The management of the individual undergoing a procedure to insert a CVAD involves: gaining written consent for the procedure and the sedation (if sedation is planned) preparing the person for the procedure (assessment, fasting, review of pathology, administration of products and pre-medications as required). Following catheter insertion, radiological examination (e.g. chest X-ray) should be obtained to: verify catheter placement detect adverse events provide record of placement. The anatomical placement of the catheter tip must be documented and checked prior to the initiation of any therapy through the device. Learning activities Completed Activities Refer to your local policy and procedures and the CNSA . Develop a care plan for an individual undergoing a procedure to have a CVAD inserted. Outline the rationale for the following prior to insertion of a CVAD Antibiotics Platelets Describe the information and supportive care needs of a person and their carer pre insertion of a CVAD and the nursing responses to their needs. You are caring for a person who is having a Hickman tunnelled catheter inserted. He swims daily in the local public pool and asks if he will be able to continue to do this while the Hickman catheter is insitu. What information and advice would you provide to him? Care and maintenance principles All facilities caring for people who have a CVAD should have specific evidence based policies and procedures which undergo a robust review and evaluation process. The care and maintenance of CVADs differs between facilities. Some areas of CVAD management remain contentious or unclear despite a vast amount of research and debate. These include: most appropriate skin antiseptic appropriate cleansing of needleless access caps CVAD dressing requirements, i.e type and frequency of changing securement devices flushing techniques flushing and locking solutions.
The management of the individual undergoing a procedure to insert a CVAD involves: gaining written consent for the procedure and the sedation (if sedation is planned) preparing the person for the procedure (assessment, fasting, review of pathology, administration of products and pre-medications as required). Following catheter insertion, radiological examination (e.g. chest X-ray) should be obtained to: verify catheter placement detect adverse events provide record of placement. The anatomical placement of the catheter tip must be documented and checked prior to the initiation of any therapy through the device. Learning activities Completed Activities Refer to your local policy and procedures and the CNSA . Develop a care plan for an individual undergoing a procedure to have a CVAD inserted. Outline the rationale for the following prior to insertion of a CVAD Antibiotics Platelets Describe the information and supportive care needs of a person and their carer pre insertion of a CVAD and the nursing responses to their needs. You are caring for a person who is having a Hickman tunnelled catheter inserted. He swims daily in the local public pool and asks if he will be able to continue to do this while the Hickman catheter is insitu. What information and advice would you provide to him? Care and maintenance principles All facilities caring for people who have a CVAD should have specific evidence based policies and procedures which undergo a robust review and evaluation process. The care and maintenance of CVADs differs between facilities. Some areas of CVAD management remain contentious or unclear despite a vast amount of research and debate. These include: most appropriate skin antiseptic appropriate cleansing of needleless access caps CVAD dressing requirements, i.e type and frequency of changing securement devices flushing techniques flushing and locking solutions.
EdCaN-Specialty-Module-Three-Core-skills-in-Cancer-care.docx