VA-BC Study Guide
What size needle do you need for blood?
How do you know if you cannulated an artery?
You have a 16 year old patient and the PICC appears to be on the left side, how do you determine its in
the vein and not artery? - correct answer ✔✔20-24
Bright red blood
Preform ABG
Patient needs one dose of vanco what would you recommend?
How do you determine IO position placement? - correct answer ✔✔Midline
across abdomen
If patient states NO IV what do you?
What body position do you do for PICC removal?
What arm position for PICC removal?
When should dressing be changed? - correct answer ✔✔Recommend IV
upward
arm below
2 days with gauze, 7 days without gauze
The left SVC dumps into what?
When should the arterial line set up be changed?
How often do you change arterial lines? - correct answer ✔✔coronary sinus
96 hrs
as needed
Best way to keep the pulmonary artery catheter free of infection?
,How often do you change IV setups?
What does the Swan (Pulmonary artery catheter) measures? - correct answer ✔✔put in sleeve
96 Hrs
CO (cardiac output)
CDC guideline for max barrier include what?
Should you cut a PICC with a distal valve?
What is optimal placement for a MIDLINE? - correct answer ✔✔Sterile gloves, cap, gown, full body
sterile drape.
NO
1 inch below axilla
Which line has the less incidence of infection?
What values are considered for chronic kidney?
What should you use for a HD cath? - correct answer ✔✔PORT
GFR under 60 and creatinine above 2
Large bore double lumen
How long should you flush for?
How long can the umbilical cord be used?
Why is vein selection harder in babies? - correct answer ✔✔2 times the length of catheter
14 days
less options
Which part of the vessel has the most smooth muscle?
Abian family wants everything done even though patients outcome is death what do you do? - correct
answer ✔✔media
respect there cultural beliefs on death.
,What should you consider for Device Selection in adults?
What are the pediatric considerations? - correct answer ✔✔Patient assessment like: preference,
lifestyle, willingness to preform maintenance, history, complications, review of variables to determine
correct VAD, high risk factors, advantages and disadvantages.
limited selection, fewer veins, VAD's preserve vessels, caregiver education, avoid scalp vad's in infants
rolling, avoid lower extremity Vad's for crawling patients.
What are the Indications for short peripheral catheters? - correct answer ✔✔infusion for 6 days or less.
non-irritating and non-vesicant medications and solutions.
What are the contraindications for short peripheral catheters? - correct answer ✔✔Placement into arm
with fracture,trauma, infection, or compromised circulation.
Veins in the arm on the side of a mastectomy, breast surgery, lymph node dissection, av fistula or graft.
What are the preferred vessels for Short peripheral catheters? - correct answer ✔✔metacarpal, cephalic,
basilic, accessory veins in arm.
What are the insertion procedures for short peripheral catheters? - correct answer ✔✔follow guidelines,
aseptic technique, 2 attempts per provider, limit of 2 providers, smallest gauge possible to deliver
therapy.
What are pediatric considerations for short peripheral catheters? - correct answer ✔✔Metacarpal,
cephalic, basic, scalp and saphenous veins may be used. Use imaging devices to minimize iv attempts
and secure with approved devices.
What are the indications for MIDLINE catheters? - correct answer ✔✔infusion for 6 days to 4 weeks.
Non-irritating and Non-vesicant medications or solutions.
What are the contraindications for a MIDLINE? - correct answer ✔✔Placement in arm with fracture,
trauma, infection, AV fistula, or compromised circulation. Chronic kidney disease patients.
What is the vessel selection for Midline? - correct answer ✔✔Basilic or cephalic vein in antecubital fossa
, What is the insertion procedures for MIDLINE? - correct answer ✔✔Follow guidelines, sterile technique,
max sterile barrier precautions, 2 attempts per provider, PICC for midline risks liability as its against
midline DFU.
What are the supplies and the optimal tip location for MIDLINE? - correct answer ✔✔Midline device,
sterile insertion tray, ultrasound, normal saline flush, dressing supplies.
One inch below the axillary area.
What are the Pediatric considerations for MIDLINE? - correct answer ✔✔alternative vein selection like
the scalp, popliteal, and saphenous veins.
What are the indications and Contraindications for Non-Tunneled Catheters? - correct answer ✔✔Short
term and emergency central vein access.
neck and chest sites excluded for trach patients, neck dissection, cervical fracture, or unstable airway.
unable to position, insert, or stabilize catheter. Avoid same side as PICC.
What is the vessel selection for Non-tunneled catheters? - correct answer ✔✔Jugular, Subclavian, or
femoral veins
What are the insertion procedures for non-tunneled catheters? - correct answer ✔✔Antimicrobial
catheters for high risk patients, Follow guidelines, maximum sterile barrier precautions, put in slight
trendelenburg to avoid air emboli, avoid blind stick, use ECG for tip location, check for blood return prior
to infusion.
What are the supplies for a non-tunneled catheters? - correct answer ✔✔Non-tunneled percutaneous
venous catheter, sterile procedural insertion tray, max sterile barrier precautions, Ultrasound, normal
saline flush, Heparin flush, dressing
What is the Optimal tip location for non-tunneled catheters? - correct answer ✔✔Cavoatrial juncture,
inferior vena cava at diaphragm if inserted in femoral vein.
What are the indications for a PICC? - correct answer ✔✔Patients who require a central venous access
when duration is unknown. irritating and vesicant agents.
What size needle do you need for blood?
How do you know if you cannulated an artery?
You have a 16 year old patient and the PICC appears to be on the left side, how do you determine its in
the vein and not artery? - correct answer ✔✔20-24
Bright red blood
Preform ABG
Patient needs one dose of vanco what would you recommend?
How do you determine IO position placement? - correct answer ✔✔Midline
across abdomen
If patient states NO IV what do you?
What body position do you do for PICC removal?
What arm position for PICC removal?
When should dressing be changed? - correct answer ✔✔Recommend IV
upward
arm below
2 days with gauze, 7 days without gauze
The left SVC dumps into what?
When should the arterial line set up be changed?
How often do you change arterial lines? - correct answer ✔✔coronary sinus
96 hrs
as needed
Best way to keep the pulmonary artery catheter free of infection?
,How often do you change IV setups?
What does the Swan (Pulmonary artery catheter) measures? - correct answer ✔✔put in sleeve
96 Hrs
CO (cardiac output)
CDC guideline for max barrier include what?
Should you cut a PICC with a distal valve?
What is optimal placement for a MIDLINE? - correct answer ✔✔Sterile gloves, cap, gown, full body
sterile drape.
NO
1 inch below axilla
Which line has the less incidence of infection?
What values are considered for chronic kidney?
What should you use for a HD cath? - correct answer ✔✔PORT
GFR under 60 and creatinine above 2
Large bore double lumen
How long should you flush for?
How long can the umbilical cord be used?
Why is vein selection harder in babies? - correct answer ✔✔2 times the length of catheter
14 days
less options
Which part of the vessel has the most smooth muscle?
Abian family wants everything done even though patients outcome is death what do you do? - correct
answer ✔✔media
respect there cultural beliefs on death.
,What should you consider for Device Selection in adults?
What are the pediatric considerations? - correct answer ✔✔Patient assessment like: preference,
lifestyle, willingness to preform maintenance, history, complications, review of variables to determine
correct VAD, high risk factors, advantages and disadvantages.
limited selection, fewer veins, VAD's preserve vessels, caregiver education, avoid scalp vad's in infants
rolling, avoid lower extremity Vad's for crawling patients.
What are the Indications for short peripheral catheters? - correct answer ✔✔infusion for 6 days or less.
non-irritating and non-vesicant medications and solutions.
What are the contraindications for short peripheral catheters? - correct answer ✔✔Placement into arm
with fracture,trauma, infection, or compromised circulation.
Veins in the arm on the side of a mastectomy, breast surgery, lymph node dissection, av fistula or graft.
What are the preferred vessels for Short peripheral catheters? - correct answer ✔✔metacarpal, cephalic,
basilic, accessory veins in arm.
What are the insertion procedures for short peripheral catheters? - correct answer ✔✔follow guidelines,
aseptic technique, 2 attempts per provider, limit of 2 providers, smallest gauge possible to deliver
therapy.
What are pediatric considerations for short peripheral catheters? - correct answer ✔✔Metacarpal,
cephalic, basic, scalp and saphenous veins may be used. Use imaging devices to minimize iv attempts
and secure with approved devices.
What are the indications for MIDLINE catheters? - correct answer ✔✔infusion for 6 days to 4 weeks.
Non-irritating and Non-vesicant medications or solutions.
What are the contraindications for a MIDLINE? - correct answer ✔✔Placement in arm with fracture,
trauma, infection, AV fistula, or compromised circulation. Chronic kidney disease patients.
What is the vessel selection for Midline? - correct answer ✔✔Basilic or cephalic vein in antecubital fossa
, What is the insertion procedures for MIDLINE? - correct answer ✔✔Follow guidelines, sterile technique,
max sterile barrier precautions, 2 attempts per provider, PICC for midline risks liability as its against
midline DFU.
What are the supplies and the optimal tip location for MIDLINE? - correct answer ✔✔Midline device,
sterile insertion tray, ultrasound, normal saline flush, dressing supplies.
One inch below the axillary area.
What are the Pediatric considerations for MIDLINE? - correct answer ✔✔alternative vein selection like
the scalp, popliteal, and saphenous veins.
What are the indications and Contraindications for Non-Tunneled Catheters? - correct answer ✔✔Short
term and emergency central vein access.
neck and chest sites excluded for trach patients, neck dissection, cervical fracture, or unstable airway.
unable to position, insert, or stabilize catheter. Avoid same side as PICC.
What is the vessel selection for Non-tunneled catheters? - correct answer ✔✔Jugular, Subclavian, or
femoral veins
What are the insertion procedures for non-tunneled catheters? - correct answer ✔✔Antimicrobial
catheters for high risk patients, Follow guidelines, maximum sterile barrier precautions, put in slight
trendelenburg to avoid air emboli, avoid blind stick, use ECG for tip location, check for blood return prior
to infusion.
What are the supplies for a non-tunneled catheters? - correct answer ✔✔Non-tunneled percutaneous
venous catheter, sterile procedural insertion tray, max sterile barrier precautions, Ultrasound, normal
saline flush, Heparin flush, dressing
What is the Optimal tip location for non-tunneled catheters? - correct answer ✔✔Cavoatrial juncture,
inferior vena cava at diaphragm if inserted in femoral vein.
What are the indications for a PICC? - correct answer ✔✔Patients who require a central venous access
when duration is unknown. irritating and vesicant agents.
