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Long-term central venous access device selection
1NHS England (Wessex), Southampton.
Insights
This article reviews central venous access devices for nurses, emphasizing patient assessment to reduce complications. Proper device selection and early problem recognition are key for safe, long-term infusion therapy.
Area of Science:
- Nursing
- Vascular Access
- Infusion Therapy
Background:
- Infusion therapy is critical across healthcare, requiring safe vascular access.
- Prolonged intravenous therapy necessitates reliable central venous access devices (CVADs).
- Nurses play a vital role in managing infusion therapy and preventing complications.
Purpose of the Study:
- To update nurses' knowledge on patient assessment for CVAD selection.
- To support the reduction of complications associated with infusion therapy.
- To improve early recognition of potential issues in patients receiving intravenous therapy.
Main Methods:
- Review of clinical indications for various central venous access devices.
- Discussion of the range of long-term intravenous therapies.
- Emphasis on comprehensive patient assessment prior to device selection.
Main Results:
- Detailed patient assessment is crucial for appropriate CVAD selection.
- Understanding clinical indications and therapy types aids in minimizing risks.
- Enhanced knowledge supports proactive management and complication avoidance.
Conclusions:
- Optimizing patient assessment enhances the safety and efficacy of infusion therapy.
- Appropriate CVAD selection and monitoring are essential for patient outcomes.
- Continuous education for nurses is vital for managing complex infusion therapies.
Abstract:
Infusion therapy is often viewed as a means to an end - a way to administer medications and fluids. It is one of the few specialties that affect almost all areas of healthcare. Safe, effective and reliable vascular access should be the goal of every health professional who is starting a patient on a prescribed course of intravenous therapy, especially if that patient is undergoing a prolonged course. This article aims to refresh and update nurses' clinical knowledge of the detailed patient assessment required before choosing a central venous access device, as well as supporting a reduction in complications and earlier recognition of potential problems. It discusses clinical indications for devices, the range of long-term intravenous therapies that can be used, and patient assessment.
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