Learning Center
Extravasation Treatment: A Case Study Approach to Explore Options
Recorded On: 09/18/2024
The treatment of an extravasation, the inadvertent delivery of a vesicant into the tissue around a vascular access device (VAD), is a source of patient harm that is under-recognized, under-reported, and thus likely ineffectively treated. Unfortunately, recommendations for extravasation treatment (primarily reliant on case reports) can be difficult to leverage into clear clinical guidelines, increasing the risk of inadequate or delayed post-extravasation monitoring and treatment. This presentation will review vesicant properties and their mechanisms of tissue injury, peripheral vs central VAD extravasation risks with related prevention measures, and recommended extravasation treatment strategies and resources using a case study approach.
Objectives:
- Describe the properties of the major vesicant categories that may precipitate tissue injury
- Relate the relative extravasation risks of peripheral vs central VADS to extravasation prevention strategies
- Describe current recommendations for treatment of selected vesicant extravasations, using a case study approach
Barb Nickel, APRN-CNS, CCRN, CRNI®
Barb Nickel, APRN-CNS, CCRN, CRNI®, 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. Ms Nickel was a co-author of the 2021 Infusion Nurses Society Infusion Therapy Standards of Practice, was Chair of the 2024 9th edition of the INS Standards of Practice Committee and is chair of the 2027 INS Standards Committee. She has authored several publications and speaks nationally on optimization of infusion therapy outcomes. She also serves as Adjunct Research Fellow for Griffith University, Queensland, Australia.
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: September 18, 2027
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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