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Vascular Access Devices Part 2: Potential Complications

presented by Lisa Gorski

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Disclosure Statement:

Financial - Lisa Gorski receives compensation from MedBridge for the production of this course. She also receives compensation for Speaking honoraria from BD, 3M, Genentech, being an Advisory Board Member for Teleflex, ivWatch, Hospira/Pfizer, and employee of Wheaton Franciscan Home Health and Hospice, Part of Ascension at Home. She also receives book royalties from FA Davis.

Non-Financial - Lisa Gorski is an Editorial Board Member, Home Healthcare Now, Chairperson, Infusion Nurses Certification Corporation and Infusion Nurses Society Standards of Practice Committee.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Accreditation Check:
Although the overall safety of home infusion therapy has been established over the past 30-some years, infusion therapy is still a high risk area of practice for patients who require an invasive device such as a peripheral or central vascular access device. In this course, potential complications will be explored including signs and symptoms, preventative interventions, and management.

Meet Your Instructor

Lisa Gorski, RN, MS, HHCNS-BC, CRNI, FAAN

Lisa Gorski MS, RN, HHCNS-BC, CRNI, FAAN, has worked for over 30 years as a Clinical Nurse Specialist (CNS) for Wheaton Franciscan Home Health & Hospice, now part of Ascension at Home in Milwaukee, Wisconsin. As a CNS, she has developed and oversees the home infusion therapy program, provides staff education, is involved in agency…

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Chapters & Learning Objectives

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1. Peripheral Catheter Related Complications

The nurse who cares for a patient with a short peripheral or midline catheter must recognize potential complications such as phlebitis, infiltration/extravasation, infection, and nerve damage. Complications will be explored in the context of case examples, with an emphasis on preventative strategies and actions to take in the event of their occurrence.

2. Central Vascular Access Device Complications: Blood Stream Infection, CVAD Occlusion, and CVAD Malposition

The nurse who cares for patients with CVADs must recognize potential complications. In this chapter, bloodstream infection, CVAD occlusion, and CVAD malposition are addressed. Complications will be explored in the context of case examples, with an emphasis on preventative strategies and actions to take in the event of their occurrence.

3. Central Vascular Access Device Complications: Catheter-Associated Venous Thrombosis, Air Embolism, and Catheter Damage

Continuing the discussion of complications after chapter 2, catheter-associated venous thrombosis, air embolism, and catheter damage are presented.

4. Patient Education

While the overall risk for complications among home care patients with VADs is relatively low, patients and families must be instructed in and able to identify, act upon signs/symptoms, and promptly report any issues. Effective patient-teaching strategies will be addressed.

More Courses in this Series

Vascular Access Devices Part 1: Selection, Types, Care, & Management

Presented by Lisa Gorski, RN, MS, HHCNS-BC, CRNI, FAAN

Vascular Access Devices Part 1: Selection, Types, Care, & Management

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This course provides home care nurses with essential knowledge required to safely manage patients who require vascular access devices (VAD). This course begins with the presentation of a model for home infusion therapy, describing how vascular access device care fits into the larger picture for provision of safe home infusion therapy. Participants will learn about the importance of vascular access device selection and the main categories of central VADs (CVAD) and peripheral catheters placed for home infusion therapy. The required care and maintenance, including key areas for assessment and setting the stage for effective patient education, are addressed. This presentation is followed by Part II, where potential complications will be explored including signs and symptoms, preventative interventions, and management.

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