LISA'S VA BC CERTIFICATION QUESTIONS AND
ANSWERS
Name on of the 3 new standards of care for 2024 - answers- drug
diversion,vasopressor, home infusion
What are the preferred veins for midline catheters - answers- basilic , brachial or
cephalic
How long should the treatment time be for midline catheters - answers- over 6 days up
to 14 days
Can vanco be given through a midline cath? - answers- yes for up to 6 days
Tunneled catheter cvc exit sites - answers- chest, upper back, thigh (pelvic area) or
lower torso
Optimal tip location for nontunneled cvc inserted in upper extrem. - answers- caj/upper
ra
Optimal tip location for nontunneled cvc inserted via femoral vein - answers- inferior
vena cava (ivc) above level of diaphranm
Contraindications for implanted port - answers- severe coagulapthy, severe sepsis,
burns/cellulitis, too thin
Preferred peripheral vessels for port - answers- basilic or cephalic
Preferred central vessels for port - answers- axillary, subclavian, jugular, femoral
Optimal tip location for port - answers- caj/upper ra (inferior vena cava (above
diaphragm)if inserted in femoral vein
How much pressure can power/pressure injectable vad withstand - answers- >300 psi
Name 2 procedures where power injection should be used - answers- ct and mri
What is the maximum dwell time for an intraosseos device - answers- 24 hours
How many attempts at io insertion in the same bone can be attempted in 48 hours -
answers- only one
What is the safest most cost effective and convenient form of alternate iv drug admin.
For certain therapies - answers- subcutaneous infusion devices
, What should be coadministered with sub q therapies to facilitate drug absorption -
answers- hyaluronidase
How often are subq devices changed when used for hydration - answers- 24- 48 hrs or
after 2l of fluid
Contraindications for placement of a midline catheter - answers- in arm with a
fx/trauma/infx/or poor circulation, fistula, or ckd
What are the pediatric sites for midline cath placement - answers- scalp, popliteal,
saphenous
Optimal tip placement for nontunnuled/picc lines in upper extremities - answers-
insertion sites: upper extremity: ij, subclavian, axillary : lower third of svc or caj (cavo-
atrial junx)
Preferred veins for tunneled cvc - answers- axillary, subclavian, jugular, femoral veins
mid thigh, upper extremities
What kind of catheter is most commonly used for plasma or platelet - answers- dialysis
or apheresis catheter
Site/vessel selection for dialysis or apheresis catheters - answers- jugular or femoral
vein
Optimal tip location for dialysis or apheresis catheters - answers- caj or right atrium
What are main purposes of arterial catheters - answers- monitoring arterial pressure,
blood gases, labs organ specific infusions
What is an allens test? - answers- allen's test or the allen test is a medical sign used in
physical examination of arterial blood flow to the hands. 1.the patient is asked to clench
both fists tightly for 1 minute at the same time.
2.pressure is applied over both radial arteries simultaneously so as to occlude them.
3.the patient then opens the fingers of both hands rapidly, and the examiner compares
the colour of both. The initial pallor should be replaced quickly by rubor.
The test may be repeated, this time occluding the ulnar arteries.
If allens test is negative- should artery be punctured? - answers- yes
How long and what french size is an aquapheresis catheter - answers- 15-20cm and 6
fr
ANSWERS
Name on of the 3 new standards of care for 2024 - answers- drug
diversion,vasopressor, home infusion
What are the preferred veins for midline catheters - answers- basilic , brachial or
cephalic
How long should the treatment time be for midline catheters - answers- over 6 days up
to 14 days
Can vanco be given through a midline cath? - answers- yes for up to 6 days
Tunneled catheter cvc exit sites - answers- chest, upper back, thigh (pelvic area) or
lower torso
Optimal tip location for nontunneled cvc inserted in upper extrem. - answers- caj/upper
ra
Optimal tip location for nontunneled cvc inserted via femoral vein - answers- inferior
vena cava (ivc) above level of diaphranm
Contraindications for implanted port - answers- severe coagulapthy, severe sepsis,
burns/cellulitis, too thin
Preferred peripheral vessels for port - answers- basilic or cephalic
Preferred central vessels for port - answers- axillary, subclavian, jugular, femoral
Optimal tip location for port - answers- caj/upper ra (inferior vena cava (above
diaphragm)if inserted in femoral vein
How much pressure can power/pressure injectable vad withstand - answers- >300 psi
Name 2 procedures where power injection should be used - answers- ct and mri
What is the maximum dwell time for an intraosseos device - answers- 24 hours
How many attempts at io insertion in the same bone can be attempted in 48 hours -
answers- only one
What is the safest most cost effective and convenient form of alternate iv drug admin.
For certain therapies - answers- subcutaneous infusion devices
, What should be coadministered with sub q therapies to facilitate drug absorption -
answers- hyaluronidase
How often are subq devices changed when used for hydration - answers- 24- 48 hrs or
after 2l of fluid
Contraindications for placement of a midline catheter - answers- in arm with a
fx/trauma/infx/or poor circulation, fistula, or ckd
What are the pediatric sites for midline cath placement - answers- scalp, popliteal,
saphenous
Optimal tip placement for nontunnuled/picc lines in upper extremities - answers-
insertion sites: upper extremity: ij, subclavian, axillary : lower third of svc or caj (cavo-
atrial junx)
Preferred veins for tunneled cvc - answers- axillary, subclavian, jugular, femoral veins
mid thigh, upper extremities
What kind of catheter is most commonly used for plasma or platelet - answers- dialysis
or apheresis catheter
Site/vessel selection for dialysis or apheresis catheters - answers- jugular or femoral
vein
Optimal tip location for dialysis or apheresis catheters - answers- caj or right atrium
What are main purposes of arterial catheters - answers- monitoring arterial pressure,
blood gases, labs organ specific infusions
What is an allens test? - answers- allen's test or the allen test is a medical sign used in
physical examination of arterial blood flow to the hands. 1.the patient is asked to clench
both fists tightly for 1 minute at the same time.
2.pressure is applied over both radial arteries simultaneously so as to occlude them.
3.the patient then opens the fingers of both hands rapidly, and the examiner compares
the colour of both. The initial pallor should be replaced quickly by rubor.
The test may be repeated, this time occluding the ulnar arteries.
If allens test is negative- should artery be punctured? - answers- yes
How long and what french size is an aquapheresis catheter - answers- 15-20cm and 6
fr
