Course Access
Hi Fiona
That’s exciting!!
Main decisions:
* Is this an insertion only or full service (insertion + surveillance, research, education, policy, QI, product assessment)
* Is this targeted at only 1 or 2 line types or the full spectrum
* Where does the service ‘sit’ – nursing/pharmacy/anaesthetics/ID/ICU/radiology etc – and importantly, regardless of where it sits how to keep all stakeholders involved.
Luckily there are lots of good resources out there.
This paper reviews a few difference services around Australia: Kleidon T, Alexandrou E, Mifflin N, McManus C. Vascular access services around Australia. Vascular Access Apr 2017;3(1):26-29.
This one is on NPs: Ullman AJ, Kleidon T, Rickard CM. The role of the vascular access nurse practitioner in developing evidence, promoting evidence-based vascular access practice and improving health services. Vascular Access 1(1):10-20
Here’s a few prepared by the Infusion Nurses Society who are based in USA but have members all over the world, including a chapter in NZ. https://www.ins1.org/default.aspx
J Infus Nurs. 2014 Sep-Oct;37(5):321-46. doi: 10.1097/NAN.0000000000000062.
Making the business case for infusion teams: the purpose, people, and process.
Hadaway L, Wise M, Orr M, Bayless A, Dalton L, Guerin G.
J Infus Nurs. 2013 Sep-Oct;36(5):356-60. doi: 10.1097/NAN.0b013e3182a123a9.
Infusion teams in acute care hospitals: call for a business approach: an infusion nurses society white paper.
Hadaway L, Dalton L, Mercanti-Erieg L.
Infusion Teams: Demonstrating Value to Ensure Continued Viability. Infection Control Today. 2018. Kelly Pyrek.
https://www.infectioncontroltoday.com/infusion-vascular-access/infusion-teams-demonstrating-value-ensure-continued-viability
Australia’s first NP in vascular access was Tricia Kleidon who still leads the VAMS team at QLD Children’s Hospital, I am sure she would be happy to discuss Tricia.Kleidon@health.qld.gov.au She has published a lot (just a few here)
Kleidon P, Ullman A, Chaseline B, Schoutrop J, Zhang L, Mihala G, Rickard CM. How does your PICCOMPARE? A pilot randomized controlled trial comparing various PICC materials in pediatrics. Journal of Hospital Medicine. 2018 Feb on-line. DOI: 10.12788/jhm.2911 *Editor’s pick*
Kleidon TM, Ullman AJ, Gibson V, Chaseling B, Schoutrop J, Mihala G, Rickard CM. A Pilot Randomized Controlled Trial of Novel Dressing and Securement Techniques in 101 Pediatric Patients. J Vasc Interv Radiol. 2017 Sep 18.
Ullman AJ, Cooke M, Kleidon T, Rickard CM. J Paediatr Child Health. Road map for improvement: Point prevalence audit and survey of central venous access devices in paediatric acute care. J Paediatr Child Health. 2017 Feb;53(2):123-130. doi: 10.1111/jpc.13347. Epub 2016 Oct 6.
Ullman AJ, Kleidon T, Cooke M, Rickard CM. Substantial harm associated with failure of chronic paediatric central venous access devices. BMJ Case Rep. 2017 Jul 6;2017
Ullman AJ, Kleidon T, Gibson V, McBride CA, Mihala G, Cooke M, Rickard CM. Innovative dressing and securement of tunneled central venous access devices in pediatrics: a pilot randomized controlled trial. BMC Cancer (2017) 17:595
Kleidon T, Illing A, Fogarty G, Edwards R, Tomlinson J, Ullman A. Improving the central venous access devices maintenance process to reduce associated infections in paediatrics: evaluation of a practical multi-faceted quality-improvement initiative. Healthcare Infection.
A lot of work has been done in Sydney at Liverpool Hospital, I’m sure Evan Alexandrou (CNC) would be happy to discuss E.Alexandrou@westernsydney.edu.au. They insert the full spectrum of lines including now extending to ports! Their results in terms of clinical outcomes are impressive and they have published several papers (just a few here…PM me if you want them).
Alexandrou E, Mifflin N, McManus C, Sou V, Frost SA. Extended dwell peripheral catheters in patients with difficult venous access: Comparison of a peripheral intravenous catheter and midline catheter. Vascular Access, Volume 4 Issue 1, April 2018.
Sou V, McManus C, Mifflin M, Frost SA, Ale J, Alexandrou E. A clinical pathway for the management of difficult venous access. BMC Nursing (2017) 16:64
Alexandrou E, Ray-Barruel G, Carr PJ, Frost SA, Inwood S, Higgins N, Lin F, Alberto L, Mermel L, Rickard CM, OMG Study Group. Use of short peripheral intravenous catheters: characteristics, management, and outcomes worldwide. J Hosp Med. Online Only. May 30, 2018. doi: 10.12788/jhm.3039
Appendix_2_study_recruitment_collaborators Appendix 3 Number_of_hospitals_and_pivcs_assessed Appendix_4-1_-_pivc_dressing_gauze_tape Appendix_4-2_-_compromised_pivc_dressings Appendix_4-3_-_symptoms_of_phlebitis
Appendix_4-4_-_other_signs_of_pivc_malfunction Appendix_4-5_-_idle_pivcs Appendix_4-6_-_no_documented_pivc_insertion_date_or_time Appendix_4_-_pivc_dressing_non_sterile_tape
Central venous catheter placement by advanced practice nurses demonstrates low procedural complication and infection rates–a report from 13 years of service*.
Alexandrou E, Spencer TR, Frost SA, Mifflin N, Davidson PM, Hillman KM.
Crit Care Med. 2014 Mar;42(3):536-43. doi: 10.1097/CCM.0b013e3182a667f0.
Nurse-led central venous catheter insertion-procedural characteristics and outcomes of three intensive care based catheter placement services.
Alexandrou E, Murgo M, Calabria E, Spencer TR, Carpen H, Brennan K, Frost SA, Davidson PM, Hillman KM.
Int J Nurs Stud. 2012 Feb;49(2):162-8. doi: 10.1016/j.ijnurstu.2011.08.011. Epub 2011 Sep 23.
A review of the nursing role in central venous cannulation: implications for practice policy and research.
Alexandrou E, Spencer TR, Frost SA, Parr MJ, Davidson PM, Hillman KM.
J Clin Nurs. 2010 Jun;19(11-12):1485-94. doi: 10.1111/j.1365-2702.2009.02910.x. Epub 2009 Sep 4. Review.
Kind regards,
Dr Claire Rickard RN PhD FAHMS FACN
Director, Alliance for Vascular Access Teaching and Research
Menzies Health Institute Queensland
and
Professor of Nursing, School of Nursing and Midwifery
Griffith University, Australia
Hi Fiona,
We have had a VAS Team for the past 6 months and are now waiting on our new CEO to see if we can have the team permanently .
We partially modelled it on the Princess Alexander Hospital in Queensland but with the some changes.
Happy to share resources, J&P etc just email me off line and will get back to you on Monday.
Merry Christmas and Happy New Year to everyone 🙂
Kind Regards
Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
Adjunct Clinical Lecturer | University of South Australia | Division of Health Sciences
[cid:image001.jpg@01D4988C.FCB94270] [cid:image003.png@01D492DB.015F8F80]
Hi All,
We are exploring the concept of a nurse led Vascular Access Team. I was hoping there may be some wise people out there who are willing to share their experience with the setting up of such a team or else to provide contact details of someone we can speak with.
Happy for you to email me personally with details.
Kind regards,
Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
Launceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_control
IPCU – ‘By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms’
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