Sean L. Lau, MBA, BSN, RN, VA-BC: Becton Dickson: Speaker's Bureau (Ongoing); SJC Vascular Access: Owners/CEO (Ongoing)
VAS specialists encounter reoccurring clinical events that are handled with varying levels of practice, based on available personnel and resources. Our team members have differing levels of experience and education, which can result in a lack of equity addressing our patients with vascular access needs, as standardization is difficult to provide when level one evidence is not available. This lecture will introduce a framework to create focused standards and utilize their framework to create protocols addressing three 'grey' areas in vascular access (PICC/Midline insertion for patients with CKD, PIVC insertion failure, and central line necessity/de-escalation). In this lecture, I will present the adopted solutions for these three topics as well as complications and countermeasures encountered to successfully implement these protocols at a well-known academic medical center on the west coast.
Learning Objectives:
Describe the need for standardizing clinical solutions for vascular access topics without level one evidence
List two frameworks to address creating new workflows or protocols within acute healthcare facilities
Describe three common obstacle sand countermeasures to address vascular access 'grey' areas of clinical practice
