Declotting a Central Vascular Access Device (CVAD)
Presented by Lisa A. Gorski, Clinical Procedure Manual Review Board, and Kim Tate
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This course will cover the proper procedure, patient education, documentation guidelines, and care considerations for assessing and restoring CVAD patency.
Learning Outcomes
- Identify the correct procedure for accurately assessing CVAD patency and safely restoring the patency of an occluded CVAD
- Describe the essential elements of patient education when assessing and restoring CVAD patency
- Define best-practice documentation for assessing and restoring CVAD patency
- Demonstrate clinical decision-making related to assessing and restoring CVAD patency
Meet your instructors
Lisa A. Gorski
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…
Clinical Procedure Manual Review Board
The Medbridge Clinical Procedure Manual Review Board ensures the development and maintenance of up-to-date and evidence-based clinical procedures. The review board is composed of leading nurse experts in the field: Danielle Pierotti, RN, PhD, CENP, and Margherita Labson, RN, BSN, MSHSA. The review board is involved in…
Kim Tate
Kim Tate is a registered nurse with more than three decades of healthcare experience. She is a passionate clinical leader who strives to deliver quality care and positive patient outcomes. She has a bachelor of science in nursing, with a proven track record of facilitating and leading the effectiveness of clinical programs,…
Chapters & learning objectives
1. Introduction
This chapter includes an introduction to the complication and management of a thrombotically occluded CVAD, information on all the equipment and previsit preparation needed for this assessment, and recommended infection control policies.
2. Procedure: Declotting a Central Vascular Access Device (CVAD)
This chapter will provide a step-by-step procedure guide for assessing CVAD patency and safely restoring the patency of an occluded CVAD.
3. Tips, Precautions, and Care Considerations
This chapter provides tips, precautions, and considerations for performing these skills in the home.
4. Patient and Caregiver Education
This chapter provides information on what education the patient (and caregiver) needs to support self-management of their care.
5. Documentation Guidelines
This chapter provides recommendations on what to note when documenting the assessment and restoration of CVAD patency.
6. Conclusion
This chapter includes learning assessment questions to assess the learner’s knowledge of the skills covered in this course. It also includes a bibliography of referenced material.