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Vascular Access Devices: Implanted Vascular Access Ports

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

Accrediting Body:

Target Audience:

Disclosure Statement:

Financial: Lisa Gorski receives compensation from MedBridge for this course. She also receives compensation from 3M/Solventum, BD Medical, Genentech, and Nexus Medical. She is editor in chief of Home Healthcare Now. She also receives book royalties from F.A. Davis. Lisa has stock in ivWatch and is an employee at Ascension at Home.

Nonfinancial: Lisa Gorski is a professional member of the Infusion Nurses 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.

Accreditation Check:
Video Runtime: 38 Minutes; Learning Assessment Time: 31 Minutes

This course is the fourth in a series of six courses aimed at providing the home care nurse with the essential knowledge to safely care for patients who require a variety of home infusion therapies. Home care nurses must possess a high level of knowledge and skill to safely insert and manage vascular access devices, provide infusions via an array of infusion methods, recognize and respond to complications, and provide patient and caregiver education. This course focuses on understanding implanted vascular access ports. Important to safe practice is an understanding of the types of ports, how to identify them, and how to safely access the port with attention to aseptic technique and port patency. Ongoing assessment and care during port access are critical to reducing the risk for complications.

Learning Objectives
  • Determine indications for and features of various types of implanted vascular access ports
  • Examine critical aspects associated with implanted vascular port access
  • Implement a monitoring plan for potential complications associated with implanted vascular access ports

Meet Your Instructor

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

Lisa A. Gorski has worked for 40 years as a clinical nurse specialist (CNS) and educator for Wheaton Franciscan Home Health & Hospice, now part of Ascension at Home, in Milwaukee, Wisconsin. As a CNS, she has played a key role in the home infusion therapy program, contributing to clinician education, policy and procedure development,…

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Chapters & Learning Objectives

1. Types of Implanted Vascular Access Ports

Implanted ports may have one or two lumens and may be power-injectable, and there are ports with very specific indications. They may be placed in the chest or an extremity. The home care nurse must possess an understanding of differences and must use sound processes in port identification.

2. Assessment and Implanted Port Access

Prior to port access, it is important to assess the port and its locations and address the patient’s need for pain management during the access procedure. Critical aspects of the actual port access procedure include skin antisepsis, needle selection, and establishment of patency.

3. Potential Complications

Complications include infection, catheter-associated thrombosis, catheter malposition, and infiltration or extravasation. Prevention, identification, and interventions in the event of a complication are addressed.

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