CE Test

Rusche, JoMarie DeMarco; Besuner, Patti; Partusch, Susan; Berning, Patricia A.

doi:10.1097/00124645-200109000-00005

Cited by 2 publications

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Training and Education

Alexandrou

Mifflin

Carr

2019

Vessel Health and Preservation: The Right Approach for Vascular Access

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Optimal vascular access insertion and management requires clinicians to have appropriate education and skill on the best procedural techniques or be supervised during the process of acquiring the necessary education. The second quadrant of the Vessel Health and Preservation (VHP) model requires a qualified inserter, a clinician who has undertaken a comprehensive clinical and vascular assessment and is applying the latest evidence and guidelines to select the most appropriate device for patient treatment, leading to the successful insertion of a peripheral or central VAD. Appropriate device selection and number of necessary lumens are a determination made according to lowest risk for patient insertion and potential for infection, in conjunction with the needs of the therapy. Selection of the best vascular access for the patient also requires an understanding of the most appropriate intravascular device to be used, influenced by infusate characteristics to be administered and the length of anticipated dwell, which in turn, influences the most appropriate vessel and anatomical position for device placement.

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Training and Education

Alexandrou

Mifflin

Carr

2019

Vessel Health and Preservation: The Right Approach for Vascular Access

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Evidence-based consensus on the insertion of central venous access devices: definition of minimal requirements for training

Moureau

Lamperti²,

Kelly

et al. 2013

British Journal of Anaesthesia

186

146

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There is a lack of standard minimal requirements for the training of insertion techniques and maintenance of central venous access devices (CVADs). An international evidence-based consensus task force was established through the World Congress of Vascular Access (WoCoVA) to provide definitions and recommendations for training and insertion of CVADs. Medical literature published from February 1971 to April 2012 regarding 'central vascular access', 'training', 'competency', 'simulation', and 'ultrasound' was reviewed on Pubmed, BioMed Central, ScienceDirect, and Scopus databases. The GRADE and the GRADE-RAND methods were utilized to develop recommendations. Out of 156 papers initially identified, 83 papers described training for central vascular access placement. Sixteen recommendations are proposed by this task force, each with an evidence level, degree of consensus, and recommendation grade. These recommendations suggest central venous access education include didactic or web-based teaching with insertion procedure, infection prevention, complications, care, and maintenance of devices, along with laboratory models and tools for simulation practice incorporating ultrasound. Clinical competence should be determined by observation during clinical practice using a global rating scale rather than by the number of procedures performed. Ensuring safe insertion and management of central venous devices requires standardized education, simulation practice, and supervised insertions.

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CE Test

Cited by 2 publications

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Training and Education

Training and Education

Evidence-based consensus on the insertion of central venous access devices: definition of minimal requirements for training

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