{"title":"Correct utilization and management of peripherally inserted central catheters and midline catheters in the alternate care setting.","authors":"K R Carlson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Based on patient condition, intravenous therapies, caregiver support, and organizational policy, correct device selection plays an integral part in the overall care and management of the alternate care setting i.v. therapy patient. This paper will identify the various aspects of appropriate device selection for i.v. therapy prescriptions.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 6 Suppl","pages":"S46-50"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21707892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Attachment impacts a culturally diverse population in the homecare setting.","authors":"M A Riley, K Thelian","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Home intravenous therapy requires knowledge and understanding for successful outcomes. This article presents the ideas of attachment, guidance, and culturally sensitive nursing practice interventions when caring for patients who require home i.v. therapy. Culturally sensitive nursing interventions can increase a patient's ability to comprehend the treatment plan if they are presented in a familiar context. As trust is built, barriers to accurate communication between the nurse and the patient and family are removed, resulting in increased patient compliance and learning. Four case studies are presented to illustrate how nursing interventions use the cultural backgrounds of patients to develop culturally sensitive nursing interventions and to show how decisions are made based on information regarding cultural norms.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 6","pages":"325-30"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21709293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Selection and management of central venous access devices in the home setting.","authors":"D Cole","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the last decade new central venous access devices (CVADs) inserted for long-term therapy have replaced conventional peripheral venous access devices. This shift contributes to the need for additional education as technological advances result in additional options for central venous access. Healthcare's transition from the hospital to a community-based system has increased the use of CVADs in the home setting. Issues that confront the patient with a CVAD in the home setting must be examined more closely than ever before.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 6","pages":"315-9"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21708074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The role of the interventional radiologist in central venous access.","authors":"A S Blum","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The role of the interventional radiologist in the care of patients requiring placement of central venous access devices is rapidly evolving. With experience gained from diagnosing and treating central venous catheter-related complications, interventional radiologists are assuming an increasing role in the placement of these devices. With imaging guidance, catheter and guidewire skills, and a commitment to providing a clinical service that includes management of catheter malfunctions and complications, central venous access by the interventional radiologist has proven a safe and effective alternative to standard surgical techniques.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 6 Suppl","pages":"S32-9"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21707891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Care and management issues regarding central venous access devices in the home and long-term care setting.","authors":"L M Fitzpatrick","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Experience and comfort with central venous access devices (CVADs) has increased dramatically during the past 2 decades. However, coordination of care remains a challenge as patients with long-term catheters move between levels of care with multiple healthcare providers. Standardizing CVAD maintenance and the teaching of patients and caregivers across the care continuum can be beneficial for patients and professionals. Effective communication among all care providers enhances teamwork and improves efficiency. The consistent collection and evaluation of data regarding CVAD complications and outcomes is important for assessing quality and determining best practices.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 6 Suppl","pages":"S40-5"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21707897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Quality issues in access device management.","authors":"S M Poole","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patients are moving more rapidly from one healthcare setting to another. Often these patients have more complicated therapies and access devices and more potential for adverse occurrences. To provide care for these patients across healthcare settings, institutions need to plan a framework for delivery of quality care and services while minimizing the potential for complications. This article describes methods, tools, and other resources useful for promoting quality care in patients with more complex parenteral routes of administration.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 6 Suppl","pages":"S26-31"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21707894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Predisposing factors, prevention, and management of central venous catheter occlusions.","authors":"E A Krzywda","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Occlusion is the most common noninfectious complication of central venous access catheters. The primary approach is prevention. Successful management begins with an understanding of the potential etiologies of occlusions. Proper assessment aids the clinician in correctly identifying the cause and treatment strategy. This article focuses on the physiologic principles of, research on, and current clinical practices with central venous catheter occlusions.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 6 Suppl","pages":"S11-7"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21709301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Vancomycin peak serum concentration monitoring.","authors":"V H Tam, G E Moore, D M Triller, L L Briceland","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Vancomycin is a glycopeptide antibiotic commonly used in the treatment of gram-positive bacterial infections. With the rising prevalence of resistant gram-positive bacterial infections in healthcare institutions and the advent of attempts to curb escalating medical cost, vancomycin is being used with increasing frequency in the homecare setting for infection management. In view of its variability in pharmacokinetics and the potential for toxicities, serum concentrations often are measured. This article reviews the pharmacology of vancomycin and suggests a practical approach to serum concentration monitoring in homecare.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 6","pages":"336-42"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21709297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Faculty and clinicians collaborate to teach basic intravenous skills to senior baccalaureate nursing students.","authors":"K B Frame, C Chrystal","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Faculty in baccalaureate programs must adapt their curricula to meet the needs of students entering health care settings where rapid change means increased responsibility for the staff nurse. One of these changes is in the area of intravenous therapy, where it has become an expectation that staff nurses perform peripheral IV starts. In response to this need, faculty at Boston College School of Nursing chose to develop an IV Therapy Practicum by collaborating with IV nurse specialists from The Lahey Clinic. This practicum was incorporated into the senior-level Synthesis Clinical Course, for which students are mentored by a baccalaureate-prepared nurse preceptor.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 5","pages":"253-6"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21624774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Alpha 1-antitrypsin deficiency and the impact of nursing interventions and treatment with intravenous therapy. An overview.","authors":"K Scharnweber","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The primary function of alpha1-antitrypsin is to protect the alveoli in the lung from harmful destruction from proteolytic enzymes, which prevent optimal elastic recoil of the lungs and destroy the lungs. Insufficient serum levels of alpha1-antitrypsin eventually lead to early onset of emphysema in the third, fourth, or fifth decade of life. Treatment of alpha1-antitrypsin deficiency by intravenous administration of an enzyme inhibitor known as alpha1-proteinase inhibitor, a human-derived blood product, can be administered to help replace the enzymes required to maintain lung function. Early detection, nursing intervention, and clinical management slow the progression of this hereditary disease.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 5","pages":"258-64"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21624775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}