Vessel Health and Preservation: The Right Approach for Vascular Access

ISBN-13: 9783031485756 / Angielski

Nancy L. Moureau

Spis treści

Foreward  

Preface

Part I. Vessel Health and Preservation (VHP)  

1. The VHP Model

2. Right Systems Approach

Part II. Right Patient and Assessment 

3. Right Pain Control

4. Right Patient Selection

5. Right Care Setting

6. Right Bedside Systems Approach

Part III. Right Device Selection 

7. Right Assessment and Vein Selection

8. Right Device Selection

9. Right Device Peripheral Intravenous Catheter (PIVC)

10. Right Device PICC and Midline

11. Right CICC and FICC

12. Right Device Arterial

Part IV Right Education 

13. Right Training and Education

14. Right Specialized Vascular Access Teams

15. Right Competency Validation

Part V Right Insertion 

16. Right Visualization Technologies 

17. Right Insertion for Central Catheters and Tunneling

18. Right Central Venous Catheter Tip Position

19. Avoiding Complications During Insertion

Part VI. Right Infection Prevention 

20. Insertion-Related Infection Prevention with Vascular Access Devices  

21. Right Asepsis with ANTT

22. CLABSI Prevention: Definition and Diagnosis for CVADs

23. Right Management Hub Disinfection for Compliance

24. Right Bundles for Infection Prevention and Safety

Part VII. Right Pediatric Vessel Health and Preservation

25. Developmental Stages and Clinical Conditions for Vascular Access in Pediatrics

26. Right Device Assessment and Selection in Pediatrics

27. Right Pediatric Site Selection and Technology 

28. Right Post Insertion Management in Pediatrics

29. Right Neonatal Vascular Access

Part VIII. Right Management

30. Right Securement and Dressing Management

31. Right Assessment of Catheter Function and Device Necessity 

32. Right Management and Flushing 

33. Right Complication Prevention and Management

Part IX. Right Evaluation  

34. Right Evaluation of the Vessel Health and Preservation Program 

35. Staff Education and Evaluation for Vessel Health and Preservation

36. Right Evaluation of Products and Compliance Measures 

37. Right Outcome Analysis (RCA)

O autorze

Nancy Moureau, RN, PhD, BSN, CRNI, CPUI, VA-BC is an internationally recognized speaker and expert in the field of vascular access, infusion therapy and specifically peripherally inserted central catheters. As the owner and CEO of PICC Excellence, Dr. Moureau creates online educational programs and works with companies to provide education to clinicians. A nurse for more than 35 years, Dr. Moureau continues her clinical work with home health and hospital infusion services. She is constantly involved with research and literature analysis. An adjunct associate professor and member of the Alliance for Vascular Access Teaching and Research (AVATAR group) at Griffith University, Brisbane, Australia, Dr. Moureau takes on many projects and most recently chaired the International Consensus Forum for the World Congress of Vascular Access (WoCoVA) to establish Standard Minimal Education Requirements for Central Venous Access Devices. Her team at PICC Excellence has established the only worldwide registered PICC Certification, Certified PICC Ultrasound Inserter and Certified Neonatal PICC Inserter, where those who meet and maintain qualifications gain and maintain the credentials of CPUI or CNPI. The author of more than 100 publications, recipient of the Herbst Award for lifetime achievement and key opinion leader on vascular access, Dr. Moureau continues to work to contribute to the application of evidence based practices that promote optimal patient outcomes with vascular access and infusion therapy services.

Blurb

This second edition offers updated and revised information on vessel health and preservation (VHP). It presents a model of care and systematic application of vascular access and administration of intravenous treatment to show how establishing and maintaining a route to the bloodstream with optimal methods is essential for patients in acute care today. This model concept was first published in poster form in 2008 and in JVA in 2012, which has received a great deal of attention, especially in the US, UK and Australia. Until now, little thought has been given to an intentional process to guide selection, insertion and management of vascular access devices (VADs) and by default actions are based on crisis management when a quickly selected VAD fails. The book details how VHP establishes a framework or pathway model for each step of the patient experience, intentionally guiding, improving and eliminating risk when possible. The evidence points to the fact that reducing fragmentation, establishing a pathway, and teaching the process to all stakeholders reduces complications with intravenous therapy, improves efficiency and diminishes cost. 

As such this book has become a strong point of reference appealing to vascular access specialists, bedside nurses, physicians and other health professionals. Few authoritative guides provide the depth and descriptive evidence included in this VHP model of care, suitable for hospital administrators, directors, educators and others to apply within their services.