Home Infusion Therapy Part 2: Vascular Access Device Complications

presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN

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Financial - Lisa Gorski receives compensation from MedBridge for the production of this course. She also receives compensation for Speaking honoraria from BD, 3M, Genentech, being an Advisory Board Member for Teleflex, ivWatch, Hospira/Pfizer, and employee of Wheaton Franciscan Home Health and Hospice, Part of Ascension at Home. She also receives book royalties from FA Davis.

Non-Financial - Lisa Gorski is an Editorial Board Member, Home Healthcare Now, Chairperson, Infusion Nurses Certification Corporation and Infusion Nurses Society Standards of Practice Committee.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 70 Minutes; Learning Assessment Time: 33 Minutes

Although the overall safety of home infusion therapy has been established over the past 30-some years, infusion therapy is still a high risk area of practice for patients who require an invasive device such as a peripheral or central vascular access device. In this course, potential complications will be explored including signs and symptoms, preventative interventions, and management.

Meet Your Instructor

Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN

Lisa Gorski has worked for more than 30 years as a clinical nurse specialist (CNS) for Wheaton Franciscan Home Health & Hospice, now part of Ascension at Home, in Milwaukee, Wisconsin. As a CNS, she has developed and oversees the home infusion therapy program, provides staff education, and is involved in agency quality assessment, performance…

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Download the learning objectives for Home Infusion Therapy Part 2: Vascular Access Device Complications .

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1. Peripheral Catheter Related Complications

The nurse who cares for a patient with a short peripheral or midline catheter must recognize potential complications such as phlebitis, infiltration/extravasation, infection, and nerve damage. Complications will be explored in the context of case examples, with an emphasis on preventative strategies and actions to take in the event of their occurrence.

2. Central Vascular Access Device Complications: Blood Stream Infection, CVAD Occlusion, and CVAD Malposition

The nurse who cares for patients with CVADs must recognize potential complications. In this chapter, bloodstream infection, CVAD occlusion, and CVAD malposition are addressed. Complications will be explored in the context of case examples, with an emphasis on preventative strategies and actions to take in the event of their occurrence.

3. Central Vascular Access Device Complications: Catheter-Associated Venous Thrombosis, Air Embolism, and Catheter Damage

Continuing the discussion of complications after chapter 2, catheter-associated venous thrombosis, air embolism, and catheter damage are presented.

4. Patient Education

While the overall risk for complications among home care patients with VADs is relatively low, patients and families must be instructed in and able to identify, act upon signs/symptoms, and promptly report any issues. Effective patient-teaching strategies will be addressed.

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