Vascular Access Device Complications
Selection of the best vascular access option for an individual patient is based in part on the risk of complications present in their vascular health and their particular infusion needs. Every vascular access device carries some risk to patient safety. To better understand and mitigate those risks, there has been a dramatic increase in vascular access-related research. This session will review four catheter-associated complications included in the 2021 Infusion Therapy Standards of Practice: venous thrombosis, extravasation, bloodstream infection, and skin injury. For each of these complications, presenters will give a concise review of the incidence, assessment parameters, new evidence-based recommendations, and directions for future research.
At the conclusion of the session, participants will be able to:
1. Describe at least one assessment parameter that may indicate each of the four complications reviewed.
2. Identify at least one new evidence-based recommendation for each of the four complications reviewed.
Lisa Gorski, MS, RN, HHCNS-BC, CRNI®, FAAN
Clinical Education Specialist/Clinical Nurse Specialist
Ascension at Home – Wisconsin
Ms. Gorski has worked for more than 30 years as a clinical nurse specialist (CNS) for Wheaton Franciscan Home Health & Hospice which is now Ascension at Home. As a CNS, she developed and continues to provide infusion-related education for home care nurses as well as direct patient care. Ms. Gorski received both her bachelor’s and master’s degrees from the University of Wisconsin–Milwaukee College of Nursing. She is the author of several books and more than 70 book chapters and journal articles on home care and infusion therapy topics. She is an INS Past President (2007-2008), past chair for the INCC Board of Directors, and has served as the chair of the INS Standards of Practice Committee since 2011. She was inducted as a fellow into the American Academy of Nursing in 2006, named the 2003 CRNI® of the Year by INCC, and named the 2011 CNS of the Year by the National Association of Clinical Nurse Specialists. Ms. Gorski speaks nationally and internationally on standards development, infusion therapy/vascular access, and home health care. Over the past few years, she has addressed the Standards in multiple presentations in the US, China, Europe, and several Middle Eastern, African, and Latin American countries.
Barb Nickel, APRN-CNS, CCRN, CRNI®
Clinical Nurse Specialist
CHI Health St. Francis, Grand Island NE; CHI Health Center for Clinical Practice, Omaha, NE
Ms Nickel is a clinical nurse specialist responsible for staff development, competency assessment, and process improvement to improve outcomes in multiple areas of clinical practice, including critical care, infusion therapy, sepsis, and new graduate transition to practice. She served as member, lead nurse planner, and chair of the INS National Council on Education from 2010-2016, developing the curriculum each year for the two annual INS conferences. She was named INS Member of the Year in 2016. Ms Nickel has presented regionally and nationally on infusion-related topics and has authored several publications on infusion therapy in the critical care setting. She also serves as faculty in the University of Nebraska Medical Center College of Nursing, BSN program.