The CVAA Q&A forum on Sosido had another busy year in 2021 with
76 questions and
352 answers from CVAA members and leaders (the second busiest year in the history of the forum). Here's a list of the 25 most discussed CVAA questions of 2021:
#1 --
Thrombosis Occlusion Management ? I've read to remove the add on devices including the needless connector (NC) to assess catheter patency at the hub. Should a new NC be place on the lumen to re establish a closed system? Or new sterile ...
[view 15 replies]
#5 --
To avoid the 24hr dressing change for newly inserted PICC's we have been told that can a Tegaderm CHG dressing can be used. Has anyone tried this product for this purpose? Interested in information on outcomes: advantages, disadvantages etc. [view 10 replies]
#6 --
We used to obtain heparin PFS for CVADs in a 5 mL heparin in a 12 mL PFS format. Those have been recently unavailable, and we were sent a 5 mL syringe Heparin PFS format. The nurses are concerned as many hospitals say not to flush a CVAD with less than a 10 mL barrel, but my understanding is that is referring to the actual flush (push-pause), not the instilling ... [view 9 replies]
#7 --
Hello, does anyone have a template or example of a 1 pager standardized order form for CVAD maintenance? Looking to create one for my nursing team. [8 replies]
#8 --
I presently work at a private infusion clinic. We are looking for some guidelines or policies for the administration of the following drugs. Actemra, Orencia, Aclasta, Renflexis, Inflectra, Ruxience, Rituxan, and Ocrevus. Specifically about nurse patient ratios, number of nurses present -- during initial and subsequent infusions. Should a nurse be alone at any time? We have ... [8 replies]
# 9 --
Following the policy and education trend...I am trying to revamp our PIV learning package ... We use the BD nexeva system. Any help shortening this project would be great. I have all of the BD videos and incorporating the CVAA tool kit. [8 replies]
#10 --
I am interested in knowing other facilities policies on infusioning iron sucrose. At our facility we run 100mg in 100ccNS over 15 mins, 200mg in 100 cc NS over an hr and 300mg in 250cc NS over 1.5 hrs but with saying that, it does not take into account the overfill in the bags so takes longer. We have found that 300mg in a 250 cc bag = 295cc total bag volume, to infuse ... [8 replies]
#11 --
Wondering if anyone has made a policy regarding the maximum time following completion that one should wait to disconnect continuous infusion bottles (5FU). We have gone 3-4 hours or longer due to unforeseen circumstances without incident. We just would like to make it an actual work standard that disconnect can happen up to a certain time after being finished to accommodate appointment bookings. [view 8 replies]
#12 --
My IV team are I are creating a tool to help doctors prescribe the right catheter for the right patient. We are looking for guidelines or policies that talk about length of catheters. In CVAA or INS they are talking about "short term" or "long term" but it remains approximate. Short term means 1 week ? 1 month? Long term means 6 month ? 1 year? Can we use a jugular... [view 7 replies]
#14 --
Can anyone tell me if they've had a problem with nurses not administering the overfill in the secondary infusion? If so, how did you address this issue, do you have a process, a guideline, a policy & are you using the 10% rule ? [view 7 replies]
#15 --
Wondering if anyones knows of a reference text/article that explains how CVAD patency assessments checks are done. specifically interested in how to assess CVAD patency for a continous infusion. The assumption currently in our Health Authority is that the continous infusion is interupted, disconnected and patency assessed with a direct VAD lumen to syringe... [view 7 replies]
#17 --
Looking for recommendations on extended dwell peripheral IVs (EPIVs) and what medications to avoid infusing through them. Also wondering if any sites routinely heparin lock their EPIVs as most literature recommends saline. [view 6 replies]
#18 -- I'm looking for guidelines or policies which support LPN practice with central line care and maintenance. Any information would be appreciated. 6
#19 --
Hi I wonder if anyone has an algorithm for decision making for what device to use for different antibiotics? [view 6 replies]
#20 --
Our ICU is small compared to City hospitals. Could somebody kindly tell me if you are stringing up the propofol for 24hrs or 12? It is very time consuming before you start a shift. [view 6 replies]
#21 --
Are IV "manifolds" appropriate for use in pediatrics when a child might be receiving multiple medications or solutions? [view 6 replies]
#22 -
Intraosseous insertion and removal by RN, with physicians order. [view 6 replies]
#23 --
My understanding is that we don't routinely withdraw heparin lock solutions (if they are used) for CVAD as the dose of Heparin is subtherapeutic. Does anyone have any literature that supports/not this practice? [view 5 replies]
#24 --
What sort of education/preparation does your region/agency/health authority provide to LPNs to be able to perform central line care safely? [view 5 replies]
#25 --
Pre medication with lidocaine when giving propofol peripherally [view 5 replies]
Not a CVAA National member?
Join CVAA to view the discussions and participate.