Vessel Health and Preservation: The Right Approach for Vascular Access

Description

This Open access book offers updated and revised information on vessel health and preservation (VHP), a model concept first published in poster form in 2008 and in JVA in 2012, which has received a great deal of attention, especially in the US, UK and Australia. The book presents a model and a new way of thinking applied to vascular access and administration of intravenous treatment, and shows how establishing and maintaining a route of access to the bloodstream is essential for patients in acute care today. Until now, little thought has been given to an intentional process to guide selection, insertion and management of vascular access devices (VADs) and by default actions are based on crisis management when a quickly selected VAD fails. The book details how VHP establishes a framework or pathway model for each step of the patient experience, intentionally guiding, improving and eliminating risk when possible. The evidence points to the fact that reducing fragmentation, establishing a pathway, and teaching the process to all stakeholders reduces complications with intravenous therapy, improves efficiency and diminishes cost. As such this book appeals to bedside nurses, physicians and other health professionals. Front Matter ....Pages i-xvii Front Matter ....Pages 1-1 The VHP Model (Nancy L. Moureau)....Pages 3-8 Right Assessment and Vein Selection (Evan Alexandrou)....Pages 9-22 Device Selection (Nancy L. Moureau, Evan Alexandrou)....Pages 23-41 Front Matter ....Pages 43-43 Training and Education (Evan Alexandrou, Nicholas Mifflin, Peter J. Carr)....Pages 45-58 Specialized Vascular Access Teams (Peter J. Carr, Nancy L. Moureau)....Pages 59-65 Front Matter ....Pages 67-67 Insertion (Steve Hill)....Pages 69-80 Tip Position (Steve Hill, Nancy L. Moureau)....Pages 81-105 Avoiding Complications During Insertion (Steve Hill)....Pages 107-115 Right Securement, Dressing, and Management (Steve Hill, Nancy L. Moureau)....Pages 117-130 Front Matter ....Pages 131-131 Insertion Related Infection Prevention with Vascular Access Devices (Michelle DeVries)....Pages 133-145 Right Asepsis with ANTT® for Infection Prevention (Stephen Rowley, Simon Clare)....Pages 147-162 CLABSI: Definition and Diagnosis (Michelle DeVries)....Pages 163-168 Front Matter ....Pages 169-169 Developmental Stages and Clinical Conditions for Vascular Access in Pediatrics (Amanda Ullman, Tricia Kleidon)....Pages 171-179 Right Device Assessment and Selection in Pediatrics (Tricia Kleidon, Amanda Ullman)....Pages 181-195 Right Pediatric Site Selection and Technology (Tricia Kleidon, Amanda Ullman)....Pages 197-208 Right Post-Insertion Management in Pediatrics (Amanda Ullman, Tricia Kleidon)....Pages 209-216 Front Matter ....Pages 217-217 Assessment for Catheter Function, Dressing Adherence and Device Necessity (Val Weston)....Pages 219-233 Right Hub Disinfection for Compliance (Carole Hallam)....Pages 235-241 Right Management and Flushing (Caroline Cullinane)....Pages 243-261 Front Matter ....Pages 263-263 Evaluation of VHP Program (Lisa A. Gorski)....Pages 265-274 Staff Education and Evaluation for Vessel Health and Preservation (Linda J. Kelly)....Pages 275-284 Right Evaluation of Products and Compliance Measures (Linda J. Kelly)....Pages 285-292 Correction to: Vessel Health and Preservation: The Right Approach for Vascular Access (Nancy L. Moureau)....Pages C1-C1 Back Matter ....Pages 293-303