2019 was another busy year in the CVAA discussion forum, with 76 questions and 252 answers about hot vascular access topics in Canada. Here are the 25 most discussed CVAA questions of 2019:
#1 --
When a patient has experienced skin impairment with the use of a transparent dressing, what is the recommendation for dressing and securement of the device during healing? [11 replies]
#2 --
Does your hospital in the GTA have an IV team? [11 replies]
#3 --
Looking for others thoughts on what is considered a 'first dose' of a parenteral medication (i.e IV antibiotic) in the community setting. Is it 'first dose ever'? As we know allergies can develop at anytime, is there a consensus to how long of interval the patient can go between doses for the medication to be considered a first dose again? Is there a best practice for the community setting - i.e If patient has not had the medication for 6 months, 12 months? [9 replies]
#4 --
Patient with HIT, getting an IVAD. Any suggestions for amount, type and frequency of locking solutions? [8 replies]
#5 --
Locking frequency for non-valved PICC [7 replies]
#7 --
We are looking for any information and research on the risks and benefits of removing PICC lines in the home setting. [7 replies]
#8 --
I have a question regarding competency standards for PICC inserters and nurses who repair CVADs. [6 replies]
#9 --
My question involves the drawing of blood from the PICC line. Can the nurse use a vacutainer or only a draw from a 10 cc syringe? [6 replies]
#10 --
I am wondering if anyone has an education package for teaching a client in the community to self-access their PORT? Is this something that has been done in a home environment in your area? If so what was the experience, challenges, learnings etc [6 replies]
#11 --
Tubing setup for inotropes/vasopressors/continuous infusions. Question for CVAA Guideline authors! [6 replies]
#12 --
Are there any community or acute programs regularly using elastomeric pumps for antimicrobial medication administration? I'd like to hear about your experience and get your impressions of the challenges and advantages your program is experiencing ...looking for some Canadian perspectives. [6 replies]
#13 --
We are considering initiating midline IVs in our corporation. Of anyone who presently inserts them: 1. who does the insertion 2. do they use ultrasound guidance always or just with difficult starts 3. Do they wear complete sterile gown, with mask hat etc. like they would with PICC inserts? 4. did you notice an ^ in midline use over peripheral ie. do staff typically do to midline for those who are expected to have more lengthy treatment? [6 replies]
#15 --
Drug Library Compliance - Plain IV Fluids [5 replies]
#16 --
Could you tell me what the minimum flow rate would be when using a PICC continuously? [5 replies]
#17 --
I would like to know how other organizations deal with femoral central venous catheters. Are femoral lines exclusive to the ICU setting or are they found in the general patient care areas? If they are in the general patient care areas are changes made to the nurse to patient ratio? Are there any safe guards or special assessments done to ensure patient safety. [5 replies]
#18 --
I am a new member of CVAA and I am very excited to be a part of such an amazing organization. I am scheduled to write the CVAA(c) soon and was wondering if there are any tips anyone would like to share to be successful. I am a bit nervous about this exam and would welcome any feedback. [5 replies]
#20 --
Looking for other sites / areas that may be using a 2 PICC Nurse inserter model for PICC insertions. If using 2 people, is this second person a trained PICC Inserter, or other available staff (i.e. ward RN)? [4 replies]
#21 --
Ask Me About the New CVAA Guidelines! Do you have any questions for Elaine Tardif and Melanie Cates about Section 4 on VAD Complications? [4 replies]
#22 --
Any documented evidence to suggest that medication in ampoules should be drawn up in a filtered needle to avoid glass particles? We have been doing this but want evidence to support it in education guidelines. [4 replies]
#23 --
Confirming blood return prior to CVAD removal [4 replies]
#24 --
Evidence regarding saline locking when you take a primary IV line and instead of putting a cap on the end of it to remain sterile, you loop it back and put it into an available port [4 replies]
#25 --
Intraosseous Insertion, Care & Maintenance [4 replies]
... and 51 more discussions from 2019, available to CVAA members
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