Elizabeth (Liz) Campbell – Update Your Infusion Therapy Toolbox

Outline

Peripheral Venous Catheters

• How many does your patient need?
• Assessment of site
  • How often
  • Who?
• Infusates
  • Hydration
  • Antibiotics
  • Pain Medications
• Complication
  • Infiltration (scale)
  • Extravasation
  • Phlebitis (scale)
  • Nerve injury
  • Infection

Central Venous Access Devices

• Peripherally Inserted Central Catheter (PICC)
• Implanted port
• Tunneled jugular
• Assessment of site
• Complications
  • Phlebitis
  • Nerve injury
  • Occlusion
  • Infection
  • Air embolism
  • Thrombosis
  • Malposition
  • Catheter damage
• Care and maintenance
• What you need to know about tip location

Regulation of Infusion Therapy

• Who makes the standards?
• What support is there?
  • Infusion Nurses Society
  • Association for Vascular Access
  • Oncology Nurses Society

Practice Updates

• Infusion therapy standards of practice
• SHEA guidelines
• ONS guideline

Technology/Ultrasound

• Video examples of insertions
• Peripheral catheter
• PICC insertion
• Tip location

Improving Outcomes

• Central line bundles
• Care and maintenance of central lines
• Rotation of peripheral catheters
• Identifying correct access for prescribed therapy
• Injuries
• Poor outcomes
• Excellent outcomes