Quality Improvement In Vascular Access: The Relationship Between 'Insertion' and 'Care and Maintenance'
Description:
Vascular Access is a multidisciplinary specialty that has changed dramatically over the past twenty years. The adoption of the Insertion Bundle has led to significant improvement in CLABSI rates. However, since CLABSI’s still occur the question, “what else can we do?” has been raised. This presentation will address the concept that the care and maintenance (C&M) phase of a Vascular Access Device represents 99% of the life of a catheter.
Our philosophy of care is: We must do what is right for the patient and not what is convenient for us. Because of the significant temporal disparity between insertion and C&M, we believe that now is the time for more emphasis to be placed on the vital C&M. It is incumbent upon the insertor to insert the Vascular Access Device (VAD) in a manner that allows for proper maintenance of the device by the nursing staff.
Answering the question, what else can we do (besides the insertion bundle), we will present 16 recommendations that the inserter can employ that will improve the C&M of the catheter. These recommendations will range from universal usage of ultrasound guidance to which veins to choose. We will include technical details at the different sites. We will discuss the preservation of the natural barrier to infection, the intact skin, the ramifications of securement devices and intact versus disrupted dressings.
Objectives:
- The audience will appreciate the relationship between the insertion of a Vascular Access Device and the care and maintenance of the device.
- The audience will understand the importance of a proper securement and a proper dressing
- The audience will appreciate the factors that contribute to an ideal dressing
Speaker:
Jack LeDonne, MD, FACS, VA-BC
Jack LeDonne hails from Brooklyn, NY. He graduated from Fordham University and St. George’s University, School of Medicine, in Grenada. Dr. LeDonne completed his surgical residency at the Wyckoff Heights Hospital, in Brooklyn, and fellowships at the Shock-Trauma Center in Baltimore and Harvard Medical School, Cambridge, Mass. He is presently the medical director at Chesapeake Vascular Access and a partner at Vascular Access Consultants.
Vascular access is Dr. LeDonne’s clinical and research interest. Dr. LeDonne has ten publications, including two videos to his credit. Jack is a strong believer in the power of video as an educational tool. He is a Fellow of the American College of Surgeons, Vascular Access Board Certified and a past president of the Association for Vascular Access.
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Optimizing the Use of Midline Catheters
Description:
Minimal technological advancement has occurred in catheter material over the last several decades. Hydrophilic catheter material shows great promise in decreasing thrombotic catheter related complications. The biological response to polyurethane is suboptimal for vascular access device. Join Joe Bunch, CEO of Provasc as he explores the body’s reaction to polyurethane and shares his experience with hydrophilic catheters.
Objectives:
- Identify prevalence of thrombotic catheter complications
- Describe the differences in catheter material
- Learn how using hydrophilic biomaterial catheters has improved patient outcomes
Speaker:
Joseph Bunch, RN
Joseph is the CEO and CCO of ProVasc Solutions. As a business owner and accomplished executive in the vascular access industry, Joe is responsible for the strategic direction, vision and clinical performance of his company. Maximizing operational excellence within his region’s leading healthcare networks, it is his mission to reduce and eliminate line associated complications.