veINS Track: One Goal, One Vessel, One Cannulation, One VAD

Recorded On: 06/06/2022

Establishing a goal of one vessel, one catheter to complete the prescribed therapy requires careful assessment, careful selection, and proficient insertion of the most appropriate catheter size and length. Technology used with catheter materials, needleless connectors, and management practices can extend or limit catheter life, and consideration of a hemodilution ratio, as outlined by Roethlisberger, may help to evaluate the optimal location for catheter insertion and infusion of the treatment plan designed to achieve the one goal. In this session, we will discuss characteristics of optimal vein selection incorporating the INS Standards regarding insertion and vein visualization; consider VAD technology and management practices; and explore the impact of hemodilution upon one cannulation, one vessel, one VAD.

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

·      Explore the characteristics of optimal vein selection including quantitative assessment of size, flow, and valve locations

·      Discuss INS Standards and evidence for selection and recommended forearm placement for peripheral intravenous catheters

·      Explain the 4Vs of hemodilution and the 3:1 ratio to achieve one vessel, one cannulation, one VAD

Nancy Moureau, PhD, RN, CRNI®, CPUI™, VA-BC

Nancy Moureau, PhD, RN, CRNI®, CPUI™, VA-BC, has been the owner of PICC Excellence, Inc., an education service provider for infusion therapy and vascular access device insertion and care for more than 30 years. Dr. Moureau's clinical experience spans pediatric, neonatal, ICU PICC/IV Team, and home infusion patient care. As the CEO of PICC Excellence, her current responsibilities include education development, research, speaking worldwide, legal case review, manufacturer consulting, and clinical practice with insertion and supervision of peripheral and central vascular access. PICC Excellence has developed more than 80 online educational courses and pathways to promote insertion competency and the application of evidence-based practices. PICC Certification™ CPUI™, Certified PICC Ultrasound Inserter, and now Neonatal PICC CNPI credentialing programs were established to validate education, knowledge, and competency for PICC inserters. As Co-Chair of the 2015 WOCOVA CVC Taskforce, Nancy facilitated the completion and publication of an evidence-based publication on minimal CVC training requirements. Nancy is an author of over 100 publications, a recipient of the Reader’s Choice Award for publications, and the Herbst Award for lifetime contributions to the specialty of vascular access. Nancy most recently released a systematic approach for the UGPIV Mastery Learning process, an ultrasound-guided peripheral insertion training toolbox, that has received the very first Seal of Approval from INS. Nancy welcomes your questions through her email, nancy@piccexcellence.com or through the PICC Excellence website, www.piccexcellence.com.

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