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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.

Read Capra Garrison's Full Bio...
Class Accreditation
All states 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, New Mexico, South Carolina, and West Virginia Boards of Nursing through CE Broker, CE Provider #: 50-13256.  
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Peripheral and Central Venous Access Device Review

Contact Hours: 7.5
Cost: $75.00
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Peripheral and Central Venous Access Device Review
For a complete list of accreditations for this course, please see the accreditation information box below the author’s bio.  All states recognize our courses for accredited continuing nursing education, CNE, contact hours.

This online continuing education course is for nurses, medical health care professionals, and other interested individuals. 

This course has been designed to provide basic conceptual and operational knowledge to nurses, and other healthcare providers who have had previous “IV Certification” or infusion courses and would like to review the current infusion therapy standards. 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.

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.



Objectives


Upon completion of this course, the participant will be able to:
  1. State the agencies that govern infusion therapy practice.
  2. Demonstrate the correct calculation of an IV flow rate.
  3. State the appropriate venous access device for the therapy ordered.
  4. Identify complications of IV therapy; cause, prevention and treatment.
  5. Identify the various types of central lines and proper procedure steps in the care of these devices.

Curriculum


Chapter 1: Legal Issues
  • Regulatory agencies and governing bodies 
  • Components of a complete order 
Chapter 2: Fluid Regulation
  • Methods of fluid regulation
  • Patient considerations in fluid regulation
  • External factors that affect the rate of flow 
  • Calculation of I.V. flow rates
Chapter 3 Infection Prevention and Safety Compliance
  • Hand hygiene
  • Sharps management
  • Medical waste disposal
  • Durable medical equipment disinfection
  • Standard precautions
  • Transmission-based precautions
Chapter 4 Vascular Visualization
  • Trans-illuminator technology
  • Near infrared technology
  • Ultrasound
Chapter 5: Site Selection and Device Placement
  • Criteria for peripheral access devices
  • 3 types of peripheral access and criteria for placement
  • Special considerations of the specific age groups
  • General considerations of short peripheral access 
  • Veins to avoid
Chapter 6:  Peripheral Access Device Management
  • Filtration
  • Add-on devices
  • VAD stabilization
  • Joint stabilization
  • Site protection
  • Flushing and locking
  • Assessment, care, and dressing changes
Chapter 7: Procedures Guides and Videos
  • Pre-insertion procedures
  • Peripheral iv insertion
  • Primary and secondary administration set-up
  • IV push administration
  • Catheter discontinuation
Chapter 8: 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‐valve and valved catheters
  • Non‐tunneled catheters
  • Tunneled catheters
  • Implanted ports
  • PICC or peripherally inserted central catheter
Chapter 9: Anatomy
  • Veins used for placement of central venous access devices
  • Catheter tip placement
Chapter 10: Central Line Management
  • Needleless connectors
  • Filtration
  • Add-on devices
  • CVAD stabilization
  • Site protection
  • Flushing and locking
  • Assessment, care, and dressing changes
  • Administration set changes
  • Blood sampling from a CVAD
Chapter 11: Procedure Guides and Videos
  • Central venous catheter dressing change
  • Needleless access device change
  • Central venous catheter flushing
  • Blood sampling from a CVAD
Chapter 12: Peripheral and Central Line Complications
  • Catheter related complications
  • Systemic complications
  • Insertion related complications
Chapter 13: Discontinuation of Therapy
  • Removal of devices
  • Central venous access device removal procedure
Chapter 14: Resources
  • Skill competency checklists:
    • Medication administration
    • Large volume electronic infusion device
    • Peripheral I.V. catheter insertion
    • I.V. push
    • Administration of infusate via an ambulatory infusion pump
    • Accessing a port
    • Blood specimen collection from a CVAD
    • Deaccessing an implanted port
    • Midline or central line dressing change
    • Needleless connector device change

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