Intravascular
QUARTERLY
Global Disclaimer: The views and opinions expressed in the Intervascular Quarterly Newsletter are those of the authors and do not necessarily reflect the official policies or positions of the Association for Vascular Access (AVA) or any of its leaders, volunteers, employees, committees, networks or other groups associated with AVA. For information on this publication, please email info@avainfo.org.
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THE E-NEWS PUBLICATION OF THE ASSOCIATION FOR VASCULAR ACCESS
THE E-NEWS PUBLICATION OF THE ASSOCIATION FOR VASCULAR ACCESS
IQ CONTENT INSIDE AVA.............................................................................05 AVASM22................................................................................ 07 SESSION PREVIEW ...........................................................08 SAFE AND RELIABLE VASCULAR ACCESS ...........09 AVA FOUNDATION UPDATE: AVASM22 SCHOLARSHIPS ................................................................... 11
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SNEAK PEEK: AVASM22 SESSIONS.......................... 13 ISAVE THAT PODCAST SEASON 4.............................. 15 BACSIG: VASCULAR ACCESS DEVICE USE IN SKILLED NURSING FACILITIES .................................. 16 NETWORK NEWS................................................................ 19 THANK YOU INDUSTRY PARTNERS ...........................22 MEMBER NEWS.................................................................. 23
MAY 2022 | VOLUME XII | ISSUE 2
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THE E-NEWS PUBLICATION OF THE ASSOCIATION FOR VASCULAR ACCESS
INSIDE AVA
INSIDE AVA: NOTES FROM THE EXECUTIVE TEAM Cate Brennan, MBA, CAE, AVA Chief Executive Officer Tonya Hutchison, CAE, AVA Chief Operations Officer
BUSY, BUSY, BUSY The last few months have been busy ones for AVA volunteers and staff. Tonya and I are pleased to announce that Jennifer Finlayson joined the staff as our muchneeded Administrative Assistant in April. Here are a few of the highlights, in case you missed them.
NEW STRATEGIC PLAN The Board of Directors approved a new strategic plan in February. The plan focuses on the member benefits AVA does best: providing the best-quality continuing education to improve clinical practice and workforce entry, featuring the Fundamentals of PIV 3-part course. New in this updated plan is a focus on building awareness of the value of vascular access specialists with employers, public policy makers, and like-minded organizations. AVA has a renewed focus on advocating for VA clinicians and patients. Advocacy takes many forms, including Vascular Access Specialty Day and demonstrating that AVA is the dominant thought leader in vascular access. The Board also put a special emphasis on diversifying AVA’s membership. We want membership to mirror the multi-disciplinary healthcare teams found in your workplace. Please help us recruit more physicians, physician assistants, nurse practitioners, respiratory therapists, radiologic technologists, and others in order to strengthen AVA’s voice and impact.
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CARES BY AVA Working with the over 50 AVA Networks, a joint membership recruitment and retention campaign was launched: CARES by AVA. CARES stands for Competency • Action • Results • Education • Satisfaction. This marks the first time AVA and its networks have had a coordinated effort to recruit new members to both AVA and its Networks. An important aspect of CARES is that AVA can now collect dues for the Network. Being able to pay both Network and national dues is a huge convenience for our future and current members. A big “thank you” to MOKanVAN and COVAN for being the first to sign up! New members to AVA also receive a special, one-time discount of 20 percent off, which makes first-year dues $99. If your Network hasn’t signed up for CARES yet, contact cbrennan@avainfo.org.
NEW INDUSTRY PARTNERS AVA is pleased to introduce its new Industry Partners: AccuVein – Its corporate statement is, “AccuVein is a global leader in medical imaging solutions. Vein illumination with our breakthrough device, allows health care professionals to see a map of peripheral veins on the skin’s surface with the goal of improving venipuncture, the most commonly performed invasive medical procedure, and other vascular access procedures.”
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MAY 2022 | VOLUME XII | ISSUE 2
INTRAVASCULAR QUARTERLY INSIDE AVA: NOTES FROM THE EXECUTIVE TEAM, CONTINUED FROM PREVIOUS PAGE Ben GuardTM – Its corporate statement is, “Ben Guard™ is dedicated to changing the standard of care, in pediatric catheter securement, creating a safer environment for children and their caregivers, preventing serious and expensive complications and subsequent hospitalizations.” CareAline Products – Its mission statement is, “At CareAline, our mission is to help patients live safely and fully by providing clinically proven vascular access securement devices to hospitals and patients. Our goal is to increase safety, comfort, and quality of life for patients in the hospital and at home.” Gus Gear Inc. – Its mission statement is, “Our vision is for our products to be the standard of care and have them be available to as many individuals as possible. We work on seeing this vision through by assisting those with financial hardship through resources and advice to get support from clinics and companies to gain access to our life-changing products.” Mighty Well Inc. – Its corporate statement is, “Mighty Well designs innovative and stylish Adaptive Wear that transforms the patient experience, enabling users to maintain dignity and confidence while securing their medical devices. Mighty Well also cultivates and supports a robust patient and caregiver community of Friends in the Fight.” AVA is pleased to partner with the company on its Ultimate PICC Guide.
MAKING FRIENDS AND BUILDING FRIENDSHIPS AVA Board announced priority organizations for ongoing outreach for their potential ability to support AVA’s strategic goals and impact. 1. American Association of Nurse Practitioners (AANP) 2. American Association for Respiratory Care (AARC) 3. American Organization for Nursing Leadership (AONL)
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4. American Society of Nephrology (ASN) 5. Emergency Nurses Association (ENA) 6. Infusion Nurses Society (INS) 7. Oncology Nurses Society (ONS) 8. Society of Interventional Radiology (SIR)
HAVE YOU SEEN WHAT’S NEW IN JAVA AND IQ? ✓ AVA has partnered with British Journal of Nursing (BJN) to provide complimentary 30-day access to its BJN IV and Vascular Access supplemental issues, published January, April, July, and October. ✓ AVA has secured supplement articles from British Journal of Nursing in its Spring and Summer issues ✓ Special issue of Intravascular Quarterly in May. This special issue focuses on the value of VA specialist and teams. Please distribute to your CNOs, CMOs, risk management, professional education and compliance colleagues. ✓ JAVA is recruiting for a new Editor-in-Chief. Contact cbrennan@avainfo.org for details
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AVASM22
HAVE YOU REGISTERED FOR AVASM22 YET? If not, there is still time to save money!. Register on or before July 28th and save $75. Be sure your AVA membership is up-to-date to save even more! The AVA Annual Scientific Meeting is the premier meeting for everything vascular access! Sure, we have all enjoyed the last few years of online learning – but there is just nothing like getting face-to-face with old colleagues and creating new lasting friendships with professionals just like you! Not only that…but how about visiting the exhibit hall!? It’s finally going to be that time where you can check out the newest devices to help you in your everyday practice. Coming to AVA isn’t just about networking and learning about the latest and greatest devices – it’s also about hearing amazing presentations from experts who are excited to interact with a live audience and share their knowledge with YOU!
HERE ARE JUST A FEW OF THE SESSIONS GOING TO BE PRESENTED THIS YEAR: 1. Valuing the Patient Perspective in Preservation and Protection of Vascular Access; Swapna Kakani. Swapna has lived with a vascular access device for 29 of her 32 years of life. Join us for her session as she shares ways to inform patients and families of their options and how to prioritize their needs while effectively partnering with them to help be their best advocate.
2. How Can This Still Be Acceptable? Robert E. Helm, JR., MD and Michelle DeVries, MPH, CIC, VA-BCTM. Join Michelle DeVries as she discusses with Dr. Helm, and you the audience, many of the gaps in current practice that continue to leave patients at risk for short term complications and ultimately iatrogenic venopenia. 3. Catheter Wars: The Thrombus Strikes Back; Andrew C. Bulmer, PhD and Peter Carr, RN, PhD, MMedSc, BSc. Join these amazing speakers from far, far away as they describe factors that promote and oppose thrombus formation in the context of peripheral intravenous cannulation. 4. Implementing Best Practices: Getting Your Recommendations Approved; Max R. Holder, MSN, RN, CRNI®, NE-BC, VA-BCTM. Max is joining the AVA Annual Meeting this year to discuss and review the strategies used to implement best practices for peripheral intravenous catheter management in a large healthcare system. He will also share key steps in developing proposals for improvement projects.
CLICK HERE TO VIEW THE FULL LINE UP OF SESSIONS AND SPEAKERS NOW. With your registration to the conference, you can earn up to 20 continuing education credits. However, if you need more credits there are 2 ways to get those:
1. Register for one or two handson Pre-Meeting Workshops. There are 3 workshops to choose from and the D-Team has scheduled them so that you can have the opportunity to attend 2 and get 8 additional CEs! a. Vascular Access Cadaveric Procedural Lab, supported by Teleflex Clinical and Medical Affairs. This workshop is a mixed simulation and cadaveric hands-on learning opportunity where you will rotate through a set of dynamic stations, developed to increase procedural confidence and awareness across a number of vascular devices. b. Ultrasound Guided PIV Workshop – The concepts in this workshop will increase your knowledge and skill for USGPIV insertion and enhance your overall Ultrasound skills for all insertions. Complete the workshop and then you are invited to competency assessment. After successfully passing competency assessment, you will receive a Certificate of Competency in Ultrasound Guided PIV Insertion from AVA!
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c. Pediatric and Neonatal PICC Insertion Course In this two-part didactic, attendees will have the opportunity to enhance their knowledge related to neonatal and pediatric PICC insertion facilitated through independent coursework and hands-on skills stations.
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INTRAVASCULAR QUARTERLY AVASM22, CONTINUED FROM PREVIOUS PAGE 2. Add on the Premium CE Upgrade to your registration. This option will allow you access to earn 10 additional CEs when you complete watching recorded breakout sessions virtually after the completion of the face-to-face meeting. AVA knows how hard it is to get funding these days. Download this letter that will help you advocate for funding from your employer. Every little bit helps! While we are very excited to see everyone in Minneapolis, we understand there are still some of you that will have trouble traveling, getting time off work, or have family events that take precedence. Don’t worry, you can register for the virtual meeting option. You will still have the opportunity to participate in the general session Q&A, as well as have access to the recorded sessions. Learn more here. No matter how you attend – just be sure to attend! AVASM22 is going to be fantastic, and we want to be sure YOU are there too!
SESSION PREVIEW: 8
SUPPORTING HARMONY AND RESILIENCE IN THE WORKPLACE
Prior to the COVID-19 pandemic, clinicians suffered from workplace-related stress. They dealt with stressful and emotional situations with sick patients and concerned family members, were exposed to suffering and death, endured physically demanding work, worked long hours and, many times, extra shifts, and risked exposure to hazardous materials and infectious diseases. The COVID-19 pandemic intensified these existing challenges by adding elements such as fatigue, increased workload due to short staffing, and post-traumatic stress and anxiety related to patient care during the pandemic. As individuals, team members, and leaders in our clinician field, it is vital that we understand and recognize the impact of these challenges on mental health and identify ways to mitigate each one. Don’t miss the session titled “Supporting Harmony and Resilience in the Workplace” presented by Dr. Marlene Steinheiser, PhD, RN, CRNI®, Director of Clinical Education, Infusion Nurses Society, and Dr. Adele Webb, PhD, RN, FNAP, FAAN, Executive Dean of Healthcare Initiatives, Strategic Education, Inc., as we discuss the barriers to harmony and resilience in the workplace openly and identify factors that lead to harmony/resilience. Take away concrete ways to promote resilience as an individual clinician, team member, and leader.
THE E-NEWS PUBLICATION OF THE ASSOCIATION FOR VASCULAR ACCESS
SAFE AND RELIABLE VASCULAR ACCESS. PROVE IT! M.L. Hawes, DNP, RN, CRNI, VA-BCTM, Chair | Director-at-Large AVA Foundation
The vision of the AVA Foundation is a world with safe and reliable vascular access. These are nice words to put on a plaque and stick on a wall, or we could consider it the mountain top and continue to take steps to reach the summit. The AVA Foundation is committed to ascending the mountain by promoting and facilitating multidisciplinary research.
HOW CAN THE FOUNDATION PROMOTE RESEARCH? The first step we will be taking is to survey the membership to find out what research topics in vascular access interest you. Projects may include anything from fundamental quality improvement to randomized control trials. These ideas can be for topics you are interested in pursuing at your facility or just suggestions you
have because you perceive a gap in evidence to support a practice.
RESEARCH IS NOT AN ACTIVITY THAT ONLY HAPPENS AT LARGE TEACHING HOSPITALS. It is the systematic investigation of an issue to establish facts to reach new conclusions or reinforce the current practice. Research can seem daunting even if you are passionately committed to finding the answer. The AVA Foundation is dedicated to helping new and seasoned clinician-researchers to launch investigations, complete the process and publish the evidence. Mentorship of clinicians to navigate the research path will be a part of the foundation’s support to increase evidence-based answers to current patient safety issues. Pairing members’ research plans with financial support through small grants administered by the foundation will further remove barriers to completing the process.
Finally, the effort would be futile if the research outcomes were not shared. The AVA Foundation will help the research team move towards poster submission, podium presentation, and publication of their new evidence as appropriate. The AVA Foundation believes our members are capable of improving vascular access and patient safety through research. Therefore, the foundation will be sending out a survey to understand the perceived research needs of the AVA members. Once the survey is assessed, the Foundation will follow with information on mentorship and grant opportunities.
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IF YOU BELIEVE THAT WE CAN INCREASE EVIDENCE TO PROVIDE THE WORLD WITH SAFE AND RELIABLE VASCULAR ACCESS, WE ONLY ASK THAT YOU PROVE IT.
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AVASM22 SCHOLARSHIPS
AVA FOUNDATION UPDATE: APPLY FOR AVASM22 SCHOLARSHIPS NOW!
AVASM22 SCHOLARSHIPS The AVA Foundation Board of Directors recently approved accepting applications for the AVA Annual Scientific Meeting Scholarship (AVASM). The scholarship pays for one full registration to the meeting, which promotes clinician hands-on learning, continuing education and improved clinical outcomes and patient safety. To apply for a AVASM22 scholarship, please submit your Resume/Curriculum Vitae, letters of recommendation (minimum of 2 required), and completed application form below. Incomplete applications will automatically be ineligible for further review or consideration. Applications are being accepted until July 22. AVASM22 is Sept. 30-Oct. 3 in Minneapolis, MN. Approved applicates will be notified by July 28. Please click here for full details and to submit your application: https://form.jotform. com/80807036784967. The Foundation will be hosting an educational workshop at AVASM22 – watch for more details to come soon!
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NEW STRATEGIC PLAN ✓ The AVA Foundation Board approved the Foundation’s new logo and color scheme. ✓ The AVA Foundation Board is continuing its work to update its strategic plan. Approval is planned for October 2022. Pillars of the strategic plan include: • Promotion of Clinical Scholarships: Enhance education and support the vascular access specialty and its education programs. • Developing a Research Program: Promote understanding of the research process through journal assessment of current vascular access studies. The Foundation plans to partner with AVA, AVATAR, JAVA and others. • Collaboration: Enhance collaboration with AVA at AVASM and other fundraising and awareness opportunities • Improve Fundraising: Increase major donations by providing industry partners, grant makers and others robust opportunities for funding research and scholarships.
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REGISTRATION IS OPEN Join us in Minneapolis – in-person! We look forward to welcoming everyone to the 2022 AVA Annual Scientific Meeting, September 30 - October 3, 2022 at the outstanding Minneapolis Conference Center. 12
Pre-Meeting Workshops will be held immediately prior to AVASM2022 on September 29.
www.avainfo.org/annual Annual Scientific Meeting
THE E-NEWS PUBLICATION OF THE ASSOCIATION FOR VASCULAR ACCESS
SNEAK PEEK: AVASM22 SESSION SUMMARIES
Amy Baxter, MD, FAAP, FACEP Clinical Associate Professor / CEO Augusta University / Pain Care Labs Atlanta, Georgia
WHAT A DECADE OF COLD/VIBRATION RESEARCH HAS TAUGHT US ABOUT VASCULAR ACCESS, PAIN, AND FAINTING AMY BAXTER, MD, FAAP, FACEP While we’re back in person this year, the COVID pandemic revealed how much needles matter and vaccine refusal impacts healthcare. At the same time, NIH funding for finding opioid alternatives has discovered how pain itself works in our brain, with an overlapping opportunity to improve pain relief for vascular access. Over a decade of specific research on vibration and cold for multiple needle procedures has answered some controversies and curiosities. How much does cold help pain relief, and does temperature matter? Why does vibration reduce pain but massage doesn’t? What kind of distraction matters, and why? These discoveries impact vascular access comfort and success. Do certain procedures hurt more? Why do some people faint and what stops it? What pain management changes lab values and what doesn’t? If you’ve ever enjoyed a good round of “um, actually,” this talk will give you plenty of fact cards to play. Extra bonus - fun new NIH research discoveries on brain connectomes, pain chaperone ligands, and why some pain becomes chronic. Great social currency for your next nerdy cocktail party discussions!
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ESTABLISHING A CONTINGENCY PLAN TO IMPROVE PATIENT COMFORT DURING PICC LINE INSERTIONS JAMIE LORENC, BSN, RN, VA-BCTM
Jamie Lorenc, BSN, RN, VA-BCTM Vascular Access and Phlebotomy Manager Children’s Mercy Hospital Kansas City, Missouri
Fear of needles is the most common fear in healthcare today, especially among children. This fear can lead anxiety, and an avoidance of healthcare into adulthood. This sessions will focus on how one pediatric hospital has decreased the pain, anxiety and stress related to PICC line insertions and significantly improved the comfort for their pediatric patients.
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SNEAK PEEK: AVASM22 SESSION SUMMARIES CHALLENGING VASCULAR ACCESS SITUATIONS NADINE NAKAZAWA I am speaking at a breakout session at the annual AVA Conference in Minneapolis in September. It will be so good to meet and see each other in person!
Nadine G. Nakazawa, RN, BSN, VA-BC™ Vascular Access Clinician Stanford Health Care San Carlos, California
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Marlene Steinheiser, PhD, RN, CRNI® Director of Clinical Education Infusion Nurses Society Gold Canyon, Arizona
Adele Webb, PhD, RN, FNAP, FAAN Executive Dean of Healthcare Initiatives Strategic Education, Inc. Wadsworth, Ohio
I have been a member of AVA since its founding in 1985 and I remain a passionate vascular access clinician. My session is entitled: Challenging Vascular Access Situations. I will present several situations I or my colleagues have encountered that may be perplexing or require your specialized knowledge about all of vascular access in order to come to a solution or answer. This session is intended to stimulate your critical thinking and problem-solving skills as that is what your doctors, nurses and patients at your healthcare facility expect of you. Join me in exploring some interesting and challenging case studies!
SUPPORTING HARMONY AND RESILIENCE IN THE WORKPLACE MARLENE STEINHEISER, PHD, RN, CRNI® ADELE WEBB, PHD, RN, FNAP, FAAN Prior to the COVID-19 pandemic, clinicians suffered from workplace related stress. They dealt with stressful and emotional situations with sick patients and concerned family members, were exposed to suffering and death, endured physically demanding work, worked long hours and many times extra shifts, and risked exposure to hazardous materials and infectious diseases. The COVID-19 pandemic intensified these existing challenges by adding elements such as fatigue, increased workload due to short staffing, and posttraumatic stress and anxiety related to patient care during the pandemic. As individuals, team members, and leaders in our clinician field, it is vital that we understand and recognize the impact of these challenges on mental health and identify ways to mitigate each one. Don’t miss the session titled “Supporting Harmony and Resilience in the Workplace” presented by Dr. Marlene Steinheiser, PhD, RN, CRNI®, Director of Clinical Education, Infusion Nurses Society and Dr. Adele Webb, PhD, RN, FNAP, FAAN, Executive Dean of Healthcare Initiatives, Strategic Education, Inc., as we discuss openly the barriers to harmony and resilience in the workplace and identify factors that lead to harmony/resilience. Take away concrete ways to promote resilience as an individual clinician, team member and leader.
THE E-NEWS PUBLICATION OF THE ASSOCIATION FOR VASCULAR ACCESS
SUBSCRIBE N FOLLOWING P OW ON THE LATFORMS:
WWW.AVAINFO .ORG/PO
DCAST
HAVE YOU BEEN LISTENING? ISAVE That Podcast Season 5
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A NEW STANDARD OF CARE ... A NEW LAYER OF PROTECTION Sarah Capalla joins the podcast to discuss the implementation tissue adhesive hospital-wide. The what, why, and how of a house strategy to improve the patient experience and the cost savings in both staff time and material costs. AVA would like to thank Adhezion Biomedical LLC for sponsoring this episode.
AVA AND MIGHTY WELL: A PARTNERSHIP FOR PROVIDERS AND PATIENTS In this session, Judy and Blake talk to Emily Levy (Co- Founder of Mighty Well), and Emma Widmar (Mighty Well Ambassador) regarding the AVA / Mighty Well partnership and the Ultimate Guide to PICCs, created by Mighty Well for Patients and caregivers.
END STAGE RENAL DISEASE: POPULATION HEALTH AND CLINICAL PRACTICE IMPLICATIONS In this third installment of the Chronic Kidney Disease and End Stage Renal Disease series Judy and Blake are joined by Dr. Jennifer Stoddard, MD and Jessica Lancaster, RN to talk about this population’s health considerations and the perspectives of nephrologists and clinicians in hemodialysis practice. Dr. Michael Serle DMSc, MA, PA-C helps shape the discussion around vascular access and the fistula management practices. This at risk population dialysis access is their life line and needs to be protected at all costs. A special thanks goes out to Medtronic for sponsoring this episode of the ISAVE That Podcast. Check out the latest episode on any of your favorite podcast platforms. For the latest discussion on vascular access, please like and follow us on Facebook, Instagram, Twitter, and LinkedIn! Enjoy the show!
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VASCULAR ACCESS DEVICE USE IN SKILLED NURSING FACILITIES More than 1.6 million patients are cared for in the 15,000 licensed skilled nursing facilities (SNFs) in the United States (Centers for Disease Control and Prevention [CDC], 2016). Approximately 3% (48,000) of patients in these facilities require vascular access for intravenous therapy (LTC Pharmacy Provider, source). As of date, there are only five studies over the last 15 years, that have been published on this patient population in this care setting.
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Comparatively, there are approximately 6,000 hospitals in the United States. A search of articles published since 2007 related to vascular access device (VAD) utilization and outcomes in acute care settings yields hundreds of results. The limited studies in SNFs demonstrate significantly higher complication rates for VADs compared to acute care settings including CLABSI, catheter migration and dislodgment, catheter occlusion, and deep vein thrombosis, leading to resident transfers to the emergency department and subsequent hospitalizations (Hand, 2016; Harrod et al., 2016; Chopra, Montoya, et al., 2015).
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BACSIG
Additional studies found that 35-40% of hospital readmissions from SNFs were related to vascular access device complications; studies concluded residents with VADs in SNFs were significant predictors for hospital readmissions, and unplanned (Huang et al., 2018, Schmidt et al., 2017). Patients in SNFs are older, have multiple comorbid conditions, and are at an increased risk of developing VAD complications
(Lin et al., 2016). Skilled nursing facilities face staffing challenges due to high staff turnover and nurseto-patient ratios. The majority of the direct care staff in SNFs is unlicensed (over 60%); 23% are licensed practical nurses, and only 12% are registered nurses. What about all the standards and guidelines we have access to drive evidence-based practice (EBP) in VAD utilization?
For various reasons (staffing, culture, complex care setting), implementation of EBP in SNFs is deficient.
HOW DO WE RESPOND TO THIS CHALLENGING SITUATION? The first thing we need to do – is respond. How can we collaborate with our SNF partners to support improved patient outcomes?
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VASCULAR ACCESS DEVICE USE, CONTINUED FROM PREVIOUS PAGE 1. Connect and build relationships with key staff at skilled nursing facilities where your hospital discharges patients. 2. Encourage your SNF contacts to become a part of AVA. 3. Identify areas where we can collaborate on education and research initiatives related to VAD care and utilization.
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I am confident that this group of professionals has a vested interest in VAD best practice for our most vulnerable patient population. Any other ideas? Please reach out to me: Gwen Coney DNP MA RN CRNI VA-BCTM, gconeyrn@gmail.com
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NETWORK NEWS On Friday, November 5th, 2021. AVACNY held its 12th Annual Teaching Day Symposium at the Craftsman Inn and Conference Center in Syracuse NY. After a year off due to the COVID Pandemic, we were excited to be in person again! With over 120 attendees and 20 sponsors, the event was a huge success! Nurses came from all over New York State to attend the event. Speakers covered a variety of topics, including evidence-based medicine, pediatric vascular access needs, needless connector designs and CRBSIs, the history of the Association for Vascular Access (AVA), home infusion therapies and vascular access changes in practice.
THE FOLLOWING SPEAKERS PRESENTED THIS YEAR: Follow the Yellow Brick Road: Improving Pediatric Vascular Access — Presented by Cheryl Gillette RNC VA-BC™ Infusion Confusion with Occlusion: An Unacceptable, Accepted Problem — Presented by S. Matt Gibson RN, CRNI®, VA-BC™M, CPUI Standards, Guidelines & Recommendations in Vascular Access: An Updated Review— Presented by Dr. William Jarvis The History & Evolution of the Association for Vascular Access (AVA)— Presented by Suzanne LaVere Herbst RN, BA, MA, PhD (Founder & First President of AVA) Needleless Connector Design, Bacterial Transfer, and Biofilm... Connecting the Dots to CRBSI!— Presented by Suzanne LaVere Herbst RN, BA, MA, PhD (Founder & First President of AVA) Vascular Access Change in Practice — Presented by Marcia Ryder PhD, MS, RN, FNAP The President of AVACNY, Jan Elliott BS, RN, VA-BC™, CRNI®, opened and closed the Symposium and introduced our amazing speakers. In 2022, our network goals are to continue to offer opportunities for education, expand our network of healthcare providers, encourage certification through Vascular Access Certification Corporation (VACC), and to promote membership in the National Association for Vascular Access (AVA). We would like to thank Thomas Kuracina with Injectimed for hosting our postsymposium dinner where we were able to discuss new advances in technology with Vascular Access devices that will promote patient safety and provided positive outcomes for our future. Some of our accomplishments so far this year included a dinner presentation hosted by Lineus Medical on The D.I.P.P.E.R Study (Dislodgement, Infiltration, Phlebitis, Prevention Eliminating PIV Restarts): A Randomized Controlled Trial Evaluating a Novel Force-Activated Separation Device (FASD) presented by Spencer Jones in March. 2022 brings many new opportunities to discuss new trending technologies, advanced practices for our scope of practice and current infusion therapies for the alternative care setting. AVACNY: http://avacny.com/ AVA National: http://www.avainfo.org VACC: http://www.vacert.org/
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AVA CURRENTLY HAS 52 ACTIVE NETWORKS
www.avainfo.org/networks
2022 BOARD OF DIRECTORS PRESIDENT-ELECT Tonja Stevens, RN, VA-BC™
PRESIDENT-ELECT
SECRETARY
DIRECTOR-AT-LARGE
Chellie (Michelle) DeVries, MPH, CIC, VA-BC™
Karen Laforet, RN, MCISc-AHCP, CCHN, CVAA, VA-BC™
TREASURER
DIRECTOR-AT-LARGE
Tonya Heim, MHA, MSN, RN, NEA-BC
Jon Bell, RN, MSN, VA-BC™
PRESIDENTIAL ADVISOR
Staci Harrison, DNP, RN
Jocelyn Grecia Hill, MN, RN, CVAA(c), VA-BC™
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DIRECTOR-AT-LARGE
Nael Mhaissen, MD
DIRECTOR-AT-LARGE
Chaitenya Razdan, MBA
DIRECTOR-AT-LARGE
Swapna Kakani, MPH
AVA STAFF CHIEF EXECUTIVE OFFICER Cate Brennan, MBA, CAE cbrennan@avainfo.org
CHIEF OPERATIONS OFFICER Tonya Hutchinson, CAE thutchison@avainfo.org
MARKETING MANAGER & ANALYTICS DIRECTOR Kayce A. Maisel kmaisel@avainfo.org
CLINICAL EDUCATION SPECIALIST Blake Hotchkiss, BSN, RN, CCRN, CRNI, VA-BC™ bhotchkiss@avainfo.org
DIRECTOR OF CLINICAL EDUCATION Judy Thompson, MSNEd., RN, VA-BC™ jthompson@avainfo.org
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ANGEL 2022 ANGEL PARTNERS: GusGear • Lineus Medical • MightyWell • CareAline
2022 STRATEGIC PARTNERS: AccuVein, Inc. • Access Vascular • Ben Guard • Eloquest Healthcare • Parker Laboratories • StatSeal (Biolife, LLC) • SterileCare
2022 ENTERPRISE PARTNERS:
3M • Adhezion • AngioDynamics B. Braun Medical • BD • Genentech Medline Industries • PDI • PFM Medical ICU Medical •Teleflex
ACADEMY
Thank you to our loyal Industry Partners for sharing AVA’s mission. Email partner@avainfo.org to design a program that becomes an indispensable instrument for advancing education, awareness, adoption and expansion. 800.792.9079 EXT. 105 | PARTNER@AVAINFO.ORG | WWW.AVAINFO.ORG
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MAY 2022 | VOLUME XII | ISSUE 2
AVAILABLE NOW
INTRAVASCULAR QUARTERLY
RESOURCE GUIDE FOR VASCULAR ACCESS
The 2021 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: 24$99 digital only $129 print only $159 bundle (print and digital) NON AVA MEMBER PRICE: $129 digital only $169 print only $199 bundle (print and digital)
Check out the Resource Guide sneak peak videos on our YouTube channel!
PURCHASE IT ONLINE TODAY! Digital Access: • Not a downloadable file. It is not printable and is for view on your device only. The digital access is not shareable with another account. You will receive a redemption key and an access link after purchase. • Corrections and incremental updates to version one will automatically populate your digital copy (no additional charge)
THE E-NEWS PUBLICATION OF THE ASSOCIATION FOR VASCULAR ACCESS
Educational Offerings from AVA
Educational Offerings from AVA I Save That Podcast
• Streaming on Spotify, SoundCloud, iTunes, Stitcher, Google Play Music, iHeart Radio, Pandora, Amazon Music •
Journal of the Association for Vascular Access • Published quarterly • Approximately 3,000 subscribers I Save That Podcast
• Streaming on Spotify, SoundCloud, iTunes, Stitcher, Google Play Music, iHeart Radio, Pandora, Amazon Music
Intravascular Quarterly (IQ)
25
• • Published quarterly Journal of the Association for Vascular Access • E-newsletter sent to AVA members • Published quarterly • Approximately 3,000 subscribers
ACADEMY
ACADEMY
AVA Academy
Intravascular Quarterly (IQ)
• Continuing Education courses ALL available on demand • Published quarterly • E-newsletter sent to AVAwebinars, members • Procedural courses, scientific meeting sessions, etc. AVA Academy
• Continuing Education courses ALL available on demand
• Procedural courses, webinars,for scientific meeting Access AVA Resource Guide Vascular sessions, etc.
• Prepare for the VA-BC™ exam, as well as serve as a resource throughout professional practice AVA Resource Guide for Vascular Access
• Prepare for the VA-BC™ exam, as well as serve as a resource throughout professional practice
Learn more at www.avainfo.org Learn more at www.avainfo.org
MAY 2022 | VOLUME XII | ISSUE 2
AVA Academy is always open! INTRAVASCULAR QUARTERLY
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
THE E-NEWS PUBLICATION OF THE ASSOCIATION FOR VASCULAR ACCESS
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, ISAVEI stands for: S
Implement insertion care and maintenance bundles 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 patient-friendly 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:
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.
I
Inform us right away
S
See us check your IV often
A
Ask us to clean our hands
V
Value your veins
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.
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
Take the pledge, be involved and join AVA in our mission to keep our patients free of infection!
Find out more online.
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 the latest at www.avainfo.org/isavethatline
MAY 2022 | VOLUME XII | ISSUE 2
INTRAVASCULAR QUARTERLY
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.
1,500
00
THE E-NEWS PUBLICATION OF THE ASSOCIATION FOR VASCULAR ACCESS
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
MAY 2022 | VOLUME XII | ISSUE 2
Advertise to the Market You’ve Been Looking For . . . INTRAVASCULAR QUARTERLY
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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
THE E-NEWS PUBLICATION OF THE ASSOCIATION FOR VASCULAR ACCESS
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MAY 2022 | VOLUME XII | ISSUE 2
INTRAVASCULAR QUARTERLY
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 ava@avainfo.org
SUBMISSION DATES ARE:
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/
Association For Vascular Access www.linkedin.com/company/association-for-vascular-access/
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
Association For Vascular Access www.youtube.com/AssociationForVascularAccess
Copyright 2022 Association for Vascular Access. All rights reserved.
FOR COMMENTS OR SUGGESTIONS, PLEASE SUBMIT TO AVA@AVAINFO.ORG 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.
THE E-NEWS PUBLICATION OF THE ASSOCIATION FOR VASCULAR ACCESS
