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Canadian Vascular Access Association

Foundation for implementing a comprehensive vascular access excellence initiative organization-wide to improve vascular access device insertion and standardize care: best practice for an acute care hospital

To improve first-attempt success, preserve vessel health, and reduce complications, a new approach to vascular access was deemed necessary. In 2016, a 263-bed public district hospital in California...

Understanding nursing perceptions of intravenous fluid management practices

Intravenous fluid administration is a common occurrence among hospitalized patients. Patients often receive IV fluids for various reasons while in the hospital, including resuscitation, maintenance,...

Implementation of a midline catheter service in a regional setting

During the two-year study period, 207 midlines were placed, delivering 1,585 dwell days. Table 2 highlights the primary study goals and the outcomes. For one line, the removal date was not recorded....

Supporting clinical competency in managing peripherally inserted central catheters during the COVID-19 pandemic: an education evaluation

The goal of evaluation for training programs is to show that there is a shift from knowledge to practice. With this initial evaluation, results show a significant decrease in requests for PICC...

Central venous access device locking practices in the adult critical care setting: a single-centre, observational study establishing duration of locking per catheter lumen

Results reveal that at least one lumen of the majority of central lines in the ICU is locked for longer than a third of the total time in situ. This is a much larger proportion of time than initially...

Chlorhexidine (di)gluconate locking device for central line infection prevention in intensive care unit patients: a multi-unit, pilot randomized controlled trial

A detailed protocol describing the study methods was published and is publicly accessible (Zamir et al, 2020)..

I-DECIDED®—a decision tool for assessment and management of invasive devices in the hospital setting

TheI-DECIDED® device assessment and decision tool is an evidence-based checklist (see Figure 1). This tool packages international clinical guidelines for invasive devices into a mnemonic algorithm for...

Effectiveness of scheduled vital signs assessment during infliximab infusions in detecting infusion reactions: a multi-centre retrospective data review

Privately owned and operated infusion clinics began to appear in the early 2000s, when a number of IFX clinical trials ended and some hospitals could no longer provide services to these patients. In...

Innovative approaches to teaching vascular access to nursing students in the COVID-19 era

The Ingram School of Nursing at McGill University has approximately 400 students in the BScN program, which is an entry-to-practice undergraduate program. Previously, the teaching of VAIN was...

Use of dry dressings for central venous access devices (CVADs) to decrease central line-associated blood stream infections (CLABSI) in a trauma intensive care unit (ICU)

In March 2017, a short education session, lasting approximately 15 minutes, was given to ICU nurses. This in-service reiterated interventions that were already known by the nurses such as proper...

The patient experience of peripheral intravenous therapy: development of a patient survey, initial findings, and next steps

“I had a horrible experience with everyone trying to access a vein. It took 6 nurses approximately 20 tries to locate a vein! It was awful! My arm was sooo very bruised and sore. I went from one...

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