Midline Catheters: Past Present and Future

Midline Catheters: Past, Present and Future Midline catheters are multi-faceted devices that offer the potential for reduced complication rates compared to other vascular access options. Midline catheters may be appropriate for venous access in patients who: Need prolonged IV therapy Have challenging vascular anatomy due to age or medical history Recent dynamics in the healthcare…

Text: Gibson WW Summary

Wednesday Workshop Summary: Stop Struggling with Vascular Access Device Outcomes

Vascular Access is the most prevalent invasive medical procedure. While serious consequences can occur with this common procedure, ensuring optimal outcomes is possible. Matthew Gibson, RN, CRNI, VA-BC, CPUI recently presented a three-part Wednesday Workshop series, “Stop Struggling with Vascular Access Device Outcomes”. It is Matt’s mission to improve vascular access and infusion practices and…

The Science of Superior Securement: CLABSI Risk Reduction

Proper securement is an important component of vascular access device care. There are many options available for securement of intravascular catheters, each with its own advantages and disadvantages. The goal of these securement methods is to ensure continued device function and avoid complications associated with motion, such as phlebitis, thrombosis, and infection. Securement methods should…

Pathways to Patency

Pathway to Patency: Exploring the Challenges to Catheter Patency and the Technology to Help Reduce Them

Edward Korycka, RN has spent 20 of his 30 years in nursing specializing in vascular access. He is an active member of the Association for Vascular Access and Infusion Nurse Society, having served in various leadership positions. In his current role at Access Vascular, Korycka strives to improve patient outcomes by promoting training and support…

Test: Vascular Access Device Securement: Selecting the Optimal Option

Vascular Access Device Securement: Selecting the Optimal Option

Importance of Vascular Access Device (VAD) Securement Following VAD insertion, it is important to take measures to secure the device to the skin to decrease dislodgement risk and prevent catheter movement. Doing so also contributes to VAD longevity and functionality throughout the duration of treatment. The methods used to secure VADs, including peripherally inserted central…

Text: Fewer Dressing Changes: Better for the patient and the bottom line

Fewer Dressing Changes: Better for the Patient and the Bottom Line

Frequent Dressing Disruptions Vascular access dressing disruptions occur frequently during vascular access device (VAD) maintenance, leading to premature dressing changes. This issue has been examined by multiple studies. According to a study undertaken by Timsit, et al., approximately 67% of central venous catheter (CVC) dressing changes are performed before the planned date.1 This can be…

Text: Gum Mastic: What is it and why do I need it for my vascular access dressings?

Gum Mastic: What is it and why do I need it for my vascular access dressings?

Are you struggling with maintaining intact vascular access dressings for up to 7 days as recommended by the Infusion Therapy Standards of Practice?  If so, consider the use of gum mastic to enhance dressing adherence!1 In the brief video below, S. Matthew Gibson RN, CRNI, VA-BC, CPUI shows the simple application process of Mastisol® Liquid…

Text: Improving Vascular Access Dressing Integrity Without Increased Skin Injury Risk

Improving Vascular Access Dressing Integrity Without Increased Skin Injury Risk

Maintaining Dressing Integrity to Prevent Infection Maintaining clean, dry, intact dressings over vascular access devices (VADs) is fundamental to site care. The 2021 Infusion Therapy Standards of Practice recommend that transparent dressings be changed at least every 7 days. However, if the dressing is disrupted ‐ meaning loose, wet, or soiled – the standards recommend…

Vascular Dressing Wear Time: The Gap between Guidelines and Practices

Vascular Dressing Wear Time: The Gap between Guidelines and Practices

Guidelines for Dressing Wear Time and Maintenance Guidelines for vascular access dressings focus on improving both wear time and dressing integrity. Maintaining intact dressings is important for preventing infection and minimizing risk of skin injury. It can also reduce unnecessary dressing changes and help wear time more closely match standard parameters. According to the 2021…