VA-BC VASCULAR ACCESS DEVICES AND INSERTION,
VA-BC EXAM REVIEW
What vascular access devices must be performed in a surgical suite or interventional
radiology - Answers- Tunneled central Central venous access devices, and implanted
ports
What venous access devices can be placed bedside? - Answers- Peripheral IVs, mid
lines, non-tunneled lines including piccs, dialysis, and apheresis catheters
What is aseptic no touch technique? - Answers- A type of aseptic technique where key
areas of items to be used for an infusion cannot be touched prior to insertion. Once a
site has been treated with antiseptic it can only be touched by the clinician if wearing
sterile gloves.
What are the five moments of hand hygiene? - Answers- Before patient contact, before
aseptic task, after body fluid exposure risk, after patient contact, and after contact with
patients surroundings
How long should CHGV applied before accessing a vessel in there femoral area? -
Answers- Full two minutes using friction
What happens if chlorhexidine gluconate comes in contact with soaps and shampoos? -
Answers- Chlorhexidine gluconate is inactivated by soaps and shampoos, ensure any
soap or shampoo is thoroughly rinse off prior to use
What is the optimal tip location of an umbilical vein catheter? - Answers- Within the
inferior vena cava near the junction with the right atrium
How are umbilical vein catheters confirmed? - Answers- Radiography,
echocardiography, ultrasound (favorable to radiography—injection of NS may help with
tip identification), and fluoroscopy
What are contraindications to a pediatric umbilical vein catheter? - Answers- Poor
stump condition, acute abdomen, omphalitis, omphalocele, necrotizing enterocolitis, and
peritonitis
What are contraindications to a pediatric umbilical artery catheter? - Answers- Poor
stump condition, acute abdomen, omphalitis, omphalocele, necrotizing enterocolitis,
peritonitis, and evidence of local vascular compromise in lower extremities or buttocks
What is the optimal tip location for an umbilical artery catheter? - Answers- High
position- in the thoracic portion of the descending aorta below the aortic arch. Between
thoracic vertebrae six and nine on single view chest and abdomen radiograph.
VA-BC EXAM REVIEW
What vascular access devices must be performed in a surgical suite or interventional
radiology - Answers- Tunneled central Central venous access devices, and implanted
ports
What venous access devices can be placed bedside? - Answers- Peripheral IVs, mid
lines, non-tunneled lines including piccs, dialysis, and apheresis catheters
What is aseptic no touch technique? - Answers- A type of aseptic technique where key
areas of items to be used for an infusion cannot be touched prior to insertion. Once a
site has been treated with antiseptic it can only be touched by the clinician if wearing
sterile gloves.
What are the five moments of hand hygiene? - Answers- Before patient contact, before
aseptic task, after body fluid exposure risk, after patient contact, and after contact with
patients surroundings
How long should CHGV applied before accessing a vessel in there femoral area? -
Answers- Full two minutes using friction
What happens if chlorhexidine gluconate comes in contact with soaps and shampoos? -
Answers- Chlorhexidine gluconate is inactivated by soaps and shampoos, ensure any
soap or shampoo is thoroughly rinse off prior to use
What is the optimal tip location of an umbilical vein catheter? - Answers- Within the
inferior vena cava near the junction with the right atrium
How are umbilical vein catheters confirmed? - Answers- Radiography,
echocardiography, ultrasound (favorable to radiography—injection of NS may help with
tip identification), and fluoroscopy
What are contraindications to a pediatric umbilical vein catheter? - Answers- Poor
stump condition, acute abdomen, omphalitis, omphalocele, necrotizing enterocolitis, and
peritonitis
What are contraindications to a pediatric umbilical artery catheter? - Answers- Poor
stump condition, acute abdomen, omphalitis, omphalocele, necrotizing enterocolitis,
peritonitis, and evidence of local vascular compromise in lower extremities or buttocks
What is the optimal tip location for an umbilical artery catheter? - Answers- High
position- in the thoracic portion of the descending aorta below the aortic arch. Between
thoracic vertebrae six and nine on single view chest and abdomen radiograph.
