CVAD Basics
This must be checked in the medical record before infusing any medication or solution through a CVAD.
SAS and SASH are acronyms for these flushing sequences.
What are Saline-Administer-Saline and Saline-Administer-Saline-Heparin?
Scrubbing the Hub for at least this duration is recommended to prevent infection.
What is 15 seconds?
Engorgement of vessels on the chest wall, neck swelling, and jaw pain are signs of this complication.
What is embolism?
Nurses caring for clients with CVAD must have this, evaluated periodically.
What is documented training and competency that meets Infusion Nurses Society (INS) standards?
: Prior to administering medications/solutions, you must always obtain this.
This concentration and volume of sodium chloride is the standard for flushing CVADs.
What is preservative-free 0.9% sodium chloride, 3-10 mLs?
These are single use only and should never be reattached
Never force flush a vascular device due to this risk.
This document determines care of each lumen and the CVAD itself.
What is the MAR (Medication Administration Record)?
This type of imaging should confirm CVAD positioning before infusing fluids
What is a chest x-ray (CXR)?
Why is bacteriostatic 9% sodium chloride NOT recommended for flushing, especially in peds/neonates?
: It can be neurotoxic if more than 30 mL is administered in 24 hours.
To prevent stopcock-related infection, always do this when reusing intermittent IV tubing
What is use a new sterile end cap?
Thrombolytic occlusions may be cleared with this medication.
What is TPA?
Name three procedures that require policy check for frequency.
What are flushing, dressing changes, and tubing changes?
If the CVAD flushes sluggishly or there is no blood return, you should contact this team member immediately
Who is the Vascular Access Team nurse?
This size syringe or larger should be used to flush a CVAD
What is a 10 mL syringe?
These techniques are crucial for dressing changes to prevent septicemia.
What is sterile technique and using a mask?
: If a CVAD is not in use, this should be done to an open-ended catheter.
What is clamped?
For dressing changes, these are recommended for clients and nurses
What are masks?
CVAD devices should be placed and cleaned under these conditions
What is sterile?
Facilities may avoid heparin flush due to these two reasons.
What are risk of HIT (Heparin Induced Thrombocytopenia) and use of valved catheters?
These recommended protocols were put in place to minimize CVAD complications
What are 'bundles'?
Signs can include “heart beating out of chest,” increased HR, and decrease in external catheter length.
What is catheter malfunction or malposition?
This should always be used to keep CVADs secure and minimize movement
What are stabilization devices?