Our all day symposium is May 4, 2013 at St. Joseph’s Hospital in Denver Colorado
Some of the topics and speakers will include:
Motivational speaker, Kim Richards
Extravasation with Power Injection: Techniques and Technology to Mitigate Risks, Lynn Hadaway
Rich Lewis and Paul Blackburn are confirmed to speak
A nephrologist and an interventionalist.
Networking, good food, door prizes, and vendors plus 6 CE’s all in one day.
I am Chief Nursing Officer at Presbyterian St. Luke’s Medical Center and we have had a position open for over a year for a PICC line nurse to lead our PICC line program, and provide leadership to the care of all central lines through our facility. We have had difficulty filling that position. Do you know anyone who might me interested?
We are a multispecialty hospital with an average census of about 220. We have about 100 beds of adult med-surg including renal transplant and a large ortho service. We have a large blood cancer and Bone Marrow Transplant comprising almost 50 inpatient beds. We have 84 beds of NICU, 10 beds of PICU and 53 beds of Pediatrics.
Please let me know if you know someone who might be interested in this position.
Patients First, with Quality, Respect, Safety and Teamwork!
Jill Taylor, RN, MS, NE-BC
Chief Nursing Officer
Presbyterian St. Luke’s Medical Center
1719 E. 19th Ave
Denver, CO 80218
Notes on COVAN Spring Symposium April 21, 2012
Michelle Hawes-Novice to Expert; Proactive Approach to Vascualar Access
Proactive: adj. Serving to prepare for, intervene in, or control an expected occurrence or situation, especially a negative or difficult one, anticipatory.
Reactive: adj. Tending to react. Response to a stimulus.
In vascular access nursing.
Proactive is: assessing a pt’s. Venous access needs on admission, continual assessment, involving pt., experts available, right catheter placed by the right professional.
Reactive is: pt. has an IV or needs one, very little assessment, stick-it till you get it, call for PICC when all peripheral sites have run out, call for PICC when pt. is ready to go home.
Moving from novice to expert
Dreyfus model of expert: No longer relies on an analytic principle (rule, guideline, maxim) to connect his/her understanding of the situation to an appropriate action.
Mickey’s definition: The expert is one who can operate with full confidence outside of the algorithm.
Dr. Thomas Nifong-Catheter-Related Thrombosis & Infection: Reducing Controllable Risk Factors
Controllable risk factors-insertion site, catheters type, size, and tip location.
Treatment: if thrombus extends at ancillary vein and above anticoagulant on is needed.
Remove the catheter if not needed.
Proximal tip location of a CVC may cause endothelial damage.
Prevention is the goal.
Lynn Phillips-The Role of Intraosseous Access in Clinical Practices
Who needs an IO? Adults and peds anytime vascular access is difficult to obtain in emergent, urgent, or medically necessary cases.
Been around since WW II.
Modern IO-fast, reliable access, flow rates equivalent to PIV, few complications, low infection rate.
Sites for use-proximal tibia, distal tibia, proximal humerus, sternum.
Any drug can be given, including blood products and blood sampling.
Contraindications-fracture, previous orthopedic procedures near insertion site, prosthetic limb, IO within past 48 hours in that bone, inability to locate landmarks or excessive tissue.
Complications-infection-osteomyelitis, extravasation, compartment syndrome, fracture, operator error.
Dwell time-24 hours
Insertion pain-1.5-3 on Likert scale 2%lidocaine without preservatives and epinephrine.
Flow rates-60-80 gravity and 100-160 with pressure bag.
Who is using IO today? 75% of acute care hospitals, 90% EMS, 50 countries
Judy Thompson-Advancing Beyond the Status Quo, Evolving Your Clinical Practice
Find a champion in your facility-Judy’s is the chief of surgery
Vascular access team goals-reduce order to insertion time, appropriate site and catheter selection every time, bundle compliance by a uniformed approach, autonomy with the ability to work at maximum potential, incorporation of best practice, NO BLIND STICKS, use of ultrasound for all insertions including PIV, arterial and CVC’s.
New paradigm shift-this practice does not belong to any one discipline. Outcomes are not predicted by the initials behind the name, but by the experience behind the fingers.
The right person for the right line at the right time.
Future of vascular access-elimination of the standard PICC team, evolution of a vascular access model, autonomous workflow cycle from order sets: insertion, tip verification, discharge, multidisciplinary team approach, insertion of all vascular access devices.
“Knowledge is power, but enthusiasm pulls the switch” Ivern Ball
Kevin Arnold-Starting an Ultrasound Guided Peripheral IV Team for Your Facility
Selecting a catheter: catheter size should reflect size of available vessel and type of therapy to minimize/prevent complications and maintain adequate access.
NOTE: Phlebogenic drugs are best given through a smaller catheter in the largest available vessel.
Catheter length should be adequate to ensure that 1/2 of the catheter will reside in the lumen of the vessel. Consider the angle of approach when determining vessel depth and catheter size.
Information available for download at: www.ivaccess.com/PIV.php
Deborah Phillips-A Vascular Access Nurse’s Primer on Litigation
Never take legal advice except from a qualified attorney.
Impaired practice includes: alcohol, street drugs, prescriptions, unidentified medical issues, unidentified mental health issues, chronic fatigue, sleep deprivation, professional burnout, stress (good and bad), grief.
Other pitfalls: informed consent, HIPPA, devices, scope of practice, documentation.
Always document even if you made a mistake.
The COVAN Spring Symposium date has been changed to April 21, 2012. Please save this date.
This is the date for our Holiday Party at the winery again. Lots of gift baskets door prizes, food and wine tasting. Flyer will be coming out soon.
New COVAN BOARD for 2012-2014
Karen Yankus – President
My husband Tony and I have lived in Highlands Ranch for 11.5 yrs. I have 2 children and 3.5 grandchildren. (One on the way in Jan. 2012.) We have 3 cats and 4 birds in the house with many critters I feed outside in the yard. I love animals, travel, gardening and reading.
I have been a vascular access RN since 1989. My first job in vascular access was in home infusion with OptionCare in Naples FL. In Spring of 1991 OptionCare send me to Atlanta Georgia for a week-end to learn how to place PICC’s. My “guinea pig” was my husband, who is still married to me. In those early days we practiced on “real people”. Being the first nurse in Southwest FL to place PICC’s I was in much demand as the alternatives were peripheral IV’s, acute central lines, tunneled catheters or implanted ports in the home setting. I placed PICC’s and midlines in patient’s homes which was interesting and my success rate was not good. Placing a 2.9 Fr silicone catheter in the AC, through a large steel “peel away” needle, with no stiffening wire, threading it with forceps, was no easy task. Received my CRNI in 1992.
In my 11 years in South Florida I was nurse manager for OptionCare, director of clinical services for Shands Home Care, nurse manager for Health Infusion, clinical educator for First American Home care, nurse manager for Community Home Services with Naples Community Hospital and I worked on the IV team at Naples Community Hospital. (3 of those companies closed) In Dec. of 1999 our first grandchild was born and we moved to CO to be near my daughter and her family. I worked for Littleton Hospital for 10 years in vascular access. In 2006 I ran for coroner in Douglas county and lost. It was a very interesting and informative experience though. Went to work full time for Bard Access Systems for 2 years as a clinical educator and covered 10 states. I am now at St. Joseph’s Hospital since Dec. 2009 on the vascular access team and love it there. Received my VA-BC in Dec. 2010.
In November of 2007 I started COVAN. It was very exciting to have our first meeting at Maggiano’s Restaurant with many people attending. We had 41 memberships with that first meeting and our membership now stands at 106.
I look forward to the next 2 years with COVAN as we have learned a lot in the last 4 years on how to provide a better experience for our members of COVAN.
Veronica Hrutkay – Presidential Advisor
Shelly Weber – Secretary
Rosanna Patrona-Aurand – Treasurer
I have been an RN since 1980. I have worked in the Centura system (Littleton, Porter and St. Anthony Hospitals) since 1991, as well as at Children’s Hospital and Swedish, and helped to get the IV Team at Littleton started. I recieved my BSN from Regis University and am currently working on my MSN in Nursing Leadership at Regis University. I currently have CRNI and VA-BC certifications. I also worked in Lausanne, Switzerland as a nurse from 1983-1991. And I am a Nightingale Nominee in 2011.
Brigita Pickett – Meeting Coordinator for North State meetings
I graduated with a BS in Nursing from the University of Massachusetts; I have worked in many nursing areas: Med/Surge Units, ICU, Home care. Most recently I have been with PVHS (Poudre Valley Health System) for 20 years. The first 10 years was in Home Infusion and the second 10 years was on the IV Team at PVH. I am the Educator for our IV Team.
I received my CRNI in 1996. I am a member of AVA and INS. I am a Board Member of COVAN.
Julia Wagner – Meeting Coordinator for Central meetings
Julia is a U.S. Air Force veteran of 7 years who has worked for the Veterans Health Administration for the past 13 years, first at the Phoenix VA Medical Center and currently at the Denver VA Medical Center since 2002. Her nursing background includes critical care and vascular access. She has been a PICC nurse since 2005 and was instrumental in developing a dedicated PICC/IV Team and is currently the PICC/IV Program Coordinator for the Denver VA. Julia’s dedication to the veteran population led her to chair one of the biggest committees for the 2010 National Veterans Wheelchair Games that was hosted in Denver in July of 2010.
Julia has been married to her husband, Richard, for the past 18 years and has a teenage daughter, Victoria, who attends Smoky Hill High School. Her hobbies include playing golf, fantasy football, reading, and music.
Lorri Jameson -Meeting Coordinator for South meetings
Kim Whittaker – Membership chair
Matt Parker -Webmaster
Adam Deets – Vendor Liaison
I’ve been working for Centurion Medical Products for over 3 years now and have been a COVAN member just as long. I’m originally from Wisconsin and now live in Castle Rock with my wife Melissa and two kids Tyler 6 and 1/2 and Morgan 4 and 3/4 (that’s how old they would tell you they are). I have really enjoyed being part of COVAN over the last 3 years and have made a lot of good friends. I have also learned a lot from the members, speakers and presentations at the COVAN meetings and symposiums. I’m really looking forward to the opportunity to help out with vendor relations this coming year and to give back to the group that’s helped me so much.
Debbie King – Symposium chair
We can always use volunteers for our meetings and the Spring Symposium so don’t hesitate to let one of the board members know if you can give COVAN a little time.
Excelsior Medical and Dowling & Dennis invite you to join a free webinar:
Cap the Connector, Save the Patient:
Clinical Results from Multi-Site Study
On Reducing CLABSI’s with Novel Disinfection Technology
Gregory Schears, MD
Friday, November 18th
12:00 pm ET (9 am PT)
Gregory Schears, M.D. (Rochester, Minn.) will discuss his groundbreaking CLABSI research from 12 U.S. hospitals, which he recently summarized at the Joint Commission and AVA conferences.
Analyzing data from thousands of catheter days, this informative clinical presentation will review a novel technology that may allow for reduction in central-line-associated bloodstream infections.
Click here to register NOW
If you are unable to click the link above, please copy and paste the following URL into your browser: http://www.visualwebcaster.com/event.asp?id=83692
We look forward to your attendance. You can also register by clicking here.
Yesterday, August 30, 2011, SICU/PICC Nurse Walter Reis was killed in a tragic motorcycle accident. Walter was a respected health care professional and dedicated family man. He was good at serving Veterans because he was a Veteran, having served honorably in the U.S. Air Force. His dedication to serving Veterans was shared by his wife, Regina Alexander-Reis, the VISN 19 CIS/ARK Program Manager.
On behalf of COVAN we want to offer our deepest condolences to Walter’s family, his coworkers and to all those that had the distinct pleasure of knowing him. He will be missed in the field of vascular access and in our lives.