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? - ANS20-24
Bright red blood
Preform ABG
Patient needs one dose of vanco what would you recommend?
How do you determine IO position placement? - ANSMidline
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? - ANSRecommend 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? - ANScoronary 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? - ANSput 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? - ANSSterile 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? - ANSPORT
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? - ANS2 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? -
ANSmedia
respect there cultural beliefs on death.
What should you consider for Device Selection in adults?
What are the pediatric considerations? - ANSPatient 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? - ANSinfusion for 6 days or less.
non-irritating and non-vesicant medications and solutions.
What are the contraindications for short peripheral catheters? - ANSPlacement 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? - ANSmetacarpal, cephalic,
basilic, accessory veins in arm.
What are the insertion procedures for short peripheral catheters? - ANSfollow 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? - ANSMetacarpal, 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? - ANSinfusion for 6 days to 4 weeks.
Non-irritating and Non-vesicant medications or solutions.
, What are the contraindications for a MIDLINE? - ANSPlacement in arm with fracture, trauma,
infection, AV fistula, or compromised circulation. Chronic kidney disease patients.
What is the vessel selection for Midline? - ANSBasilic or cephalic vein in antecubital fossa
What is the insertion procedures for MIDLINE? - ANSFollow 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? - ANSMidline device, sterile
insertion tray, ultrasound, normal saline flush, dressing supplies.
One inch below the axillary area.
What are the Pediatric considerations for MIDLINE? - ANSalternative vein selection like the
scalp, popliteal, and saphenous veins.
What are the indications and Contraindications for Non-Tunneled Catheters? - ANSShort 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? - ANSJugular, Subclavian, or femoral
veins
What are the insertion procedures for non-tunneled catheters? - ANSAntimicrobial 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? - ANSNon-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? - ANSCavoatrial juncture, inferior
vena cava at diaphragm if inserted in femoral vein.
What are the indications for a PICC? - ANSPatients who require a central venous access when
duration is unknown. irritating and vesicant agents.
What are the Contraindications for a PICC? - ANSPlacement in arm with fracture, trauma,
infection, amputation, paralyzed (thrombosis risk), compromised circulation. Chronic kidney
disease patients.
What is the vessel selection for a PICC? - ANSBasilic, brachial, cephalic vein.
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? - ANS20-24
Bright red blood
Preform ABG
Patient needs one dose of vanco what would you recommend?
How do you determine IO position placement? - ANSMidline
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? - ANSRecommend 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? - ANScoronary 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? - ANSput 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? - ANSSterile 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? - ANSPORT
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? - ANS2 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? -
ANSmedia
respect there cultural beliefs on death.
What should you consider for Device Selection in adults?
What are the pediatric considerations? - ANSPatient 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? - ANSinfusion for 6 days or less.
non-irritating and non-vesicant medications and solutions.
What are the contraindications for short peripheral catheters? - ANSPlacement 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? - ANSmetacarpal, cephalic,
basilic, accessory veins in arm.
What are the insertion procedures for short peripheral catheters? - ANSfollow 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? - ANSMetacarpal, 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? - ANSinfusion for 6 days to 4 weeks.
Non-irritating and Non-vesicant medications or solutions.
, What are the contraindications for a MIDLINE? - ANSPlacement in arm with fracture, trauma,
infection, AV fistula, or compromised circulation. Chronic kidney disease patients.
What is the vessel selection for Midline? - ANSBasilic or cephalic vein in antecubital fossa
What is the insertion procedures for MIDLINE? - ANSFollow 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? - ANSMidline device, sterile
insertion tray, ultrasound, normal saline flush, dressing supplies.
One inch below the axillary area.
What are the Pediatric considerations for MIDLINE? - ANSalternative vein selection like the
scalp, popliteal, and saphenous veins.
What are the indications and Contraindications for Non-Tunneled Catheters? - ANSShort 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? - ANSJugular, Subclavian, or femoral
veins
What are the insertion procedures for non-tunneled catheters? - ANSAntimicrobial 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? - ANSNon-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? - ANSCavoatrial juncture, inferior
vena cava at diaphragm if inserted in femoral vein.
What are the indications for a PICC? - ANSPatients who require a central venous access when
duration is unknown. irritating and vesicant agents.
What are the Contraindications for a PICC? - ANSPlacement in arm with fracture, trauma,
infection, amputation, paralyzed (thrombosis risk), compromised circulation. Chronic kidney
disease patients.
What is the vessel selection for a PICC? - ANSBasilic, brachial, cephalic vein.
