Vessel Health and Preservation: The Right Approach for Vascular Access
Springer International Publishing (Verlag)
978-3-030-03148-0 (ISBN)
The book presents a model and a new way of thinking applied to vascular access and administration of intravenous treatment, and shows how establishing and maintaining a route of access to the bloodstream is essential for patients in acute care today. Until now, little thought has been given to an intentional process to guide selection, insertion and management of vascular access devices (VADs) and by default actions are based on crisis management when a quickly selected VAD fails. The book details how VHP establishes a framework or pathway model for each step of the patient experience, intentionally guiding, improving and eliminating risk when possible. The evidence points to the fact that reducing fragmentation, establishing a pathway, and teaching the process to all stakeholders reduces complications with intravenous therapy, improves efficiency and diminishes cost. As such this book appeals to bedside nurses, physicians and other health professionals.
Nancy Moureau, RN, PhD, BSN, CRNI, CPUI, VA-BC is an internationally recognized speaker and expert in the field of vascular access, infusion therapy and specifically peripherally inserted central catheters. A nurse for more than 35 years, Nancy continues her clinical work as staff member on the PICC/IV team at Greenville Memorial Hospital SC, USA. As the owner and CEO of PICC Excellence, Nancy creates online educational programs and works with companies to provide education to clinicians. She is constantly involved with research and literature analysis, now working in conjunction with Griffith University, Brisbane, Australia where she earned her PhD in 2017 and the AVATAR group Alliance for Vascular Access Teaching and Research as an adjunct associate professor. Nancy takes on many projects and most recently chaired the International Consensus Forum for the World Congress of Vascular Access (WoCoVA) to establish Standard Minimal Education Requirements for Central Venous Access Devices. She has established the only registered PICC Certification process, Certified PICC Ultrasound Inserter, where those who meet and maintain qualifications gain the credentials CPUI. The author of more than 50 publications, recipient of the Herbst Award for lifetime achievement and key opinion leader on vascular access.
Preface. About the concept of VHP, beginnings, process and ideal.- Section 1. Right Assessment and Right Vein.- Chapter 1. Catheter and vein selection with avoidance of joints and danger zones.- Chapter 2. Ultrasonic assessment and placement of right device.- Section 2. Right Training.- Chapter 3. Training process, competencies, preparation for PIV, PICC, CVC insertions.- Section 3. Right Insertion.- Chapter 4. Catheter size, type, number of lumen for patient and treatment.- Chapter 5. Placement with no more than 2 attempts.- Chapter 6. Infection Prevention principles with Kits for insertion and compliance with sterile procedure (bundles, checklist, CHG, etc).- Chapter 7. Tip positioning.- Chapter 8. Securement.- Section 4. Pediatric Vessel Health.- Chapter 9. Differences between paediatrics and adults for vein assessment.- Chapter 10. Right Site selection.- Chapter 11. Right Device assessment (type, size, no. of lumens).- Chapter 12. Right Technology assessment.- Chapter 13. Why is VHP important in paediatrics?.- Chapter 14. Troubleshooting in paediatrics.- Section 5. Right Supplies and Technology.- Chapter 15. Ultrasound.- Chapter 16. Insertion kits for USGPIV, PICC, Midline, CVC.- Chapter 17. Antimicrobial dressings.- Chapter 18. Needleless connector issues.- Section 6. Right Care and Assessment.- Chapter 19. Daily or twice daily assessment for catheter function, dressing adherence and necessity of device.- Chapter 20. Hub disinfection issues and compliance measures.- Chapter 21. Flushing with proper techniques.- Section 7. Right Evaluation.- Chapter 22. How to evaluate a VHP program initiative.- Chapter 23. Staff education and satisfaction.- Chapter 24. Patient satisfaction.- Chapter 25. Pathway effectiveness and outcome measures.
| Erscheinungsdatum | 26.06.2019 |
|---|---|
| Zusatzinfo | XVII, 303 p. 124 illus., 97 illus. in color. |
| Verlagsort | Cham |
| Sprache | englisch |
| Maße | 178 x 254 mm |
| Gewicht | 757 g |
| Themenwelt | Medizin / Pharmazie ► Medizinische Fachgebiete ► Intensivmedizin |
| Medizin / Pharmazie ► Medizinische Fachgebiete ► Pädiatrie | |
| Medizin / Pharmazie ► Pflege | |
| Schlagworte | CVAD central venous access device • Education • Insertion • Midline • open access • PICC peripherally inserted central catheter • Training • Ultrasound • Vascular access device selection • Vein assessment • Vessel health |
| ISBN-10 | 3-030-03148-9 / 3030031489 |
| ISBN-13 | 978-3-030-03148-0 / 9783030031480 |
| Zustand | Neuware |
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