drawing Blood, and
Administering Fluid
YES NO
Flushing the External CVAD
1. Prepares supplies.
2. Washes hands and don non-sterile gloves.
3. Disconnects infusion tubing from external port of the CVAD, if necessary.
4. Cleanses injection cap with alcohol swab.
5. Connects pre-filled 10 ml. NS syringe and aspirates for blood return. Flushes
the 10cc NS.
6. Flushes catheter according to VENOUS ACCESS DEVICE PROTOCOL.
CRITICAL: For valved catheter, 5 ml. sterile 0.9% NS to each lumen. If open-
end catheter, use Heparin solution as prescribed in VENOUS ACCESS
DEVICE PROTOCOL or physician’s order. Learner must be able to correlate
the patient’s device to corresponding device in VENOUS ACCESS DEVICE
PROTOCOL.
CRITICAL: If not using a POSIFLOW Adapter, must clamp catheter or remove
syringe while injecting last ml. of flush solution.
YES NO
Blood Collection: Vacutainer Method (PREFERRED)
1. Presses STOP button on pump to pause all CVAD infusions prior to obtaining
blood samples.
2. Assembles: vacutainer barrel and female adapter, needleless connector, and
blood tubes.
3. Disinfects cap that will be used for blood draw (ideally, distal) with alcohol.
Flushes 10 ml. sterile NS into catheter. Aspirates 10 ml. back into same
syringe and discards.
4. Inserts vacutainer with needleless connector into the injection cap. Advances
each blood tube inside vacutainer barrel to activate retrograde blood flow.
Holds blood tubes in place until collection tube fills.
5. When all blood samples are drawn, uses intermittent positive flush technique
to create turbulence while flushing catheter and cap with at least 20 ml. sterile
NS to clear all blood from lumen and cap.
6. If no infusion, flushes lumen as directed in VENOUS ACCESS DEVICE
PROTOCOL.
YES NO
Blood Collection: Syringe Method
1. Presses STOP button on pump to pause all CVAD infusions prior to obtaining
blood samples.
2. Assembles: syringes, needleless connectors, vacutainer barrel, blood tubes.
3. Disinfects cap that will be used for blood draw (ideally, distal) with alcohol.
Flushes 10 ml. sterile NS into catheter. Aspirates 10 ml. back into same
syringe and discards.
4. Attaches as many 10 ml. syringes as necessary to obtain adequate volume of
blood to fill specimen tubes.
Developed by FSH VAT: October, 2004 C
3. Fairview Southdale Hospital Nursing Competency Validation 3
External Central Venous Access Devices (CVADs): Flushing, Drawing Blood, and
Administering Fluid
5. When all blood samples are drawn, uses intermittent positive flush technique
to create turbulence while flushing catheter and cap with at least 20 ml. sterile
NS to clear all blood from lumen.
6. Restarts fluid infusion or flushes lumen as directed in VENOUS ACCESS
DEVICE PROTOCOL.
7. Fills blood tubes by inserting needless connector into female adapter on
vacutainer barrel. Advances each blood tube inside vacutainer barrel to
activate retrograde blood flow. Holds blood tube in place until collection tube
fills.
YES NO
Post Procedure
1. Labels tubes and sends specimens to Clinical Lab according to policy.
2. Discards sharps in biohazard container.
3. Removes gloves and washes hands.
4. Documents according to policy.
Answers the following questions appropriately. Yes No
1. What can you do if blood does not flow into the blood tube or syringe?
Have patient change position, cough, move arm above head, or hold a deep breath.
•
Attempt to flush catheter with NS and attempt to withdraw blood again.
•
Replace blood tube with a new one.
•
If still unsuccessful, call the Vascular Access Team for consultation. VAT may determine
•
that Alteplace can clear a thrombus formation. In either event the physician will need to
be notified.
Draw the blood specimen peripherally.
•
2. If the Dacron cuff presents outside the skin on a patient, what should you do?
Notify the physician immediately. The catheter has migrated outward.
•
3. When is it permissible to draw blood or administer fluids/medications through a dialysis
catheter?
When you have a written order from the physician. The order must contain complete
•
instructions for flush routine (what, how much, how often).
Developed by FSH VAT: October, 2004 C