Learning Center
Drainage at exit site – is it lymph fluid?
Includes a Live Web Event on 04/09/2025 at 1:00 PM (EDT)
This presentation will discuss potential reasons for drainage at catheter exit site of a vascular access device. Comprehensive overview of the lymphatic system. Review of lymph node locations and how these locations may vary. The option of lymph fluid drainage will be discussed. Discussion around the importance of identifying these structures with real time ultrasound visualization during pre-insertion assessment for any vascular access device insertion. In this session we will review all potential causes of drainage at an exit site and discuss potential treatment options.
Learning Objectives: At the conclusion of this session, learners will be able to:
- Describe the general functions of the lymphatic system.
- Describe lymph node/lymph vessel anatomy and the potential for variance in their location(s).
- Describe how to identify specific fluid draining from a vascular access device exit site.
- Discuss treatment options related to continuous drainage from an exit site.
- Explain the importance of identifying these structures with real time ultrasound visualization prior to the insertion of any vascular access device.
- Define Lymphorrhea
Casey Schuller, BSN, RN, VA-BC
Registered nurse with 24 years of clinical experience in the critical care and vascular access specialties. Focusing on vascular access clinical education for the last 15 years, specializing in education, new product trials/implementations, and device insertion training across the vascular access device portfolio. Was a member of an RN based VAT/Rapid/Code team that provided placement of all non-tunneled vascular access devices at bedside, including IO, arterial catheters, USG PIV, Midline, PICC, CICC, and HD catheters. Currently is the NW Ohio Bon Secours Mercy Health VAT supervisor providing services to the neonatal, pediatric, and adult patient populations. In addition to the clinical role, he is working to expand the in-hospital VAT and the regional mobile VAT scope to include bedside placement of all non-tunneled devices. Casey is passionate about expanding vascular access scope/practice through collaboration, education, and innovation.
CRNI® RUs: This session has been approved for 2 CRNI® recertification units and meets the non INS Meeting criteria.
Contact Hours: This session has been approved for 1 contact hour
Expiration date for receipt of contact hours: January 15, 2028
To receive contact hours for this educational activity, you are required to attend the entire educational activity and complete the evaluation.
The Infusion Nurses Society is approved as a provider of continuing nursing education by the California Board of Registered Nursing, provider #CEP14209. The certificate must be retained by the attendee for a period of 4 years.
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