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Class Progress
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Chapter Listing

Current Practices in the Management of Central Lines - DEMO

Preview

Chapter 1: Central Venous Access Device Review

Management of Central Lines; Current Standards of Practice

This course has been designed to provide basic conceptual and operational knowledge to healthcare clinicians responsible for the care of patients with central venous access devices.  As the science of infusion therapy advances and technology expands, it is imperative that all healthcare clinicians and nurses practicing infusion therapy remain current in their knowledge of infusion therapies, principles, techniques, equipment and the latest in infusion evidence based practices.

In early 2016, the Infusion Nurses Society (INS), recognized as the global authority in infusion therapy, released the updated Infusion Therapy Standards of Practice. The INS sets the accepted standards for infusion therapy practice for all healthcare settings. This course is based on the current best practices as defined by the Infusion Nursing Society and other governing agencies such as the CDC, and FDA.

Many governing boards require nurses, nursing assistive personnel, radiology technicians, EMT’s, paramedics and respiratory therapist to have additional infusion therapy education after licensure. These requirements vary by state and governing board.  To view each state's Board of Nursing you may reference the resources section of the website or click here. Competency requirements are obtained and maintained through the healthcare provider's employer, facility or institution, with a preceptor. The number of times a procedure must be repeated to demonstrate competency will be determined by the employer or as stipulated by the Board of Nursing or other governing agency of the profession.  Pedagogy has developed skills competency checklists for all infusion related procedures and these are available in the course, for print out and completion with a preceptor.

Curriculum:

Chapter 1: Central Line Review

  • Definition of a central line:
    • Reasons for use of a central line
    • Advantages of a central line
  • Overview of Central Venous Access Devices:
    • Lumens
    • Non‐valved and valved catheters
    • Non‐tunneled catheters
    • Tunneled catheters
    • Implanted ports
    • PICC or Peripherally Inserted Central Catheter

Chapter 2: Anatomy

  • Veins used for placement of central venous access devices
  • Catheter tip placement

Chapter 3: Assessment and Preparations for Central Venous Catheterization

  • Considerations for selection of the device
  • Preparations for central venous catheterization

Chapter 4: Vascular Access Device Management

  • Needleless connectors
  • Filtration
  • Add-On devices
  • CVAD stabilization
  • Site protection
  • Flushing and locking
  • Assessment, care, and dressing changes
  • Administration set changes
  • Blood Sampling from a CVAD

Chapter 5: Procedure Guides and Videos

  • Central venous catheter dressing change
  • Needleless access device change
  • Central venous catheter flushing
  • Blood Sampling from a CVAD

Chapter 6: Complications

  • Catheter related complications
  • Systemic complications
  • Insertion related complications

Chapter 7: Discontinuation of Therapy

  • Removal of devices
  • Central venous access device removal procedure

Chapter 8: Assessment and Documentation and Patient Education

  • Documentation of insertions, removal, infiltration or extravasations
  • Assessment, monitoring, documentation by type of therapy

Chapter 9: Resources

  • Skill competency checklists:
    • Accessing a port
    • Administration of infusate via an ambulatory infusion pump 
    • Blood specimen collection from a CVAD
    • De-accessing an implanted port 
    • IV Push
    • Large volume electronic infusion device 
    • Medication administration
    • Midline or central line dressing change 
    • Needleless connector device change
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