Vessel Health and Preservation: The Right Approach for Vascular Access / edited by Nancy L. Moureau.

Format:

Book

Author/Creator:

Moureau, Nancy L., Editor.

Contributor:

Moureau, Nancy L., Editor.

Language:

English

Subjects (All):

Nursing.

Critical care medicine.

Pediatrics.

Intensive / Critical Care Medicine.

Local Subjects:

Nursing.

Intensive / Critical Care Medicine.

Pediatrics.

Physical Description:

1 online resource (XVII, 303 p. 124 illus., 97 illus. in color.)

Edition:

1st ed. 2019.

Place of Publication:

Cham Springer Nature 2019

Cham : Springer International Publishing : Imprint: Springer, 2019.

Language Note:

English

Summary:

This Open access book offers updated and revised information on vessel health and preservation (VHP), a model concept first published in poster form in 2008 and in JVA in 2012, which has received a great deal of attention, especially in the US, UK and Australia. The book presents a model and a new way of thinking applied to vascular access and administration of intravenous treatment, and shows how establishing and maintaining a route of access to the bloodstream is essential for patients in acute care today. Until now, little thought has been given to an intentional process to guide selection, insertion and management of vascular access devices (VADs) and by default actions are based on crisis management when a quickly selected VAD fails. The book details how VHP establishes a framework or pathway model for each step of the patient experience, intentionally guiding, improving and eliminating risk when possible. The evidence points to the fact that reducing fragmentation, establishing a pathway, and teaching the process to all stakeholders reduces complications with intravenous therapy, improves efficiency and diminishes cost. As such this book appeals to bedside nurses, physicians and other health professionals.

Contents:

Preface. About the concept of VHP, beginnings, process and ideal

Section 1. Right Assessment and Right Vein

Chapter 1. Catheter and vein selection with avoidance of joints and danger zones

Chapter 2. Ultrasonic assessment and placement of right device

Section 2. Right Training

Chapter 3. Training process, competencies, preparation for PIV, PICC, CVC insertions

Section 3. Right Insertion

Chapter 4. Catheter size, type, number of lumen for patient and treatment

Chapter 5. Placement with no more than 2 attempts

Chapter 6. Infection Prevention principles with Kits for insertion and compliance with sterile procedure (bundles, checklist, CHG, etc)

Chapter 7. Tip positioning

Chapter 8. Securement

Section 4. Pediatric Vessel Health

Chapter 9. Differences between paediatrics and adults for vein assessment

Chapter 10. Right Site selection

Chapter 11. Right Device assessment (type, size, no. of lumens)

Chapter 12. Right Technology assessment

Chapter 13. Why is VHP important in paediatrics?

Chapter 14. Troubleshooting in paediatrics

Section 5. Right Supplies and Technology

Chapter 15. Ultrasound

Chapter 16. Insertion kits for USGPIV, PICC, Midline, CVC

Chapter 17. Antimicrobial dressings

Chapter 18. Needleless connector issues

Section 6. Right Care and Assessment

Chapter 19. Daily or twice daily assessment for catheter function, dressing adherence and necessity of device

Chapter 20. Hub disinfection issues and compliance measures

Chapter 21. Flushing with proper techniques

Section 7. Right Evaluation

Chapter 22. How to evaluate a VHP program initiative

Chapter 23. Staff education and satisfaction

Chapter 24. Patient satisfaction

Chapter 25. Pathway effectiveness and outcome measures.

Notes:

Description based on publisher supplied metadata and other sources.

ISBN:

3-030-03149-7

OCLC:

1112425881