Access Device Guidelines
Access Device Guidelines

Author: Dawn Camp-Sorrell

Publisher:

Published: 2011

Total Pages: 0

ISBN-13: 9781890504960

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More than forty years ago, healthcare professionals were limited to administering IV drugs through short-term peripheral or subclavian access devices. The practice of administering drugs to other areas of the body such as the epidural or peritoneal spaces existed in theory only. Flash forward forty years, and youll see how the healthcare landscape has changed. Today, you have at your disposal, a variety of both short-term and long-term access devices with new devices and improvements being continuously added to the mix. Healthcare professionals can now develop complex plans of treatment, and the quality of life and safety of patients has also improved. Although procedures for managing both the routine care and the complications that can arise in patients are common for most access devices, maintaining extensive knowledge on each device can be a challenge. The latest edition of Access Device Guidelines: Recommendations for Nursing Practice and Education will help you develop the expertise you need in this climate of perpetual change. For this third edition, an extensive literature search was conducted for each type of access device available. Youll also explore the latest technologies, management procedures, and the controversies that still exist in the field. With little evidence-based knowledge to guide nursing practice in the use of access devices, these guidelines have instead focused information culled from the available literature on such procedures as strict hand washing, strict aseptic technique, and a consistent approach to maintenance care. Developed to provide recommendations for application of access device technology within nursing practice, these guidelines provide the foundation for evidence-based practice and a means to evaluate your own procedures and practices.

Vessel Health and Preservation: The Right Approach for Vascular Access
Vessel Health and Preservation: The Right Approach for Vascular Access

Author: Nancy L. Moureau

Publisher: Springer

Published: 2019-06-10

Total Pages: 303

ISBN-13: 3030031497

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This Open access book offers updated and revised information on vessel health and preservation (VHP), a model concept first published in poster form in 2008 and in JVA in 2012, which has received a great deal of attention, especially in the US, UK and Australia. 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.

Totally Implantable Venous Access Devices
Totally Implantable Venous Access Devices

Author: Isidoro Di Carlo

Publisher: Springer Science & Business Media

Published: 2012-02-01

Total Pages: 277

ISBN-13: 8847023734

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Since their first application in 1982, Totally Implantable Venous Access Devices (TIVADs) have become increasingly important in the clinical practice, as more intensive chemotherapy and parenteral treatments have come into use. At this time, there is objective evidence that TIVADs are a safe, effective strategy for long-term venous access; they play a significant role throughout the management of the oncology patient, as they are needed in the initial phases for active treatments as well as in the last stages for palliative measures, making possible repeated administration of chemotherapeutic vesicant agents, nutrients, antibiotics, analgesics, and blood products. According to a number of prospective studies, use of TIVADs is associated with a significant complication rate (10% to 25% of all patients). Evidence-based data support that most complications are directly related to inappropriate technique of placement and/or nursing care, sometimes leading to TIVAD loss, significant morbidity, increased duration of hospitalization, and additional medical cost. A group of world-renowned experts - both in the clinical and research fields – contributed to this volume, whose aim is to provide clinicians, nurses and medical students with a multidisciplinary, full update on these devices, as long term central venous access can no be longer considered a routine matter, and serious complications can be maintained at a very low level only if strict adherence to a well-defined protocol of surgical technique and of catheter care is maintained.

Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies
Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies

Author: OECD

Publisher: OECD Publishing

Published: 2019-10-17

Total Pages: 447

ISBN-13: 9264805907

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This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.

Catheter-Related Infections
Catheter-Related Infections

Author: Dr. Harald Seifert

Publisher: CRC Press

Published: 1997-05-06

Total Pages: 488

ISBN-13: 9780824798482

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This timely guide details, in a highly accessible manner, the pathogenesis, epidemiology, and major complications of catheter-related infections (CRIs) as well as the types of catheters and etiological agents involved-providing practical approaches to the diagnosis, management, and prevention of CRIs.