VAD Planning and Site Selection to Reduce Extravasation Risk

Optimal vascular access device (VAD) planning and site selection are critical aspects of extravasation risk reduction. The push to reduce central vascular access device (CVAD) utilization rates and related serious complications has resulted in an increased use of peripheral administration of medications that have historically been reserved for CVADs. Unfortunately, this shift increases extravasation risk due to the limitations of peripheral VADs. It is critical that the clinician tailor VAD planning and site selection to the specific patient and infusate risks in a given clinical setting. This presentation will compare and contrast extravasation risks with central versus peripheral delivery, describe risk reduction strategies in peripheral VAD placement and management, and explore the risks specific to the midline peripheral catheter.

Learning Objectives: At the conclusion of this session, learners will be able to:

·      Describe characteristics of peripherally compatible solutions.

·      Discuss strategies to reduce extravasation risk with central versus peripheral VADs.

·      Discuss extravasation risk reduction with the midline peripheral catheter.

Barb Nickel, APRN-CNS, CCRN, CRNI®

Barb Nickel is a clinical nurse specialist at a health care center in Nebraska. She is responsible for staff development, competency assessment, and process improvement to optimize outcomes in multiple areas of clinical practice, including critical care, infusion therapy, sepsis, and new graduate transition to practice. Barb has presented nationally on infusion-related topics, is a coauthor of the 2021 Infusion Nurses Society Infusion Therapy Standards of Practice, is the chair of the INS Standard of Practice Committee for the 2024, 9th edition of the Standards, and has authored several publications on infusion therapy in the critical care setting. She also serves as faculty in a Bachelor of Science in Nursing (BSN) program, in areas of critical care and chronic illness.


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VAD Planning and Site Selection to Reduce Extravasation Risk
Live event: 11/01/2023 at 2:15 PM (EDT) You must register to access.
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