Young Adult (18-35)
North American (General)
Note: Transcripts are generated using speech recognition software and may contain errors.
Lesson one The peripheral Ivy catheter. The majority of P I V devices are configured in a similar fashion. There is a catheter, generally made from polyurethane, mounted over a steel style, it or needle the style. It provides the catheter with sharpness and columns, strength required to penetrate the skin and access the target vessel. After the catheter is placed, the style it is fully removed and safely disposed. Departures from this fundamental design have been limited. However. Features such as integrated guide wires to assist with first stick success have become a viable alternative. P i V catheters air sized by lengths and outer diameters. Most popular lengths range from 1 to 2 inches and outer diameters from 24 to 16 gauge. There was a staggering 435 million p I ve sold in the United States and an estimated 200 million p Ivy's placed. This is based on a mean number of catheter placement attempts of 2.18 Studies show that P Ivy's air placed in up to 90% of hospitalized patients and are considered the most commonly performed invasive procedure in health care. Advanced patient age, chronic medical conditions. Intravenous drug use and obesity represents some of the conditions that have made vascular access procedures challenging. In a recent study, difficult Venus access patients have been identified as the 52% majority of the peripheral insertions. Traditionally, the clinician relies upon traditional visual ization, palpitation, external landmarks and general knowledge of vascular anatomy to place the vascular access device with the growing number of poor Venus targets, this practice exposes the patient to multiple attempts to gain Venus access, unnecessary risks and delays in treatment. Out of this difficulty grew the demand for vascular visual ization in 2016 intravenous nurses. Standard of Practice Stated To ensure patient safety, the clinician should be competent in the use of vascular visualization technology for vascular excess device insertion. Vascular visualization technology is used in patients with difficult Venus access and or after failed VENNA puncture attempts. Vascular visualization technology is employed to increase the success with peripheral cannula ation and decrease the need for central vascular access device insertion when other factors do not require a CVE bad. In 2019 the Association for Vascular Access recommendations regarding Vain Visual ization technologies is as follows. Healthcare providers using vain visualization technologies for the insertion of peripheral intravenous catheters will be adequately trained on the use of the technology, its benefits and limitations. Peripheral intravenous catheter outcomes will be measured and understood, including first stick success and catheter dwell Time improvement measures may include, but are not limited to, team member training, patient education and implementation of vain visualization technology. Trans illumination technology should be considered as a visual ization tool if more advanced visualization technology is not available in an effort to prevent vessel depletion and improve patient comfort, the use of infrared or near infrared visualization technology or ultrasound guidance should be considered for peripheral intravenous catheter insertion as a first intervention when used by trained healthcare providers. The adoption of real time ultrasound for needle guidance during vascular access procedures is growing, particularly in the difficult ivy access patient. This adoption has been proven in multiple studies to increase successful placements, save valuable time and minimize the risk of negative patient outcomes. Proper training is essential for the safe and successful utilization of ultrasound. For Venus access, the clinician must demonstrate an ability to properly identify and assess a vessel, then determine the spatial relationships of the targeted vessel to surrounding structures and the advancing P I V catheter. A comprehensive didactic training will provide a strong theoretical understanding of the use of ultrasounds for P Ivy's, but more is required to become truly proficient. It is strongly encouraged that didactic education is immediately followed by a lab practicum. This lab practicum should guide a clinician through simulated P I V procedures. Formulate specific tasks, sequences and general workflow. The lab practicum should then be followed by a professional perceptive ship which provides the clinician with real world perspectives and experience is required to develop the necessary skills to become proficient at ultrasound guided P. I V Procedures. Leslie. No educational curriculum should be completed without some form of competency testing. These competencies reflect local and state policy, represent best practice and signify the final approval to perform this skill effectively, safely and legally, the well trained vascular clinician is the cornerstone of safe and effective infusion therapy. This course represents the first step towards that goal, and that goal is one device inserted with one attempt completing one prescribed course of ivy therapy without complications