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Accessing an Implanted Vascular Access Port

presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN

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Disclosure Statement:

Financial: Lisa Gorski receives compensation from MedBridge for this course. She also receives compensation from 3M, BD Medical, Genentech, and Nexus Medical.
Nonfinancial: Lisa Gorski is a professional member of Infusion Nurses professional society.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 7 Minutes

The implanted vascular access port is a central vascular access device (CVAD) that is placed completely underneath the skin. The port consists of a catheter attached to a reservoir, or port, and is accessed through the skin using a noncoring, or Huber, needle. The port may be located in the chest and placed via the subclavian or internal jugular vein. Alternatively, the port can be placed in the arm above the antecubital area via one of the upper arm veins (e.g., basilic, cephalic, or brachial). As with any CVAD, the catheter tip should be located in the lower third of the superior vena cava at or near the cavoatrial junction. The implanted port is commonly placed for patients who require weeks or months of infusion therapy. The port requires access when needed for infusion therapy or for routine flushing and locking.

In this training, we'll review the equipment and procedures for accessing an implanted vascular access port for patients with CVADs. This course includes

- Video demonstrations of procedures
- Downloadable procedure guide PDFs
- Tips and best practices for performing these procedures in the home

This course was reviewed by Danielle Pierotti, RN, PhD, CENP, to ensure the content meets current professional guidelines and best evidence-based practices.

Meet Your Instructor

Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN

Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN, has worked for more than 30 years as a clinical nurse specialist (CNS) for Wheaton Franciscan Home Health & Hospice, now part of Ascension at Home in Milwaukee, Wisconsin. As a CNS, she has developed and oversees the home infusion therapy program, provides staff education, and is…

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Chapters & Learning Objectives

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1. Introduction

This chapter includes an introduction to accessing an implanted vascular access port, information on all of the equipment needed to provide this care for patients undergoing CVAD access, and recommended infection control policies.

2. Accessing an Implanted Vascular Access Port

This chapter will provide a step-by-step procedure guide and video demonstration of accessing an implanted vascular access port.

3. Tips and Precautions

This chapter provides tips and considerations for performing these skills in the home. It will also cover related procedures and frequently asked questions.

4. Documentation Guidelines

This chapter provides recommendations on what to note when documenting for patients receiving care for an implanted vascular port.

5. Quiz and Bibliography

This chapter includes learning assessment questions to assess the learner's knowledge of skills covered in this course. A bibliography of referenced material is also included.

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