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Capra Garrison

Capra Garrison, Registered Nurse, has more than 33 years of experience in infusion therapy and the instruction of licensed nurses in infusion therapy continuing education. Her experience comes from multiple infusion settings: acute care, ambulatory infusion centers, home infusion, long term care continuing education provider, and long term care pharmacy quality assurance consultant.

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Class Accreditation
All states (with the exception of Hawaii) recognize our courses for accredited continuing nursing education, CNE, contact hours.
This course is accredited by the following boards:
Provider approved by the California Board of Registered Nursing, Provider # CEP 15467.
Provider approved by the Arkansas, District of Columbia, Florida, Georgia , South Carolina Boards of Nursing through CE Broker, CE Provider #: 50-13256.  
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Current Practices in the Management of Central Lines

Contact Hours: 5
Cost: $50.00
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Current Practices in the Management of Central Lines
For a complete list of accreditations for this course, please see the accreditation information box below the author’s bio.  All states (with the exception of Hawaii) recognize our courses for accredited continuing nursing education, CNE, contact hours.

This course has been designed to provide basic conceptual and operational knowledge to healthcare clinicians responsible for the care of patients with central venous access devices.  As the science of infusion therapy advances and technology expands, it is imperative that all healthcare clinicians and nurses practicing infusion therapy remain current in their knowledge of infusion therapies, principles, techniques, equipment and the latest in infusion evidence based practices.

In early 2016, the Infusion Nurses Society (INS), recognized as the global authority in infusion therapy, released the updated Infusion Therapy Standards of Practice. The INS sets the accepted standards for infusion therapy practice for all healthcare settings. This course is based on the current best practices as defined by the Infusion Nursing Society and other governing agencies such as the CDC, and FDA.

Many governing boards require nurses, nursing assistive personnel, radiology technicians, EMT’s, paramedics and respiratory therapist to have additional infusion therapy education after licensure. These requirements vary by state and governing board.  To view each state's Board of Nursing you may reference the resources section of the website or click here. Competency requirements are obtained and maintained through the healthcare provider's employer, facility or institution, with a preceptor. The number of times a procedure must be repeated to demonstrate competency will be determined by the employer or as stipulated by the Board of Nursing or other governing agency of the profession.  Pedagogy has developed skills competency checklists for all infusion related procedures and these are available in the course, for print out and completion with a preceptor.

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Upon completion of the course, participants should be able to:

• Describe protective measures to guard against malpractice suits
• List reasons for use and advantages of central lines
• List veins used for central venous device placement and proper tip position
• Identify the various types of central lines
• Identify symptoms and prevention of complications
• Describe assessment criteria and documentation required for patients with central venous catheters


Chapter 1: Central Line Review

Definition of a Central Line
  • Reasons for use of a central line
  • Advantages of a central line
Overview of Central Venous Access Devices
  • Lumens
  • Non‐valved and valved catheters
  • Non‐tunneled catheters
  • Tunneled catheters
  • Implanted ports
  • PICC or Peripherally Inserted Central Catheter

Chapter 2: Anatomy
Veins used for placement of central venous access devices
Catheter tip placement

Chapter 3: Assessment and Preparations for Central Venous Catheterization
Considerations for selection of the device
Preparations for central venous catheterization

Chapter 4: Vascular Access Device Management
Needleless Connectors
Add-On Devices
CVAD Stabilization
Site Protection
Flushing and Locking
Assessment, Care, and Dressing Changes
Administration Set Changes
Blood Sampling from a CVAD

Chapter 5: Procedure Guides and Videos
Central venous catheter dressing change
Needleless access device change
Central venous catheter flushing
Blood Sampling from a CVAD

Chapter 6: Complications
Catheter related complications
Systemic complications
Insertion related complications

Chapter 7: Discontinuation of Therapy
Removal of devices
Central venous access device removal procedure

Chapter 8: Assessment and Documentation and Patient Education
Documentation of insertions, removal, infiltration or extravasations
Assessment, monitoring, documentation by type of therapy

Chapter 9: Resources
Skill Competency Checklists:
Accessing a Port
Administration of Infusate via an Ambulatory Infusion Pump 
Blood specimen collection from a CVAD
Deaccessing an Implanted Port 
IV Push
Large Volume Electronic Infusion Device 
Medication Administration
Midline or Central Line Dressing Change 
Needleless Connector Device Change

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