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 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 external ports.
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
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.
This presentation is about surgical drains and the techniques of draining the surgical wounds. Advancements in the surgical drains are also discussed and mentioned.
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.
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.
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
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.
This presentation is about surgical drains and the techniques of draining the surgical wounds. Advancements in the surgical drains are also discussed and mentioned.
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.
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.
Falcon stands out as a top-tier P2P Invoice Discounting platform in India, bridging esteemed blue-chip companies and eager investors. Our goal is to transform the investment landscape in India by establishing a comprehensive destination for borrowers and investors with diverse profiles and needs, all while minimizing risk. What sets Falcon apart is the elimination of intermediaries such as commercial banks and depository institutions, allowing investors to enjoy higher yields.
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.
The world of search engine optimization (SEO) is buzzing with discussions after Google confirmed that around 2,500 leaked internal documents related to its Search feature are indeed authentic. The revelation has sparked significant concerns within the SEO community. The leaked documents were initially reported by SEO experts Rand Fishkin and Mike King, igniting widespread analysis and discourse. For More Info:- https://news.arihantwebtech.com/search-disrupted-googles-leaked-documents-rock-the-seo-world/
Improving profitability for small businessBen Wann
In this comprehensive presentation, we will explore strategies and practical tips for enhancing profitability in small businesses. Tailored to meet the unique challenges faced by small enterprises, this session covers various aspects that directly impact the bottom line. Attendees will learn how to optimize operational efficiency, manage expenses, and increase revenue through innovative marketing and customer engagement techniques.
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.
"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."
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
Kseniya Leshchenko: Shared development support service model as the way to ma...Lviv Startup Club
Kseniya Leshchenko: Shared development support service model as the way to make small projects with small budgets profitable for the company (UA)
Kyiv PMDay 2024 Summer
Website – www.pmday.org
Youtube – https://www.youtube.com/startuplviv
FB – https://www.facebook.com/pmdayconference
Enterprise Excellence is Inclusive Excellence.pdfKaiNexus
Enterprise excellence and inclusive excellence are closely linked, and real-world challenges have shown that both are essential to the success of any organization. To achieve enterprise excellence, organizations must focus on improving their operations and processes while creating an inclusive environment that engages everyone. In this interactive session, the facilitator will highlight commonly established business practices and how they limit our ability to engage everyone every day. More importantly, though, participants will likely gain increased awareness of what we can do differently to maximize enterprise excellence through deliberate inclusion.
What is Enterprise Excellence?
Enterprise Excellence is a holistic approach that's aimed at achieving world-class performance across all aspects of the organization.
What might I learn?
A way to engage all in creating Inclusive Excellence. Lessons from the US military and their parallels to the story of Harry Potter. How belt systems and CI teams can destroy inclusive practices. How leadership language invites people to the party. There are three things leaders can do to engage everyone every day: maximizing psychological safety to create environments where folks learn, contribute, and challenge the status quo.
Who might benefit? Anyone and everyone leading folks from the shop floor to top floor.
Dr. William Harvey is a seasoned Operations Leader with extensive experience in chemical processing, manufacturing, and operations management. At Michelman, he currently oversees multiple sites, leading teams in strategic planning and coaching/practicing continuous improvement. William is set to start his eighth year of teaching at the University of Cincinnati where he teaches marketing, finance, and management. William holds various certifications in change management, quality, leadership, operational excellence, team building, and DiSC, among others.
LA HUG - Video Testimonials with Chynna Morgan - June 2024Lital Barkan
Have you ever heard that user-generated content or video testimonials can take your brand to the next level? We will explore how you can effectively use video testimonials to leverage and boost your sales, content strategy, and increase your CRM data.🤯
We will dig deeper into:
1. How to capture video testimonials that convert from your audience 🎥
2. How to leverage your testimonials to boost your sales 💲
3. How you can capture more CRM data to understand your audience better through video testimonials. 📊
1. Fairview Southdale Hospital Nursing Competency Validation 1
Implanted (Port) Central Venous Access Devices (CVADs): Accessing, Deaccessing,
Drawing Blood, and Administering Fluid
Chest and Arm Placement
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.
Sterile field supplies for accessing the implanted port: Sterile Central Line Kit; 30 ml. vial
sterile NS; (2) empty 10 ml. syringes in sterile wrapper; Gripper Plus.
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
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 for deaccessing valved catheter: non sterile gloves; alcohol wipes; (2-3) pre-filled
10 ml. syringes of sterile NS, sterile gauze; bandaid.
Supplies for deaccessing open-end catheter: non-sterile gloves; alcohol wipes; (1-2) pre-
filled 10 ml. syringes of sterile NS; pre-filled syringe of heparinized flush solution (as
prescribed in Venous Access Device Protocol); sterile gauze; bandaid.
Supplies to flush dormant valved catheter with Gripper Plus: non sterile gloves; alcohol
wipes; (2-3) pre-filled 10 ml. syringes of sterile NS
Developed by FSH VAT: October, 2004 C
2. Fairview Southdale Hospital Nursing Competency Validation 2
Implanted (Port) Central Venous Access Devices (CVADs): Accessing, Deaccessing,
Drawing Blood, and Administering Fluid
Supplies to flush dormant open-end catheter with Gripper Plus: 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
3. Washes hands and dons non-sterile gloves.
4. Inspects skin over the port 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.
5. Palpates chest or arm to locate the center of port.
6. Removes and discards gloves.
7. Using principles of asepsis and sterility opens central line dressing kit and uses
sterile wrapper for sterile field. Adds additional sterile supplies to the sterile
field. Dons mask and sterile gloves.
YES NO
Accessing the Implanted CVAD
1. Preps the CVAD port according to policy. Prepped area should be a diameter
of four (4) inches with the CVAD port in the center.
PREFERRED: Rubs Chloraprep® briskly in back-and-forth motions for 30
seconds and allows to dry.
CRITICAL: If using Betadine, learner must apply it in concentric circles,
starting from the middle, and allow to dry. Following the Betadine with alcohol
or wiping it off will result in failure of this competency. May prep with alcohol
before Betadine – alcohol must be permitted to dry, however.
2. Places a sterile drape over the field. Maintains glove sterility or dons new
sterile gloves.
3. Using an assistant to hold non-sterile vial of sterile preservative-free 0.9% NS,
draws up10 ml. Uses NS to prime the sterile tubing and non-coring needle.
Or, without assistant, draws up10 ml. of sterile normal saline – without
contaminating gloves or syringe. Uses NS to prime the sterile tubing and non-
coring needle.
4. Uses sterile non-dominant hand to palpate and locate the middle of the port
septum. Then holds the CVAD firmly between thumb and forefinger to
stabilize the port septum.
CRITICAL: Once non-dominant hand has been used to palpate and stabilize
the port, it cannot be used to touch the non-coring needle or sterile equipment
– unless a new sterile glove is first applied.
5. Firmly pushes the non-coring needle into the middle of the CVAD with the
needle 90 degrees to the flat bottom of the device. Pushes through the skin
and portal system until the needle tip hits the bottom of the portal chamber.
Positions (without rocking or tilting the needle) so that tubing extends toward
the shoulder/arm.
6. Verifies placement by checking for a blood return. Once blood return verified,
flushes 10 ml. sterile NS to clear all blood from catheter.
7. If unable to obtain blood return, rotates needle and aspirates again (does not
rock or tilt the needle). If still no blood return, gently flushes with normal saline.
Developed by FSH VAT: October, 2004 C
3. Fairview Southdale Hospital Nursing Competency Validation 3
Implanted (Port) Central Venous Access Devices (CVADs): Accessing, Deaccessing,
Drawing Blood, and Administering Fluid
If this causes any pain or discomfort, removes the needle and starts entire
procedure over.
CRITICAL: Never pulls non-coring needle out and reinserts it. If septum is
missed, starts from beginning with a new sterile dressing kit and new needle.
8. Once the port is successfully accessed, applies sterile transparent dressing
over Gripper and extension tubing to maintain sterility and secure in place.
CRITICAL: All four edges of the dressing must be sealed.
Deaccessing the Implanted CVAD
1. Prepares supplies.
2. Washes hands and dons non-sterile gloves.
3. Clamps extension tubing on Gripper Plus needle. Disconnects infusion tubing
from extension tubing, if attached.
4. Cleanses injection cap with alcohol swab.
5. Connects pre-filled syringe with 10 ml. sterile NS. Aspirates to check for blood
return. Then, uses intermittent positive flush technique to create turbulence
while flushing catheter lumen with 10-30 ml. sterile NS (at least 20 ml. after
blood draw).
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 5 ml. Heparin 100 units/ml. 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.
7. Removes transparent dressing from site and discards.
8. Removes the Griper non-coring needle according to manufacturer
recommendations. Discards into appropriate biohazard sharps container.
9. Applies pressure to the site and a Band-Aid dressing, as needed.
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.
Developed by FSH VAT: October, 2004 C
4. Fairview Southdale Hospital Nursing Competency Validation 4
Implanted (Port) Central Venous Access Devices (CVADs): Accessing, Deaccessing,
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 and cap.
6. Starts fluid infusion, flushes dormant Gripper Plus tubing according to
VASCULAR ACCESS DEVICE PROTOCOL, or deaccesses port.
YES NO
Blood Collection: Syringe Method (IF VACUTAINER METHOD DOES NOT WORK)
1. Presses STOP buttons on pumps to pause infusions before obtaining samples.
2. Assembles syringes, needleless connectors, vacutainer barrel, blood tubes.
3. Disinfects cap on the Gripper Plus extension tubing with alcohol. Flushes 10
ml. sterile NS into cap. 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.
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. Starts fluid infusion, flushes dormant Gripper Plus tubing according to
VASCULAR ACCESS DEVICE PROTOCOL, or deaccesses port.
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 it fills.
YES NO
Starting Fluid Infusion
1. Loops extension tubing and tapes securely to patient’s skin to prevent possible
tension on non-coring needle during patient movement.
2. Disinfects cap on Gripper extension tubing with alcohol. Connects infusion
tubing using needless connector.
3. Observes for signs of infiltration/extravasation around implanted port site as
fluid infuses.
YES NO
Post Procedure
1. Labels tubes at bedside and sends specimens to 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 should your nursing action be if you palpate the implantated portal and note that the
septum is facing posterior and the backside is facing the patient’s anterior chest wall?
Notify the physician. The port will need surgical revision. Do not attempt to reposition the port.
•
The catheter could twist or crack.
2. Can you use the lumen if it flushes, but will not aspirate blood?
Yes, as long as there is no evidence of infiltration/extravasation and you are not administering
•
a vesicant solution. But notify the primary care physician.
Developed by FSH VAT: October, 2004 C