Elizabeth Ring – Vascular Access in Pediatric Patients: An Evidence-Based Approach

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Exploring the Essential Features of “Elizabeth Ring – Vascular Access in Pediatric Patients: An Evidence-Based Approach”

Speaker: Elizabeth Ring, RN, BSN

Duration: 1 Hour 30 Minutes

Format: Audio and Video

Copyright: Apr 09, 2024

Media Type: Digital Seminar

Description

In the pediatric population, special considerations for vascular access need to be included in the plan of care. In this session, crucial topics for evidence-based care are covered, including the differences between central and peripheral vascular access devices (VADs) and the indications for each; proper and improper function of VADs and basic troubleshooting; how to provide high quality care and maintenance of VADs to ensure the reliability of the device; and the special considerations that must be undertaken with bedside procedures involving vascular access devices on pediatric patients.

Speaker

Elizabeth Ring, RN, BSNRelated seminars and products

Elizabeth Ring, RN, BSN, VA-BC, is a Vascular Access-Board Certified registered nurse with 19 years’ experience. She has a background in emergency, interventional Radiology, Cardiac Cath Lab, Diagnostic Radiology, and Med Surg. She has been practicing as a vascular access nurse since 2018 with both adult and pediatric populations and is currently employed by both Baptist Health and Joe DiMaggio’s Childrens Hospital. Additionally, she does freelance writing health and nursing content with the purpose of educating, informing, and starting conversations.

Speaker Disclosures:
Financial: Elizabeth Ring has an employment relationship with Joe DiMaggio Children’s Hospital. She had a previously employment relationship with Becton Dickinson. Elizabeth Ring receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Elizabeth Ring is a member of the Infusion Nurses Society and the Association for Vascular Access.

Objectives

1. Differentiate between central and peripheral devices, and the indications for each.
2. Analyze both proper and improper function of central and peripheral devices and know basic troubleshooting steps.
3. Outline guidelines to provide high quality care and maintenance of central and peripheral devices.
4. Execute a successful bedside vascular access procedure based on the patient’s developmental stage (IV insertion, PICC or midline insertion, VAD dressing change, blood draw)

Outline

Types of VADs 

• Peripheral devices (most common)
  • Standard short peripheral IV
  • Ultrasound guided long IV
  • Midline
  • Intraosseous (uncommon)
  • External jugular vein catheter
    • All are inserted by clinicians with specialized training
• Central devices
  • Peripherally Inserted Central Catheter (PICC)
  • Centrally Inserted Central Catheter
  • Implanted vascular access devices
  • Tunneled vascular access device

Assessment and Troubleshooting

• Peripheral devices
• Central devices

Care and maintenance

• Regular assessment is key, regardless of whether the device is peripheral or central
• YOUR timely assessment can prevent patient harm!
  • Peripheral devices…Look, feel, listen
  • Central devices…Look, feel, listen
• Follow your institution’s policies and procedures for frequency of assessing VADs and performing dressing changes.
• Peripheral IV insertion
• PICC or midline insertion at the bedside

Target Audience

• Nurses
• Nurse Practitioners
• Physician Assistants
• Physicians

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