Training Papers

Improving Vascular Access Dressing Integrity Without Increased Skin Injury Risk

Maintaining Dressing Integrity to Prevent Infection Maintaining clean, dry, intact dressings over vascular access devices (VADs) is fundamental to site care. The 2021 Infusion Therapy Standards of Practice recommend that transparent dressings be changed at least every 7 days. However, if the dressing is disrupted ‐ meaning loose, wet, or soiled – the standards recommend […]

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Mechanical Circulatory Support: The Importance of Driveline Exit Site Care

Mechanical Circulatory Support to Manage Heart Failure Heart failure is a significant cause of morbidity and mortality that affects approximately 26 million patients worldwide, with rates continuing to climb.¹ Mechanical circulatory support (MCS) is an intervention to manage heart failure, often serving as bridge to transplantation (BTT) by providing acceptable quality of life for patients

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Vascular Dressing Wear Time: The Gap Between Guidelines and Practices

Guidelines for vascular access dressings focus on improving both wear time and dressing integrity. Maintaining intact dressings is important for preventing infection and minimizing risk of skin injury. It can also reduce unnecessary dressing changes and help wear time more closely match standard parameters. According to the 2021 Infusion Therapy Standards of Practice (the Standards), transparent semipermeable membrane

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Celebrating 30 Years of Collaboration with Nurses on Product Design

    The TLC Splint® is designed to help stabilize the joint when an area of flexion is used during IV therapy infusion. See-through openings in the TLC Splints allow nurses to visually and manually assess the IV insertion site and surrounding tissue without removing the device. Recent nurse feedback led to product improvements to

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Catheter to vein ratio and risk of peripherally inserted central catheter (PICC)-associated thrombosis according to diagnostic group: a retrospective cohort study

ABSTRACT Objectives Determine the effect of the catheter to vein ratio (CVR) on rates of symptomatic thrombosis in individuals with a peripherally inserted central catheter (PICC) and identify the optimal CVR cut-off point according to diagnostic group. Design Retrospective cohort study. Setting 4 tertiary hospitals in Australia and New Zealand. Participants Adults who had undergone

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Supline to upright? Patient position during PICC insertion

Catheter to vein ratio and risk of peripherally inserted central catheter (PICC)-associated thrombosis according to diagnostic group: a retrospective cohort study

Rebecca Sharp1, Peter Carr2,3, Jessie Childs4, Andrew Scullion5, Mark Young6, Tanya Flynn7, Carolyn Kirker8, Gavin Jackson9, Adrian Esterman1 Correspondence to Dr Rebecca Sharp; Rebecca.Sharp@unisa.edu.au Abstract Objectives Determine the effect of the catheter to vein ratio (CVR) on rates of symptomatic thrombosis in individuals with a peripherally inserted central catheter (PICC) and identify the optimal CVR cut-off point according

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mastisol liquid glue

Improving IV dressing integrity

"We continued to collect postproject data of 30,049 vascular access sites including central line catheters and observed the same effectiveness of incorporating a gum mastic adhesive on dressing integrity" DeVries et al (2021). Improving IV dressing integrity A recent clinical paper reported on vascular access sites and evaluated transparent vascular access dressings and the use

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