VA-BC Certification Study Material

VA-BC Certification Study Material Accessing an implanted port is always what type of procedure? - Sterile procedure After a tunneled catheter placement, how long until the exit site heals? - Two to three weeks. As the French size increases, what does the diameter of the catheter do? - It increases As the gauge number gets larger, what happens to the catheter size? - It gets smaller. Depending on the vein accessed, where might the port implantation site be located? - Port implantation site may be upper chest or lower abdominal side area During what time frame may umbilical vessels be accessed? - Up to the 4th day of life. For midline placement, what alternative veins can be considered in pediatric patients? - Scalp veins Popliteal veins Saphenous veins For what things are Aquapheresis catheters are not recommended? - Not recommended for infusions of fluids or medications From what two materials are IV catheters made? - Silicone and Polyurethane Generally, what size are dialysis or apheresis catheters? - Catheter lumen size is generally 13 to 16 gauge How is the port secured inside the patient? - Port is sutured into a subcutaneous pocket under the skin How many short peripheral catheter insertion attempts per healthcare provider are allowed? - 2 How should a patient be positioned for non-tunneled catheter placement? - slight Trendelenburg position If inserted through the femoral vein, what the optimal tip location for a non-tunneled and PICC catheters? - Inferior vena cava (IVC) above the level of the diaphragm In emergency situations, in what population are IO devices often used? - Infants and children In line placement, when are surface disinfectants used? - prior to setting up sterile field and between patient use In non-tunneled catheter or PICC placement., what should always be avoided when accessing veins? - Blind-stick attempts. In patients at greater risk for catheter associated bloodstream infections (CABSI) what typed of PICC or non-tunneled catheters should be considered? - Anti-microbial catheters In pediatric patients, what, if added ,may decrease catheter occlusion? - Heparin (confirm infusatn compatibility) In pediatric pts. with tunneled catheters, why do we assess/verify internal catheter tip location as the child grows? - To maintain internal tip in the SVC In which type of catheter placement is cardiac monitoring used during insertion? - Pulmonary Artery catheters. Is it okay to use adhesive remover directly on Insertion site? - No List indications for Vascular Access: - 1. Total parenteral nutrition (TPN) 2. Partial parenteral nutrition 3. I.V. fluids and medications 4. Blood and blood components 5. Chemotherapeutic agents 6. Cardiac monitoring 7. Plasmapheresis