Intravascular Quarterly – Association for Vascular Access – November 2020

The e-news publication of the Association for Vascular Access NOVEMBER 2020 | VOLUME X | ISSUE 4

Intravascular

QUARTERLY

at Your

Fingertips 2020 AVA at Your Fingertips Recap 2020 D-TEAM Chair Michele Cox, RN, CCRN, VA-BC™ and Chair-Elect Jeanine Moorhead, RRT, VA-BC™

if the event was held virtually. The virtual platform allowed each Vascular Access Specialist to transcend to the next level of their practice. We depend on each other in the Vascular Access world to fulfill this accomplishment. A final note to 2020: You have made us all step up to the plate and hit a home run in our vascular access knowledge to achieve more than ever expected. We are all finishing the 2020 challenge stronger than ever!

As we have worked through the challenges of 2020, we are all reminded of what is paramount to us as Vascular Access Specialists across the globe: The needs of our patients are No. 1! The outstanding education offered during AVA at Your Fingertips is a credit to the fabulous presenters and directly reflects on the care we give to our patients daily. This was evident in the achievements of this year’s scientific meeting still holding the highest of standards, even

AVA AT YOUR FINGERTIPS STATS 1,425 1,180 245 410 794 36

CLICK TO WATCH THIS VIDEO ABOUT OUR ATTENDEE STATS!

CONFERENCE REGISTRATION STILL OPEN UNTIL DECEMBER 9 2 | IQ | INTRAVASCULAR QUARTERLY NEWSLETTER

at Your

Fingertips POSTER WINNERS CONGRATULATIONS TO THE 2020 AVA AT YOUR FINGERTIPS PEOPLE’S CHOICE POSTER WINNERS! FIRST PLACE POSTER

Keegan Mahoney, BSc, RRT, VA-BC™ “Understanding the Importance of Staggered Lumen Exit Sites and its Impact on Tacrolimus Sampling in the Allogenic Stem Cell Transplant Patient”

SECOND PLACE POSTER

Nancy Moureau, RN, PhD, CRNI®, CPUI, VA-BC™ “Theoretic Methodology of Development of the PIV5 Rights Bundle Components”

TIE - THIRD PLACE POSTER

Alisha Kreider, BSN, RN, VA-BC™ “Implementing a Preventative Risk Score Strategy in the Electronic Heath Record: A New Strategic Approach to Prevent CLABSI”

TIE - THIRD PLACE POSTER

Lee Steere, RN, CRNI®, VA-BC™ “The Power of a VAST in Improving Patient Satisfaction”

CLICK HERE TO CHECK OUT ALL OF THE POSTERS NOVEMBER 2020 | 3

at Your

Fingertips ACKNOWLEDGMENTS THANK YOU TO OUR AVA AT YOUR FINGERTIPS SUPPORTERS

ELITE:

PATRON: CONTRIBUTOR:

CLAIM YOUR CE CREDITS

by December 14, 2020!

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WATCH THESE

ON DEMAND SESSIONS

at Your

Fingertips ATTENDEE FEEDBACK “This has been, so far, the BEST platform I have used for online conferences. Great job!”

[Julie Scovronski]

“I have to say that I am very impressed with this virtual conference. It was put together in a short period of time and has had very few hiccups. Thank you AVA team members for all of your hard work!”

[Lisa Renne]

“What a fabulous annual meeting. I don’t have words enough to express my gratitude. So many talented people!”

[Artie Hansford]

“Even in these times you all pulled it off.

Could not be better!”

[James Lacy]

“Even if we ARE able to meet in person next year, I would love to see it offered virtually at a lower price. One of the things that I am so excited above is that we were able to pay for five attendees as opposed to our usual one!”

[Kathy Grieser]

“I would also consider the AVA team the DREAM team because they have done an excellent job!”

[Diane Jiles]

NOVEMBER 2020 | 5

AVASM21 REGISTRATION OPENS IN JANUARY 2020!

CALL FOR TOPICS & PRESENTATIONS DEADLINE FOR SUBMISSION: JANUARY 6, 2021

Professionals who wish to speak and submit a presentation proposal for a General Session, Breakout Session, and/or HandsOn Workshop during the 35th Annual Scientific Meeting, scroll down and click ‘Join Now.’ Individuals with recommendations for speakers – other than themselves – and/or topics to be included in the 35th Annual Scientific Meeting, click here.

WHO IS AVA? The Association for Vascular Access, is a not-for-profit multidisciplinary professional organization uniquely positioned as the leader in vascular access education and research. Its mission is to improve patient safety, comfort and outcomes, define the vascular access specialty, promote a favorable public policy environment, optimize professionals’ knowledge and skills, share best practices, and promote research in vascular access. Meeting attendees come from many countries and represent from areas such as: • Interventional Radiology • Education and Training • Home Infusion • Pediatrics and Neonatology • Infectious Disease

• Research and Development • Oncology • Critical Care • Hematology • Nephrology and Dialysis

• Infection Prevention • Sales and Marketing • Surgery • Home Care

• Radiology • Anesthesiology • Vascular Access • Engineering

AVA ANNUAL SCIENTIFIC MEETING 2021 marks AVA’s 35th Annual Scientific Meeting with at least 1,300 attendees which include 60–70 industry partners. This four day conference provides attendees with opportunities to participate in educational sessions, hands-on training, facilitated discussion, and networking. General sessions focus on development of the vascular access specialty, clinical research, professional development, technological advances, and evidence-based practice. Breakout sessions will offer small group presentations emphasizing subjects of interest for the vascular access specialist and related disciplines; abstract and poster presentations allow participants to share original research, education projects and clinical innovations. Platinum Showcases and exhibits afford participants, corporate members, and exhibitors the opportunity to learn from each other, design and apply new technologies, science, and techniques in the most effective ways. With separate registration fees, an additional day of pre-meeting workshops offers in-depth exploration of topics of critical importance to the vascular access community.

• Proposals for Breakout Sessions, General Sessions, and/or Hands-On Workshops may be submitted through this form.

• Participation and submission of topic suggestions is NOT limited to AVA members.

• Topics should address the general or specific interests of AVA members and meeting participants keeping in mind that AVA is an organization of clinicians, healthcare specialties, and industry/corporate professionals involved in vascular access and related fields.

• Sessions may be scheduled from 30 to 60 minutes in length at the discretion of the selection committee.

• Submissions are selected through a blinded peer review process unless prior authorization from AVA is received.

• AVA values diversity, inclusion, and professional mentoring among its membership and promotes these values in its topic and speaker selection processes.

• AVA reserves the right to solicit additional and or new speakers for any proposed topic.

2021 EXHIBITOR SIGN UPS RENT YOUR ARE NOW AVAILABLE! SPACE NOW!

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AVA ANNOUNCES 2021 BOARD OF DIRECTORS The individuals slated to join the Board of Directors are Staci Harrison, DNP, RN, Swapna Kakani, MPH, and Nael Mhaissen, MD. All three are set to serve as Directors-at-Large.

It is with great pleasure and honor that we inform you the slate of candidates for the 2021 AVA Board of Directors recommended by the AVA Board of Development Committee (BDC) has been accepted by the membership. The BDC is proud to announce the addition of three new members to the Board, all of whom will continue to help AVA drive forward as a pillar in the vascular access community.

2021 BOARD OF DIRECTORS SECRETARY

PRESIDENT

JOCELYN GRECIA HILL, MN, RN, CVAA(C), VA-BC™

RUSSELL NASSOF, JD

PRESIDENT-ELECT

JON BELL, RN, MSN, VA-BC™

TONJA STEVENS, RN, VA-BC™

TREASURER

DIRECTOR-AT-LARGE

MONTE HARVILL, MD

PRESIDENTIAL ADVISOR

DIRECTOR-AT-LARGE

LORI KACZMAREK, MSN, RN, VA-BC™

MICHELLE DEVRIES, MPH, CIC, VA-BC™

DIRECTOR-AT-LARGE

TONYA HEIM, MHA, MSN, RN, NEA-BC DIRECTOR-AT-LARGE

STACI HARRISON, DNP, RN DIRECTOR-AT-LARGE

SWAPNA KAKANI, MPH DIRECTOR-AT-LARGE

NAEL MHAISSEN, MD

Please join the BDC in welcoming the 2021 Board by recognizing their commitment to AVA’s growth and development in the vascular access space.

New member terms begin January 2021, during which time more information will become available about each board member on the AVA website.

2020 BOARD OF DIRECTORS PRESIDENT

LORI KACZMAREK

AVApresident@avainfo.org PRESIDENT-ELECT

SECRETARY

DIRECTOR-AT-LARGE

tstevens@avainfo.org

mdevries@avainfo.org

TONJA STEVENS TREASURER

MICHELLE DEVRIES

DIRECTOR-AT-LARGE

JOCELYN GRECIA HILL

RUSSELL NASSOF

PRESIDENTIAL ADVISOR

DIRECTOR-AT-LARGE

DIRECTOR-AT-LARGE

aowens@avainfo.org

jbell@avainfo.org

theim@avainfo.org

jhill@avainfo.org

ANDREA OWENS

rnassof@avainfo.org

JON BELL

MONTE HARVILL mharvill@avainfo.org

TONYA HEIM

DIRECTOR-AT-LARGE

SHEILA HALE

shale@avainfo.org

OUR STAFF CHIEF OPERATIONS OFFICER

TONYA HUTCHISON thutchison@avainfo.org

DIRECTOR OF CLINICAL EDUCATION

JUDY THOMPSON

jthompson@avainfo.org

DIRECTOR OF COMMUNICATIONS / JAVA EDITOR-IN-CHIEF

ERIC SEGER

eseger@avainfo.org

PROJECT AND RELATIONSHIP MANAGER

BETH GORE

bgore@avainfo.org MEMBER AND NETWORK MANAGER

JENNIFER LIVSEY jlivsey@avainfo.org

NOVEMBER 2020 | 7

AVA AND B. BRAUN PARTNER TO RAISE STANDARDS & TRAINING FOR IV PLACEMENT The Association for Vascular Access (AVA) and B. Braun Medical Inc. (B. Braun) announced a long-term collaboration to improve training on the placement of peripheral intravenous catheters (PIVCs). Together the organizations will develop and provide a new series of online courses free of charge to medical, nursing, respiratory therapist, and other allied healthcare schools – the first of which is being piloted at several leading nursing schools.

Vascular access is the most common invasive procedure performed in healthcare, with more than 380 million PIVCs placed in patients annually in the United States.1 However, between 3369% of PIVCs fail before the completion of treatment and more than 50% of adults describe insertion as moderately painful or worse. Collectively, this can lead to serious implications for patients, including increased costs and length of treatment.2 In addition to jointly developing the “Fundamentals of Peripheral IV Access” eLearning module series to increase the vascular access skills of healthcare professionals, AVA and B. Braun will create a certificate program for students who complete the courses that will attest to their foundational knowledge in PIVC placements with future employers.

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New curriculum will be provided free of charge to medical, nursing, respiratory therapy, and other allied healthcare schools in the US to improve instruction on peripheral IV access.

“Studies have proven that current training programs are not consistent across schools in how or when they teach future clinicians about the insertion, care and maintenance of peripheral catheters3. Our intent is to offer a solution to standardize training in this area, which we believe will make long-term improvements in healthcare in the years to come,” said Judy Thompson, MSNEd, RN, VA-BC™, AVA director of clinical education. “We are proud to partner with B. Braun to offer free access to this bestin-class curriculum to students at hundreds of universities and medical schools. It is also fitting that this new curriculum – which helps advance AVA’s mission to protect patients and improve lives by creating evidence-based innovations in vascular access – is being announced on the second annual Vascular Access Specialty Day.” CONTINUED ON NEXT PAGE

AVA AND B. BRAUN PARTNER, CONTINUED FROM PREVIOUS PAGE The eLearning module will feature interactive graphics and hi-definition videos in addition to the necessary text critical to enhancing the PIVC education in healthcare. It will focus on key aspects like proper device placement, assessment, and insertion to instill confidence in students of all skill levels.

said Stephen Withers, RN, director, clinical support and services, B. Braun. “The failure rate of PIVC insertions is not acceptable. We believe this program is an important step to change that by increasing students’ skill sets on a practice that for many will become a part of their daily care routine.”

“In my early years of teaching, I worked with thousands of students to start their first PIVC. The manual dexterity required to navigate the equipment, patient emotions, and for that matter, the student’s anxiety required a calm and keen eye for multiple physical and emotional cues,” said Christine Vandenhouten, PhD, RN, chair and professor of nursing and health studies at the University of Wisconsin-Green Bay. “The PIV curriculum will elevate the knowledge and skill of nursing students and nurses across the U.S. and beyond.

I am thrilled to incorporate this evidence-based curriculum into our prelicensure BSN program.”

Several pilot studies of the curriculum will be conducted through the rest of the year, and the program is expected to be broadly released during the 2021 academic year.

Additional information on the “Fundamentals of Peripheral IV Access” curriculum, including details about how to participate in the pilot program, is available at www.avainfo. org/PIVEducation.

“Our partnership with AVA and the academic institutions that are piloting the ‘Fundamentals of Peripheral IV Access’ curriculum gives us the opportunity to make a big impact on an area of patient care that is ripe for improvement,”

REFERENCES 1. iData Research. (2020). US Market Report Suite for Vascular Access Devices and Accessories.

2. Cooke, M., Ullman, A., RayBarruel, G., Wallis, M., Corley, A., Rickard, C. (2018). Not “just” an intravenous line: Consumer perspectives on peripheral intravenous cannulation (PIVC).

An international cross-sectional survey of 25 countries. Plos One. https://doi.org/10.1371/ journal.pone.0193436 3. Hunter, et al. (2018). Addressing the silence: A need for peripheral intravenous education in North America.

JAVA. 23(3). pp 157-165. https://doi.org/10.1016/j. java.2018.06.001

Learn more on the ISAVE That Podcast THE BIG REVEAL IS HERE! The Association for Vascular Access and B. Braun Medical, Inc. are collaborating to increase the standards around and enhance training for peripheral IV placement in vascular access. This episode of the ISAVE That Podcast welcomes a number of guests that worked behind the scenes to establish this partnership and piece together the initial stages of the curriculum.

NOVEMBER 2020 | 9

For more information on the PediNeoSig and how to join: www.avainfo.org/pedineosig

THE YEAR OF RECONNECTIONS Lisa Sheehan, MSN, RN, VA-BC™

Many more pediatric and neonatal sessions can be viewed in the virtual section of the AVA at Your Fingertips platform, including content from PediNeoSIG Chair Mary Beth Hovda-Davis, MSN, VA-BC™. Be sure to check it all out online at the virtual meeting platform until December 14.

Another conference has come and gone, but unlike years past, many of us attended sessions from home, from work, in lounge clothes, or in our fuzzy socks.

This year’s annual meeting experience was different from what we are all used to, but the great pediatric and neonatal content persisted.

One of the in-person conference Did you get a chance to learn highlights is the Pediatric/ about creative approaches Neonatal Special Interest Group to pediatric vascular access (PediNeoSIG) Networking from Matthew Ostroff, MSN, Reception.

The Executive AGANCP, VA-BC™, the 2020 Leadership Council (ELC) hosted Herbst Award winner? How the event this year on Zoom. about the much-anticipated Pediatric Grand Rounds, The Executive Leadership Council (ELC) The reception produced lively discussion and featured breakout pediatric and neonatal CLABSI rooms for even further collaboration. reduction, or the novel 26-gauge IV catheter? These sessions afforded our attendees the opportunity to Prior to the reception, we asked the 99 registrants to interact live in questions and answer forums with the rate in the order of importance the issues they would presenters. But the learning doesn’t stop there! like to see discussed. Check out the table below for an overview of the results. Stay tuned in the coming months for how we will tackle these priorities chosen by the SIG. CONTINUED ON NEXT PAGE

Training and Clinical Competency

1st time insertion success

102

93

Vessel depletion

Care for children with complex health conditions

Clinicians transitioning from adult to pediatrics/ neonates

Extravasation injuries

Catheter occlusions

71

56

40

39

21

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Thrombosis

Care of children in regional or rural settings

Parenting during COVID-19

19

7

5

PEDINEOSIG UPDATE, CONTINUED FROM PREVIOUS PAGE During the reception, many of the attendees suggested that PediNeoSIG members reconnect periodically to discuss issues affecting our specialty.

Your ELC heard you and are actively exploring how we can virtually reconnect in a relevant manner.

our neonatal practitioners and reconnect with our pediatric membership in new ways, as well as continue to provide meaningful educational experiences such as the pediatric and neonatal webinars featured over the past few months.

In further emphasizing our efforts to reconnect with our membership, the PediNeoSIG will be offering mentorship opportunities for our members that reach out for assistance. We have experts in various areas of practice and will connect you with someone who can provide guidance to the member. Stay tuned for more details in the coming months on this innovative program.

Heading into 2021 with a new name and under the leadership of new president Angela Alderman, RNC-NIC, BSN, the PediNeoSIG hopes you will join us in making this the year of reconnections. As we push forward in these uncertain times, please know that one fact remains constant: We as the Pediatric Neonatal Special Interest Group remain committed to improving vascular access for the pediatric and neonatal populations.

As an executive leadership council, we can’t wait to reconnect with the projects that have been on hold because of a shift in our professional lives when COVID-19 hit. We want to further embrace

If you are a member of AVA but not a member of the Pediatric Neonatal Special Interest Group, click HERE to join now!

NOVEMBER 2020 | 11

BEST EXPECTATIONS, WORSE OUTCOMES: A PATIENT AND FAMILY EXPERIENCE WITH RURAL HOME INFUSION

By: Erik Samarpan, RN, VA-BC™, LNC | Board Certified in Vascular Access; Legal Nurse Consultant; Oncology Credentialed; Infusion Specialist; ConSIG Director-at-Large

I recently took over the case of an 8-year-old male patient with Duchenne Muscular Dystrophy (DMD). He had received an Axon skipping medication at home in a rural, mountain environment in Northern Arizona for about two years. The same home infusion nurse had cared for him with weekly intravenous infusion, initially administered peripherally and then through an implanted port in his chest.

The specialty pharmacy had some concerns about the care provided by said nurse, so they requested a board-certified vascular access specialist to assess the situation and assume care of the patient. Upon my arrival at the home, I found Jose*, terrified, sitting close to his mother, Marie, crying and yelling, “No…no…no! I don’t want it!”

I asked Marie what happened to cause such fear in Jose. She said, “I don’t want to get anyone in trouble, but I have been very involved with Jose’s care both in the children’s hospital and at home. I research on the internet and participate in blogs with other DMD moms. I know what should be done and these things just aren’t right.”

I proceeded to ask for specifics. Jose had such fear in his little tearful, red eyes. Marie continued, “The same nurse came here for approximately 2 years. The nurse would mix the medicine first before assessing Jose and before checking his vital signs or even getting an IV started. Once he had his port placed, the nurse would still mix the medicine first and then try and access his port.”

“The nurse would ‘try’ to access his port?” I asked.

“Yes, many times the nurse would try to put the needle in and would have to remove the needle and try up to 7 times in one visit,” Marie replied.

“Did the nurse feel around the port before attempting to cannulate the site for the position and possible angulation of the port? Were additional attempts made with a new needle and new sterile gloves after cleaning the site?” I asked, incredulously.

Marie replied that no, the nurse never felt around the port before poking Jose. The nurse used the same needle and did not re-clean the site in between needle pokes. When I asked why the site wasn’t cleaned CONTINUED ON NEXT PAGE 12 | IQ | INTRAVASCULAR QUARTERLY NEWSLETTER

ConSIG Continuum of Care

SPECIAL INTEREST GROUP

BEST EXPECTATIONS, WORSE OUTCOMES, CONTINUED FROM PREVIOUS PAGE between ‘pokes’ and a new needle was not used, the nurse responded, “I am the nurse. I know what I am doing, and the site doesn’t need to be cleaned because I did it once and it is still sterile.”

After attempting 7 times to access the port, the nurse put an adhesive bandage covering most of the puncture holes. Subsequently, Marie asked about the need for gauze or something to cover all the holes.

The nurse again stated that she was the expert, does this kind of thing at the local hospital all the time, and knew what to do.

environment, select areas where we can improve practice, and educate clinicians and patients.

ConSIG was well represented at the 2020 AVA at Your Fingertips annual virtual scientific meeting.

There were multiple sessions specifically labeled as applicable for ConSIG as well as numerous sessions that have a direct impact for our area of concern. It is not too late to register and get Continuing Education credits for these sessions. Just look for the ConSIG symbol!

Jose looked at me and asked, “Are you going to hurt me like the other nurse did?”

“No way!” I said. Apprehension built up inside me.

I needed to somehow gain Jose’s and Marie’s trust and faith as a stranger coming into their home under these circumstances.

I used strategies to decrease the emotional disharmony, maximize the likelihood of success, and teach techniques for both Jose and Marie. In a future article, I will share more about these specifics. In addition, we will look at best expectations based on both standards of care and regional variances.

Unfortunately, this story is more common in postacute care settings than we would like to consider.

Patients with long-term devices, like Jose, often need to learn to become their own advocates.

What can be done? The Continuum of Care Special Interest Group (ConSIG), founded in 2017, is a newly re-energized special interest group. Our goal is to identify areas of improvement regarding vascular access found outside of the hospital or acute care

ConSIG Executive Leadership Monthly Zoom Call Next year, we hope to present even more relevant vascular access issues directly affecting out-ofhospital/clinic/acute care facility patient care and education. If you have expertise in the non-acute care setting, please consider submitting to be a speaker for the 2021 AVA Scientific Meeting in Orlando. AVA 2021 Call for Presentations We are also looking for membership involvement!

We would love to hear your feedback and for you to join us in our goals. Please contact us at consig@ avainfo.org. *Names changed for privacy

NOVEMBER 2020 | 13

WHAT DOES THE BOARD DEVELOPMENT COMMITTEE DO? Kristin Jacobs, MSN, MBA, RN, VA-BC™ | 2020 Board Development Committee Chair-Elect

The Board Development Committee (BDC) has been working hard behind the scenes. Do you know what this committee does for AVA?

be willing to devote their time and contribute during one to two monthly calls and all interview processes.

The term-of-service is two years. Candidates should consider their overall ability and suitability to time commitments. The BDC is currently considering candidates for the 2021 constituency.

Annually, the AVA Board of Directors identifies expertise desired to help with key strategic priorities. The Board Liaison conveys the criteria to the BDC. Under the guidance of the BDC Chair, the BDC team then solicits and reviews candidate applications for the upcoming year AVA Board positions of Directors at Large and Officers. Next, the BDC conducts a series of interviews identifying how the candidate’s experience and expertise can advance AVA’s strategic plans.

The BDC discusses and compares the candidate’s experience against the provided list of recommended qualifications requested by the Board. Finally, the BDC votes and BDC Chair submits a recommended slate of Molly Judge, BSN, CRNI®, VA-BC™ Officers and Directors at Large to Works for Indiana the AVA Board. The AVA Board University Health as a accepts or rejects the slate. Once Vascular Access Specialist accepted, the slate is then sent to Network: INDIVAN the AVA membership for voting.

Once that slate is approved by the member’s votes, the AVA Board is officially seated on January 1. The entire process takes about a year.

In the roles and responsibilities of the BDC, this group is actively involved in identifying, mentoring, and developing leaders for the organization. How this will occur will be a topic of discussion in 2021 and beyond.

BDC Chair-Elect Kristin Jacobs, MSN, MBA, RN, VA-BC™ Works for Medline Industries and Advent Health as a Vascular Access Specialist

Beginning in 2020, the BDC was also responsible for identifying and vetting individuals for the AVA Foundation Board of Directors. The process is similar including a list of desired qualifications, interviewing candidates and making recommendations based on the Foundation’s strategic plan.

The BDC also annually selects qualified individuals for this Committee. To qualify as a candidate for the BDC, applicants must have been in a leadership position for AVA within the last 10 years. Candidates must 14 | IQ | INTRAVASCULAR QUARTERLY NEWSLETTER

Network: GulfVAN

As the 2021 BDC Chair-Elect, I can say that belonging to the BDC is a rewarding experience that provides a broader perspective of AVA. I feel that being a committee member allows me to contribute to the future of AVA and assist with moving their strategic plan forward within our communities.

If you would like to be considered for the AVA Board, The AVA Foundation Board or the BDC Committee, please submit your application HERE.

The 2020 BDC members: Andrea Owens, MSNEd, RN, CRNI®, VA-BC™ | AVA Board Liaison Marcia Ryder, PhD, MS, RN | AVA Foundation Liaison Molly Judge, BSN, CRNI®, VA-BC™ | Chair Kristin Jacobs, MSN, MBA, RN, VA-BC™ | 2021 Chair-Elect Mark Hunter, MSN, BSN, RN, CRNI®, VA-BC™ | 2022 Chair-Elect Sean Lau, MBA, BSN, BS, RN, VA-BC™ | Continuing member in 2021 Bryan Davis, BSME, MBA | Continuing member in 2021 Carissa Bouchard, RN, BSN, CRNI®, VA-BC™ | Outgoing member at end of 2020 Jim Lacy, BSN, RN, VA-BC™ | Outgoing member at end of 2020 Beth Gore, PhD | AVA Staff Liaison, non-voting member

The special enhanced edition of Vessel Health and Preservation: The Right Approach for Vascular Access is now available to purchase.

Get yours today for just $9.99!

Hours of exclusive audio interviews with the authors discussing their areas of expertise are embedded into this version of the book, as well as animated videography capturing elements from actual vascular access procedures. AVA has also elevated the overall readability, and through Apple, Amazon and Barnes & Noble has added note-taking and flash card functionality for readers.

CORE VALUES RESPECT AVA believes treating others with respect will ensure a safe and healthy environment.

ACCOUNTABILITY AVA believes in setting and meeting timely deadlines and working together with our members, volunteers and other partners to pursue outcomes that help patients.

INTEGRITY AVA aspires to have a foundation of honesty and integrity in everything we do.

TEAMWORK AVA believes working together to unleash everyone’s potential will achieve exceptional results.

EXCELLENCE AVA creates a lasting and positive impact within vascular access through excellence in all endeavors.

MISSION

To lead healthcare by protecting patients and providers to improve lives

VISION

NOVEMBER A world with safe vascular2020 access

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THE CREATION OF A DEDICATED CRITICAL CARE VASCULAR ACCESS TEAM Wendy Hyland, RN, VA-BC™ Cynthia Waring, RN, BSN, VA-BC™

The dedicated Critical Care Vascular Access Team (CCVAT) was created in 2016 to pilot and redesign the routine of the existing IV/PICC Team. Prior to this intervention, the team functioned as two separate entities. The IV Team covered a large area of the hospital and performed such tasks as peripheral intravenous (PIV) insertion, phlebotomy, and daily PICC site checks and dressing changes. The PICC team awaited orders for PICC and Midline placements, with nurses rotating daily.

The new concept utilized a patient focused approach to vascular access as opposed to one revolving around tasks, which added continuity. The initial idea grew from a desire to alleviate a very busy and taxing workflow. This led to a slower response to calls, lack of time to assess all central line sites with biweekly cap changes, and poor demographics concerning the impending completion of a new heart pavilion building in a 331-bed tertiary care teaching hospital and research institute located in Lower Merion, Pennsylvania.

The idea behind establishing a CCVAT was first discussed formally with the Director of Nursing, the Patient Care Managers of the IV Team, both critical care units, and with various attending physicians in 2015. The Cardio-Thoracic surgeon and his CRNP/PAs were interested in eliminating PICC postponements and having an onsite team to provide aid in urgent vascular access cases. The Infectious Disease Department was launching a new “Getting to Zero” campaign to reduce Central Line Blood Stream Infections (CLABSI), as the hospital’s CLABSI rate was above the target number. Could a dedicated VAT for critical care help to reduce the current infection rate and reduce the workload of the team with a different approach? The teams started gathering data.

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The data included a comparison of critical care PICCs ordered and completed to the number of non-critical care patient floors. Delays and postponements were documented as a lack of time for completion existed from the single 8-hour day shift PICC team. These numbers were then presented to the Leadership Committee and the Getting to Zero CLABSI committee to propose the benefits of a dedicated team for critical care as the majority of PICCs and central lines came from the ICU. The proposed team consisted of the same two members to cover both critical care areas providing continuity and patient focus addressing the unique needs of the critically ill patient. A rotating team member was assigned to step in on days off to maintain consistency. The administration accepted the abstract and proposal with plans made to begin the project in October 2016. The Infection Preventionist would monitor and provide CLABSI data, dwell times of central lines and compile results of monthly compliance audits of utilization of alcohol impregnated caps on all open ports. The new dedicated CCVAT would CONTINUED ON NEXT PAGE

DEDICATED CRITICAL CARE TEAM, CONTINUED FROM PREVIOUS PAGE be responsible for answering all vascular access need calls, PICC evaluation and insertions, and central line care and maintenance of the critical care patient census. The completion of the Heart Pavilion building – which housed the 32-bed CICU on one floor and the 16-bed CTICU with a 16-bed CTSDU – presented the opportunity to confine the logistics to 2 patient floors. An outpatient Cardiac Department for ECHO, TEE and Nuclear Cardiology would be included as it was also in the Heart Pavilion.

SUMMARY Every morning begins with a review of each patient on both the CICU and CTICU/CTSDU for the current vascular access device(s) present and assessing changes in the patient’s condition that may require either an increase or a decrease in their vascular access needs. This information is gathered through medication review and condition status. Both team members have knowledge of all patients. This encourages discussion and suggestions regarding appropriate vascular access change. The continuity this provides by seeing a consistent patient census allows for the ability to assess more efficiently and to note changes more quickly. Once on site in the critical care units, the clinicians conduct a visual and tactile examination of all central lines, including midlines and extended dwell peripheral IVs. Although they divide and share the workload, teamwork and consistency are paramount. The patients anticipate the daily ritual and are encouraged to report any problems or concerns. The more they are included the

less anxiety they have regarding their lines. Noting a patient may need more frequent dressing changes, skin care issues or problems with line patency is easier when one is familiar with the patient. These subtle changes are more noticeable when viewed by the same VAT nurse. It is often these kinds of factors that can alert us of an increased risk for developing a CLABSI and to be proactive in its prevention. The Critical Care Infection Preventionist is also available to discuss risk status.

The team carries a beeper and shares incoming pages for IV insertion and lab draws. There is little or no wait time addressing these calls. Consultation for PICC orders is conducted at the bedside which aids in assessing triage for urgency and need. Insertion is not considered a separate task but incorporated into the daily routine. Often during the morning review, there is an anticipated need for a PICC, which then can be recommended during rounds.

The availability of being on the unit provides the opportunity for discussion with the patient’s nurse and collaboration with the physician. Familiarity with the critical care interns and residents emphasizes the focus on care and need of central lines. It is a priority for discussion on the ICU rounds. They determine the need of each central line and note its duration.

Daily assessment and follow-through by multiple staff members encourage prompt removal while the CCVAT establishes appropriate and alternative vascular access to meet the patient need.

The infection prevention team developed the “Drill Down Tool” with input from other appropriate specialties, including the vascular access team. It is a CONTINUED ON NEXT PAGE NOVEMBER 2020 | 17

DEDICATED CRITICAL CARE TEAM, CONTINUED FROM PREVIOUS PAGE bedside review initiated when and if a CLABSI occurs.

This entails a gathering of team members from various departments. The infection Preventionist brings a form with specific line data to open a discussion for determining reasons why the CLABSI occurred, plus effective ways to prevent future occurrences.

Accountability for cap changes and use of alcohol impregnated caps on all ports is audited as well as weekly dressing changes and proper documentation.

Other factors are also addressed, including the patient history, the environment cleanliness and equipment in the patient room. It encourages compliance with BSI among all departments. This review has prompted the use of an oral secretion barrier or “bib� to place on patients with copious oral or tracheal secretions impeding the efficacy or integrity of a central line dressing, especially located in the neck or chest wall. The CTICU has a unique issue with the large bore jugular introducer line as the weight of the IV tubing often causes exposure of the suture line.

Developing a dressing where two CHG dressings are applied in an interlocking fashion helped to control this problem. The CCVAT is encouraged to address and entertain any ideas that may lead to infection prevention. Complication prevention requests are also utilized by individual physicians by the CCVAT. For example, one CT surgeon prefers his patients wait two hours following PICC removal before discharge.

Most of his patients are on anticoagulant therapy and he wants to eliminate any chance of bleeding from the site on their ride home. Knowing the preferences of physicians is a great example of the benefits of

continuity and consistency. Adaptation and flexibility with the unique and changing needs of the critical care patient and the staff that care for them has led to the success of the CCVAT.

EDUCATION Emphasis on the education of both the nursing and medical staff is paramount. An annual presentation by the VAT for the medical interns and residents has existed for a few years, providing an hourlong introduction to PICC and Midlines. Since the inception of the CCVAT it has become more organized and scheduled to be included on site in the CICU every 4-6 weeks as the residents rotate. Now included in the presentation are all various vascular access devices, and a quick field trip to the supply room.

This increase in awareness provides options for the patient they did not previously consider. The desire to learn more about vascular access and teach proper technique for insertion is popular.

The Chief of Medical Education approached the CCVAT about including a rotation as one of the medical electives. Shadowing the CCVAT for two weeks has allowed the doctors to learn how to obtain peripheral IV access and draw labs. They have an opportunity to become more familiar with ultrasound guidance techniques. They observe PICC order consult guidelines, contraindications, and proper insertion techniques. One of the most helpful areas is central line dressing application. Our hospital has moved forward in discouraging suturing of central lines as the dressings are capable securement devices especially in conjunction with a stabilizing CONTINUED ON NEXT PAGE

18 | IQ | INTRAVASCULAR QUARTERLY NEWSLETTER

DEDICATED CRITICAL CARE TEAM, CONTINUED FROM PREVIOUS PAGE lock. They see how placement of internal jugular lines are dressed more efficiently when the hub is lower on the neck and the dressing can be placed on a slightly flatter surface. The CCVAT has created a video along with an anesthesiologist to present to the OR as a CBT. The doctors learn the importance of CHG scrub and dry time to effectively follow the central line bundle for insertion and dressing changes. Since 2018, 15 residents have completed the elective course, with many more scheduled to do the same.

The “Getting to Zero” campaign to reduce CLABSI provided numerous nursing education opportunities.

One of the most important was to eliminate central line blood draws throughout the hospital except by the VAT. The critical care areas were not included but were instructed by the CCVAT on the proper technique. This was an aggressive endeavor, as it required more than 200 nurses to complete the procedure through return demonstration. It is now a required part of the critical care nursing orientation packet. The critical care nursing educators have incorporated the CCVAT as part of the orientation process for new critical care nursing staff. They are given a brief overview of the function and availability of the team. This is meant to encourage questions and collaboration regarding their patient’s vascular access

Graph #1: CLABSIs in Critical Care Excluding HD lines

care. The nursing staff education is considered pivotal for the continued success of infection reduction.

A more creative approach is taken to remind them of some of the ways they can contribute. To reinforce the importance of the basics, a “Scrub the Hub” costume was created and presented to the staff by the two members of the CCVAT. It was so well received that the costume presentation was repeated for “IV Blitz Day” in the hospital cafeteria and to each patient floor throughout the hospital. Another presentation featured the wearing of skeleton long-sleeved T-shirts, complete with various vascular access devices, with one team member acting as the central line and another as a peripheral line. ICU nurses had the opportunity to see the devices up close and with the anatomically correct tip termination. The next costume presentation was The Blues Brothers, CLABSI and PLABSI. Introducing awareness of the Peripheral Line Blood Stream Infection (PLABSI) has become another function of the team. This recent presentation focuses on PIV site assessment and awareness of complications, high risk med infusion, and prompt removal of unnecessary or unused devices. Numerous posters are created and displayed as an effort to address current concerns and reminders of the basics of catheter care and maintenance.

DATA RESULTS CLABSI causes increased patient morbidity and mortality, as well as cost and length of stay. Reducing the rate of CLABSI was the main objective of the “Getting to Zero” campaign initiated in 2016. Graph 1 shows CLABSI amounts in the Critical Care areas excluding Hemodialysis central lines as follows: 2015=7, 2016=5, 2017=5 and 2018=2, and 2019=3. Results measured by the total number of CLABSIs/1000 catheter days.

Compliance of the use of alcohol impregnated caps for all open ports of CONTINUED ON NEXT PAGE NOVEMBER 2020 | 19

DEDICATED CRITICAL CARE TEAM, CONTINUED FROM PREVIOUS PAGE central lines and attached tubing has remained above 85% since 2015, as seen on Graph 2. This data is collected via random monthly audits. Any significant decrease in this rate is addressed through education.

Graph #2: Alcohol Impregnated Cap Audit

Device Utilization in Graph 3 shows a significant decrease in the CICU. Fluctuations noted in the CTICU may be affected by the patient census and disposition.

CONCLUSION The initiation of a dedicated vascular access team for critical care has become a specialty within a specialty, providing a skill with continuity, reliability, integrity and dedication every day for every patient.

The CCVAT enforces of the following motto: “The right line, for the right patient at the right time.� The CCVAT is on a journey that cannot just be measured through data collection alone. Along the way we have found cooperation, support and collaboration with all the departments that are required to run an exemplary unit. We have plans to continue and refine the education of both the nursing and medical staff with regards to the care and maintenance of all vascular devices. We will continue to attend the bedside drill downs on all CLABSI events to help identify trends and target areas of focus. We will continue to advocate the prompt removal of central line devices when no longer indicated to decrease dwell days and utilization time. We will continue to monitor our results through audits and evaluate the effectiveness of our methods. Through consultation and evidence-based practice, the team approaches each day to provide the most appropriate vascular access device for each patient.

Graph 3: Device Utilization CTICU

CICU

Although the CCVAT has been welcomed and well received by the critical care units, it is not without its issues. It created a divide within the VAT that was not an intentional or an anticipated result. The workload of the members in the non-critical care area was not affectively reduced or workflow improved. An increase in staff for day CONTINUED ON NEXT PAGE

20 | IQ | INTRAVASCULAR QUARTERLY NEWSLETTER

NETWORK NEWS FLAVAN Diana Melton, MSHA, RN, CRNI®, VA-BC™ | FLAVAN President Caitlin Soldati, BSN, RN, VA-BC™ | FLAVAN Secretary Meagan Capen, PNP-AC, MSN, RN, VA-BC™ | FLAVAN Treasurer

FLAVAN kicked off 2020 with an exciting local chapter meeting! We had an amazing and educational presentation on “Using Data to Drive Outcomes: The Key to Personalized Vascular Access Care” by the Presiding President of AVA, Lori Kaczmarek, MSN, RN, VA-BC™! We had a great turn out with 24 attendees!

Due to Covid 19, FLAVAN was forced to cancel our 12th Annual FLAVAN Vascular Access Summit that would have taken place in August. FLAVAN’s President, Diana Melton, brought the fantastic idea of collaborating with Professional Vascular Access groups in Florida to continue to bring education and resources to our members!

FLAVAN coordinated with Florida Gulf Coast Vascular Access Network and Central Florida INS to provide live webinars for all 3 groups! Since then we have jointly hosted 4 webinars:

This month our live webinar is also available to members of the Boca Association for Vascular Access, INS-Florida Gulf Coast Chapter, and South Florida INS! We will finish the year strong with our last joint live webinar in December!

FLAVAN’s secretary, Caitlin Soldati successfully petitioned for and obtained the city of Gainesville, Florida’s proclamation of October 5th, 2020 as “Vascular Access Specialist Day” and Governor Ron Desantis’s letter of recognition regarding the State of Florida’s 2nd annual Vascular Access Specialty Day! For more FLAVAN news and upcoming events please visit our website by clicking the link FLAVAN and don’t forget to like us on Facebook!

• The Future of Infiltration Management is Now! • Using data to drive outcomes: The key to personalized vascular access care • Precautions and PPE considerations for vascular access during COVID-19 • Pain Management in Vascular Access

DEDICATED CRITICAL CARE TEAM, CONTINUED FROM PREVIOUS PAGE shift has been requested to combat the increasing demand of services and need for staff education on patient floors. Availability for PICC insertion hours has been added to prevent postponements especially for discharge. The role of the vascular access nurse continues to evolve. Addressing needs of patients and staff with innovative ideas and models will only be successful through change, determination, and perseverance.

All of this has been an enlightening experience as we learn something new each day. The teamwork and

partnership allow us to encourage each other, work with our combined strengths and strive to improve our weaknesses. We attempt to make a difference through intense care and maintenance of central and peripheral lines, skilled insertion and assessment, and prompt removal of lines to prevent measurable and immeasurable possible complications.

Acknowledgements and thanks to Caitlin Lynch, MPH and Carol Weyhmuller, MS, MT(ASCP), CIC, Lead Infection Preventionist.

NOVEMBER 2020 | 21

NETWORK NEWS GULFVAN Kristin Jacobs, MSN, RN, VA-BC™ | GulfVAN President

GulfVAN is pleased to announce that Mayor Castor has signed our second annual Proclamation of Vascular Access Specialty Day for the Tampa Bay area. As we celebrated the day on October 5, GulfVAN was thrilled to send two members to 2020 AVA at Your Fingertips. Please help us congratulate Doreen Carotenuto, RN, VA-BC™, from Cape Coral Hospital and Melissa Chiaputti, RN, from John’s Hopkins All Children’s Hospital!

Doreen drives more three hours to attend our events and has been a member since 2018. Melissa has

22 | IQ | INTRAVASCULAR QUARTERLY NEWSLETTER

been a GulfVAN member since 2014 and there is rarely a meeting that she does not attend. This type of dedication could not be overlooked! We are thrilled to have both of these clinicians represent our network and the Nina Marie Marino-Williams Scholarship this year. Congratulations to you both!

GulfVAN resumed meetings in August. Our network has partnered with FLAVAN and Central Florida INS to bring educational opportunities via virtual platform until we can meet again in person. This joint arrangement has been unifying for clinicians across the state. We also planned and held an ALL FLORIDA meeting that includes GulfVAN, FLAVAN, BOCAVA, Gulfcoast INS, Central Florida INS, and South Florida INS on November 10, 2020. #weareallinthistogether #MannyMatters

AVA Academy is always open!

ACADEMY

The Association for Vascular Access (AVA), in collaboration with The Clinician Exchange (TCX), launched a new, best-in-class learning management system tailored to aspiring and established vascular access clinicians.

Providing cutting edge training, critically-acclaimed presentations from scientific meetings, journal review courses and much more, AVA Academy is a groundbreaking initiative that advances the heart of AVA’s mission – Protect the Patient | Educate the Clinician | Save the Line. Academy curriculum is now available to the public, and to active AVA members at a discount.

Looking to further your education but struggling to find the time amidst a busy work schedule? AVA Academy is always open!

It's our mission to create greater public awareness of vascular access and to empower our members with significantly more educational resources, networking opportunities, and advocacy tools in support of and dedication to the patients that we are entrusted to serve.

AVA Academy is now open to all curious minds Choose and enroll in your classes today!

View Course Catalog

Launch My Courses

• Review course content, outlines and objectives

• Sign in to your personal AVA Academy Account

• Purchase courses

• Launch your courses

• Add courses to your personal Course List

• Take quizzes

• Available to Members, Non-members and all site visitors with a Guest Account

• Available to Members and Non-members with a Guest Account

• If you're not an AVA member, consider Joining AVA or you may create a Guest Account at no charge

• You will need to sign in to the AVA website prior to clicking Launch My Courses above

Learn more at www.avainfo.org/AcademyLaunch NOVEMBER 2020

| 23

You probably already know about the ISAVE That Line campaign AVA launched in 2006 to bring crucial principles of vascular access device management directly to the bedside. Putting patients first, ISAVE encourages and emphasizes a “back to basics” approach, essential to reducing the risk of infection and improving the management of all vascular access devices.

On the cliniciancentered version, ISAVE stands for:

I

Implement insertion care and maintenance bundles

S

Scrupulous hand hygiene

A

Always disinfect every needleless connector

V

Vein Preservation

E

Ensure Patency

Introducing our NEW addition to the ISAVE family that supports this program from the ground level: A patientfriendly version. Written and edited by patients and caregivers, this new resource is completely FREE as a downloadable PDF. Please share and distribute this resource in your facilities, with your colleagues, on your social media platforms, with your patients and with your family. We simply ask that you not amend it without prior permission from AVA.

On the patientcentered version, ISAVE stands for:

I

Inform us right away

S

See us check your IV often

A

Ask us to clean our hands

V

Value your veins

If you’d like laminated full-size sheet versions of this patient asset already printed, we have those available for sale in the AVA store in packs of 10 for $25.

E

Expect us to follow basic rules

Click here to purchase yours.

A Guide For Patients and Families

Remember, purchasing official ISAVE assets directly helps AVA advance its mission, which is Protect the Patient | Educate the Clinician | Save the Line.

You can also support the AVA Foundation, which focuses on advancing Education, Research and Innovation in vascular access.

Take the pledge, be involved and join AVA in our mission to keep our patients free of infection!

Find out more online.

I

NFORM US RIGHT AWAY IF YOUR IV SITE HAS ANY

S A V E

S welling T emperature Change O ozing P ain

OF THE FOLLOWING:

EE US CHECK YOUR IV OFTEN

Is it working?

Is there Swelling, Temperature change, Oozing, Pain?

Is your IV dressing clean, dry and not peeling?

Is your IV still needed?

SK US TO CLEAN OUR HANDS

Expect us to wash our hands or use hand sanitizer when going in and out of your room.

ALUE YOUR VEINS

We have technology to help us place your IV. If you are not getting IV fluids or medicines, you might not need an IV. Protect your IV from accidently getting pulled out.

XPECT US TO FOLLOW BASIC RULES:

We will talk with you about your IV needs.

We will select the best IV for your care.

We will choose the best site for your IV. We will ask for help if we cannot get your IV after 2 attempts.

We will clean your skin before inserting your IV. We will scrub the end of your IV every time we use it.

www.avainfo.org

The information presented in this PDF is free to download and share and made available

by The Association for Vascular Access (AVA) strictly for educational purposes. This document is meant to provide general information and understanding of Vascular Access devices and procedures. It is not meant to provide specific medical advice. AVA, it's Board of Directors, staff and members are not liable for outcomes associated with your care.

AVA encourages the use of this document for Vascular Access education, provided it is not modified. Please share it with clinicians, patients and their families and attribute this resource to AVA. You may also include the links to our additional resources (if applicable). AVA's informational resources educate these clinicians, patients and their families to ensure they receive safe Vascular Access care. Feel free to print, post and share this document within your healthcare institution, as well as on social media.

If you have questions, please contact ava@avainfo.org.

Stay up on QUARTERLY the latestNEWSLETTER at www.avainfo.org/isavethatline 24 | IQ | INTRAVASCULAR

AVAILABLE NOW

2020 RESOURCE GUIDE FOR VASCULAR ACCESS 2020

RESOURCE GUIDE FOR

SS VASCULAR ACCE de for Recommended Study Gui tification Vascular Access Board Cer 1st Edition

The 2020 AVA Resource Guide for Vascular Access: AVA's Recommended Study Guide for Vascular Access Board Certification provides an overview of basic vascular access knowledge and covers essential elements that clinicians implement on a daily basis. Throughout the Resource Guide, readers have access to high definition images, videos, illustrations and engaging animations that give them a greater understanding of the concepts. The guide may be used to prepare for the vascular access board certification examination (VA-BC™), as well as serve as a resource throughout professional practice.

AVA MEMBER PRICE: $85 print $75 digital only $140 bundle (print and digital) NON AVA MEMBER PRICE: $100 print $90 digital only $165 bundle (print and digital)

Check out the Resource Guide https://www.youtube.com/channel/ sneak peak videos on UCP3i3q44bvmVdjjUclt9esw our YouTube channel!

PURCHASE IT ONLINE TODAY! Digital Access: • Your digital key will allow access on two devices • Corrections and incremental updates to version one will automatically populate your digital copy (at no additional charge)

NOVEMBER 2020 | 25

26 | IQ | INTRAVASCULAR QUARTERLY NEWSLETTER

Subscribe no w on the following pla tforms:

WWW.AVAIN

FO.ORG/PODC

AST

HAVE YOU BEEN LISTENING? ISAVE That Podcast Season 3 Season 3, Episode 7 When is the right time to conduct a meta-analysis? What parameters should you and your team use? How far back should you go in literature research? The ISAVE That Podcast is fortunate to be joined by Dr. Greg Schears, a pediatric intensivist and anesthesiologist, to answer these questions and more. Sponsored by 2020 AVA Enterprise Partner BD, this episode focuses on a meta-analysis Dr. Schears and his team recently completed on PICCs and how when inserted with best practice experience low deep vein thrombosis.

It also investigates CLABSI risk in CICCs.

Season 3, Episode 6 The big reveal is here! The Association for Vascular Access and B. Braun Medical, Inc. are collaborating to increase the standards around and enhance the training for peripheral IV placement in vascular access. This episode of the ISAVE That Podcast welcomes a number of guests that worked behind the scenes to establish this partnership and piece together the initial stages of the curriculum: AVA Director of Clinical Education Judy Thompson, MSNEd, RN, VA-BC™ chats with Mike Golebiowski, Vice President of Healthcare Strategy & Innovation at B. Braun, Inc., Andrea Owens MSNEd, RN, CRNI®, VA-BC™, Assistant Professor of Nursing at Marian University, Christine Vandenhouten, PhD, RN, Chair and Professor of Nursing & Health Studies at Wisconsin-Green Bay and Michelle DeVries, MPH, CIC, VA-BC™, Senior Infection Control Officer at Methodist Hospitals about the structure of the curriculum, upcoming pilot studies and more.

NOVEMBER 2020 | 27

AVA currently has 52 active networks The Association for Vascular Access is committed to providing an opportunity for members to broaden their knowledge of vascular access and related fields through networking opportunities and education.

AVA Networks offer vascular access professionals the opportunity to network with other professionals in their area of expertise.

Network meetings offer educational sharing opportunities, continuing education credits, dinner meetings and quality dynamic speakers.

Do You Know Where Your Nearest Network Is? w w w. ava i n f o . or g / n e t w or k s

Connecting Talent with Opportunity Search and apply for job opportunities in the vascular access field. On LinkedIn? Save time and import your profile directly to the AVA Career Center.

Post an ad for an available vascular access position -find the best talent!

28 | IQ | INTRAVASCULAR QUARTERLY NEWSLETTER

Start your search at:

jobs.avainfo.org

Welcome

to our Newest

Lisa Sorrells -- Arden, NC Alicia Alley Levenson -- Newburgh, IN Paula van Sante -- Amsterdam, Netherlands Shanon hare -- Blanchard, OK Amanda Black -- Ozark, MO Leanne Tremain -- Hamilton, ON Linda Gildea -- Middletown, NY Jillian Olson -- Chandler, AZ Ann Boudreau -- Brockton, MA Vilma Farkas -- Brooklyn, NY Jennifer Chavez -- Wichita Falls, TX Tamara Slack -- Ocala, FL Laura Moretta -- Sacramento, CA Michael Stiller -- Minden, NV Heidi Erdmann -- St. Charles, MO Lauren Golar -- Oregon City, OR Allison Donahue -- Milton, TN Steven Hilliard -- Southgate, MI Whitney Counts -- Denver, CO Bobbie Perry -- Anacortes, WA Kurtis Johmann -- Fairview, NJ Susane Frith -- Cambria Hts, NY Georgia Oneal -- Newport, NC Heather Kho -- Alburquerque, NM Elizabeth Kellihan -- Floyds Knobs, IN Roger Arnott -- Chapel Hill, NC Sarah Uhlan -- Wallingford, CT Teresa Borunda -- Oakdale, CA Lisa Leonardo -- Holly Hill, FL Trisha Kiliany -- South Bend, WA Karen Sadler -- Melbourne, VIC Lisa Fox -- Midlothian, TX Suzy Freeman -- Wasilla, AK Kimberlee Chenoweth -- Draper, UT Joe Destefani -- San Diego, CA Stephanie Buganski -- Cincinnati, OH Robert Rivera -- Tampa, FL Megan Mattingly -- Chicago, IL Colin Smith -- Oklahoma City, OK Gary Metcalf -- Columbus, GA Linda Vu Van -- Philadelphia, PA Deseriee Padilla -- Rock Springs, WY

Members (Joined August 1, 2020 - October 1, 2020)

Kelley Vatteroni -- Tolland, CT Ilona Leiderman -- San Francisco, CA Ann Stetson -- Newport, NH Timothy McDonald -- Gulfport, FL Nancy Vadala -- North Reading, MA

Merieanna Chu -- Temple City, CA Jacob Harness -- Cherry Hill, NJ Steve Richard -- Davidson, NC Kaitlin Crafton -- Del Mar, CA Eileen Higgins -- Davis, CA

Matthew O’Hare -- Tacoma, WA Makesi Mentore -- Brooklyn, NY Megan Richard -- Roxbury, ME Kenneth Johnson -- Canton, MI Timothy Yust -- San Pedro, CA Fahmi Aldhaheri -- Riyadh, Saudi Arabia Owen Dubbs -- Mechanicsburg, PA Christine deBoer -- Woodstock, ON Amy Hoffecker -- Mechanicsburg, PA Kimberley Carr -- Anchorage, AK Christina Arney -- Lincoln, NE Aaron Kravitz -- San Antonio, TX Lisa Gallant -- Merrimack, NH Gladys Fajotina -- Ewa Beach, HI Alana Beilstein -- Sparks, NV YoungPil Oh -- Sachse, TX Rebecca Pape -- Neptune City, NJ William Lessa -- Addison, TX Molly Chambery -- Webster, NY Kelly Miller -- Cranston, RI Donnelle Hankins -- Quincy, IL Lonnie Miller -- Stayton, OR Suzanne Alvarado -- Springfield, MA Ashley Walker -- Raeford, NC Carol Asker -- Fort Lauderdale, FL Malisha Dickson -- Westerville, OH Valerie Giglio -- Boynton Beach, FL Yoonjoung Kim -- Centreville, VA Jean Combs -- Elkton, MD Tiphaine Tenailleau -- Ecouen, France Amber Edens -- Phoenix, AZ Karen Hilden -- Broomall, PA Lindsay Whittington -- Sugar Land, TX Genoveva Balboa -- College Station, TN Jian Salcedo -- Modesto, CA Emily Endorf -- Minneapolis, MN Ann Jaclyn Te -- Woodbridge, NJ Zahra Rizvi -- Yonkers, NY

Kathryn Ubben -- Newport News, VA Linda Sandstrom -- Anchorage, AK Dee Farrington -- Menifee, CA Nic Yacopetti -- Holgate, NSW Nicholas Perrenoud -- Redlands, CA Sarah Morse -- Oswego, NY Kristi Cortez -- Owings Mills, MD Valerie Hamilton -- Orwigsburg, PA Andi McIntosh -- Carmel, IN Lizett Sanchez -- El Paso, TX Jeanne Daulo -- West Hills, CA Allison Benedict -- Inkom, ID Lawarnda Hash -- Atlanta, GA Catherine Johnson -- Roanoke, TX Lisa Winter -- Eatonville, WA Fatou Diouf -- Houston, TX Rachel Kissel -- Indianapolis, IN Amy Roberts -- Chicago, IL Amanda Smith -- South Milwaukee, WI Jill Szegda -- Atlanta, GA Cheryl Pauley -- New Bern, NC Rochelle Delegencia -- San Jose, CA Dennis Soriano -- Downey, CA Haylie Lichtenberger -- San Diego, CA Andrew Nguyen -- Fort Worth, TX Lindsey McHalffey -- Alexander, AR Cody Spangler -- Freeport, PA Stephanie Tavares -- Selkirk, NY Stefanie Stewart -- Wilton, CA David Tincopa -- Manchester, CT Kristy Clayton -- Hillsborough, NC Susan Fullana -- Windsor, CT Biana Elberg -- Brooklyn, NY Cassandra Stedman -- St. Johns, MS Elizabeth Dean -- Apex, NC Jessica Riffe -- Chesapeake Beach, MD Emily Morin -- Brunswick, ME Carol Craig -- Bend, OR

NOVEMBER 2020 | 29

Watch for the latest from JAVA

Check out our latest edition of:

Have you checked out the Fall Edition of JAVA yet?

AND BE ON THE LOOKOUT THE WINTER EDITION COMING SOON!

Behind on your CEs? AVA members have access to the CE article in each issue of JAVA! Simply read and complete the short quiz to receive 1.0 contact hour. Click here.

Learn more about JAVA here.

The Journal of the Association for Vascular Access (JAVA) publishes original peer-reviewed feature articles related to the care and management of patients with vascular access devices. AVA members are the ‘trend-setters’ in the vascular access arena and are keeping up with the most current advancements in the industry.

1,500

00

30 | IQ | INTRAVASCULAR QUARTERLY NEWSLETTER

CALL FOR MANUSCRIPTS

We invite you to submit original manuscripts in the field of Vascular Access. We are interested in receiving manuscripts on clinical practice, education and research related to vascular access including articles on vascular access manufacturing and technology, and vascular access care and maintenance issues in hospitals, home settings, hospice, and alternative care facilities.

We also invite submissions to our Patient/Consumer Perspective column where we ask you to share personal stories or “lessons learned� about caring for, living with or having a vascular access device. In about 1000 words and in conversational style, present your story. You can submit on behalf of someone or encourage them to write it themselves.

FOR COMPLETE INSTRUCTIONS SEE:

Information for Authors at www.avajournal.com Or contact the JAVA Editor at JAVAEditor@avainfo.org NOVEMBER 2020 | 31

Advertise to the Market You’ve Been Looking For . . .

Advertising space available on AVAinfo.org The Second Edition of the ‘Chart of Pediatric CVC Maintenance Bundles’ IS AVAILABLE AT AVAINFO.ORG/STORE

GET YOURS TODAY! Printed full color with gloss UV coating 13” x 19” size Package of 5 Members: $40 Non-members: $50 Shipping included 32 | IQ | INTRAVASCULAR QUARTERLY NEWSLETTER

DO YOU LIKE WHAT YOU READ HERE? Would you like to be part of this publication?

Do you have something interesting, informative or new going on in your place of practice? Have you cared for a special or interesting patient? Do you or your colleagues have new or innovative ways of doing things? Have you been to or presented to any meetings or conferences?

WE INVITE YOU TO SUBMIT FOR PUBLICATION Writing a submission does not mean that you have to write the next great American novel.

It is more about presenting pertinent information in a brief, fun and creative way.

Please submit to eseger@avainfo.org

SUBMISSION DATES ARE: FEBRUARY 1 deadline for submissions for February issue MAY 1 deadline for submissions for May issue AUGUST 1 deadline for submissions for August issue NOVEMBER 1 deadline for submissions for November issue

Visit our website www.avainfo.org

@associationforvascularaccess www.facebook.com/associationforvascularaccess/

@ISaveThatLine twitter.com/ISaveThatLine

@i_save_that_line www.instagram.com/i_save_that_line/

@associationforvascularaccess www.pinterest.com/associationforvascularaccess/

Association For Vascular Access www.linkedin.com/company/association-for-vascular-access/

Association For Vascular Access www.youtube.com/AssociationForVascularAccess

F O R C O M M E N T S OR S U G G E S T I O N S , P L E A S E S U B M I T T O AVA @ AVA I N F O . OR G Disclaimer: AVA (Association for Vascular Access) is a professional organization of vascular access professionals dedicated to improving vascular access practice and patient outcomes through education and other means. AVA publishes this periodic electronic newsletter for our membership and other interested parties for information purposes only. AVA distributes this electronic newsletter with the understanding that AVA is not engaged in rendering medical or professional service through the distribution of the IQ publication. AVA is not giving advice and does not subscribe to guarantee the accuracy or efficacy of the information provided. Privacy Policy and Unsubscribe Information -AVA maintains strict rules of confidence with regards to your email address and all other personal contact information. We will not, under any circumstances, sell, transfer, or provide your email address to any third party for any reason. Email lists are compiled on an opt-in basis by AVA for the sole purpose of distributing the IQ newsletter. AVA does not condone or participate in the distribution of unsolicited email. If you feel that you have received an email transmission from AVA in error, please contact AVA at info@avainfo.org and ask to be removed from the list. All removal requests are addressed promptly.

NOVEMBER 2020 | 33