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barbara bonito
Vascular Access Teams

Our PICC Team is planning on transitioning to a Vascular Access Team.  We currently place and follow-up on PICC's, keep statistics and assist with peripheral IV's as needed.  What other tasks are Vascular Teams out there doing.  And does anyone have a tool for a vascular access needs assessment on admission they could share with us.  Thanks for any info you can give us.

stemc
We are actually looking for

We are actually looking for the same thing.  We are a Vascular Access Team we place PICCs and round daily on all central lines and perform dressing changes and maintenance.  We are looking to start having 2 on a day instead of just 1 and round daily on the units to see if we can find pt who may need lines sooner.  We want to get a vesicant list from pharmacy in the am and see how those pt access is.  If anyone has any paperwork or ideas or who is already doing this please contact us at [email protected]

mharman
Our Vascular Access Team

We currently do the following on our VAT: 1. Place PICC's, do daily rounding on all PICC's, do all dressing changes and trouble shooting with PICC's. 2.  Start difficult IV's hospital wide.  3.  Administer CathFlo.  4.  Cannulate and decannulate ports as requested by non-trained staff.  5. Daily rounding on all Ports except for the oncology wing, change dressings, and trouble shoot.  6.  Teach 2 classes per month on Ports.  7.  Provide a monthly education newsletter to all nursing staff on VAT issues.  8.  Sit on the Products Committee, Policy and Procedure Committee, Transfusion Committee and the Service Excellance Committee.  9.  Assist Human Resources with IV education during new employee orientation.  10.  Assist units with skills fairs.  11.  Act as resource for all outlying Nursing Facilities/Rehab Centers.  Will go to these facilities if needed to assist with specific problems.  12.  Monitor Event Reporting regarding VAT issues.  13.  Provide one on one education to nurses with IV start skills.

We only have 5 members on the team - 2 full-time, 2 resource and a one-day-a-week member.  We have 2 people each day and cover 7a-7p, 7 days per week.

Mally Harman, RN, BSN
Vascular Access Team Coordinator
Centra Health
Lynchburg, VA
434-200-2647

crabapple58
VAT Team

What size facility i.e. number of beds are you covering? How many PICCs are you placing in a 12 hour shift?

mharman
We place anywhere from 1-6

We place anywhere from 1-6 picc's in a 12 hour shift.  Our facility is just under 500 beds.  We do service two hospitals and all the surrounding long-term care facilities as well (on an outpatient basis). 

Mally Harman, RN, BSN
Vascular Access Team Coordinator
Centra Health
Lynchburg, VA
434-200-2647

lynncrni
I think your name is holding

I think your name is holding you back. A PICC team or PICC insertion service focuses exclusively on PICC insertion, often without involvement in the appropriateness of the catheter choice, etc. A vascular access team has broadened their involvement to include a pre-insertion assessment about correct catheter choice. What you are describing is the scope and role of a broad-based infusion therapy team. We have tried to separate infusion therapy from vascular access and it has not worked. These 2 entities are a marriage of necessity. The care of the catheter after insertion has more influence on the outcome of the catheter than the ~60 minute procedure for insertion. Think about all of the staff nurses with hands on that catheter. This has got to receive the proper priority to improve the outcomes associated with the routine nursing care. The infusion nurse specialist serves as the resourse, consultant, educator, researcher, manager, direct caregiver, etc. I am not talking about a team that is responsible for administering all IV meds. A few infusion teams have used that model but those are also gone. There has to be a middle ground here between insertion only and everything. Staff nurses need huge amounts of support on addressing all catheter and infusion management issues. We can not abandom or ignore these needs. Lynn

Lynn Hadaway, M.Ed., RN, BC, CRNI

Lynn Hadaway Associates, Inc.

126 Main Street, PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

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