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The e-news publication of the Association for Vascular Access NOVEMBER 2018 | VOLUME VIII | ISSUE 4



For more information on the PediSIG and how to join:

Letter from the Chair I say this every year, but I was amazed by the high quality of content that was shared at AVA’s Annual Scientific Meeting. I was able to meet many new PediSIG members in Columbus, many of whom submitted posters and presentations featuring unique issues regarding pediatric and neonatal patients. After many days of networking, collaborating, knowledge sharing and fun, I’m overjoyed with the direction of our work. Reflecting upon my own AVA journey, I attended my first scientific meeting in 2009 (Las Vegas if you remember it!) and my biggest take home lesson was that I didn’t know what I didn’t know. I was a team of one from a hospital that knew the value of a vascular access specialist but didn’t want to invest in an IV team. Moving forward from that day, with the help and support of MANY PediSIG members, I was able to grow the program at my home institution. I know many of you have similar stories. The key to our success isn’t in the individual, but in the team.

“Alone we can do so little, together we can do so much.” This quote from Helen Keller is true in so many capacities. It really hits home when it comes to the PediSIG. Many of us, at least many of the people I have met in my years of working with the PediSIG, come from small teams in smaller “hospitals within a hospital.” Our work is often endless. We are constantly advocating for patients, covering many different sub-specialties and patient populations. It is important to understand that we don’t have to feel alone and that together we can develop great things. So what great things can we do?! The PediSIG Executive Leadership Council has an ambitious agenda ahead of us and we want you to be involved. Finalizing the course book from our PICC insertion course, sharing the results from our PAVES CONTINUED ON PAGE 15 2 | IQ | Intravascular Quarterly NEWSLETTER

EDITOR’S MESSAGE: JAVA Publisher Transition Eric Seger, AVA Director of Communications | Editor, IQ and Journal of the Association for Vascular Access

Hello, AVA members! Can you believe we are approaching yet another holiday season? Hopefully, this means you are preparing for Thanksgiving feasts and formulating your Christmas shopping plans while putting a bow on another successful year of saving lines. As many of you likely saw in your email inbox earlier this month, the Journal of the Association for Vascular Access is switching publishers. Effective January 2019, Allen Press will handle the production and publication of AVA’s multidisciplinary, peer-reviewed scholarly journal, stepping in for Elsevier. This move was guided by an extensive vetting and approval process that took many months and countless conversations among the AVA core team and its Board of Directors. As we charge toward 2019 and the final steps of the transition, our entire team is confident this is the best decision from a clinical, quality and professional standpoint for the journal. Personally, I am extremely anxious to see how this relationship affects our organization as a whole. Having had my boots on the ground for the duration

and orchestrating the mound of phone calls, emails and texts necessary to coordinate the transition, it excites me to be working with a company open to sharing new ideas and suggestions for improvement. Don’t worry – you will still receive a journal four times a year. I hope you submit your own great content as we work together with Allen Press to improve the quality and production practices in JAVA. Encourage your colleagues to submit articles. Become a JAVA reviewer. Read other journals and share with me any suggestions you have. Our journal can only be successful with your help! If you wish to submit an article for review and inclusion in a 2019 journal (or beyond), follow this link to the new JAVA Editorial Manager. Below is also a video outlining the steps you need to take to register an account and submit a new manuscript.

If you have any questions on this transition or how to submit your work, send me an email at eseger@ Thank you, and happy writing!

NOVEMBER 2018 | 3

IV 101: Education Gaps and Tools You Can Use for New Nurses Susan Brown MSN, MSED, VA-BC™ | Chief Nursing Officer, ivWatch

Reflecting on the 2018 AVA Scientific Meeting, I am inspired by the work and innovations of practitioners, industry partners and the association. Through interactions at AVA, I’ve gained valuable experience and introductions to professionals with similar passion and enthusiasm – AVA is truly an organization I am proud to serve. This year, we shared research, insights and most importantly, challenges and pain points. I presented to a full room with the focus on educating and training non-vascular access professionals on peripheral IV best practices. At the conclusion, many attendees shared the same sentiment: the need for more vascular access education within their institutions is paramount. I was told several stories illustrating a primary pain point of vascular access teams (VAT): being informed of severe patient complications too late and with inconsistent documentation. Oftentimes, vascular access is taught as a task and not a core function that’s pertinent for providing the best care possible to the patient. Beyond choosing the appropriate device and proper placement/ maintenance, frontline nurses lack the necessary knowledge and skill set to recognize signs and symptoms of complications which can delay utilization of vascular access specialists in order to prevent harm. The collaboration and conversations that began at this meeting of the minds should be kept alive and applied back on the job – so I want to offer some insights on this common question: How can we better prepare our bedside nurses to tackle day-to-day realities of vascular access and ensure they are equipped with the tools to provide the best care possible? 4 | IQ | Intravascular Quarterly NEWSLETTER

MY TOP THREE INSIGHTS ARE: 1. There have been significant strides by VAT to work vascular access training into onboarding. Take advantage of every opportunity to teach. 2. Stay informed about industry standards and interventions and give bedside nurses the necessary information to apply these techniques while they are on the job. 3. Encourage patient involvement. Provide patients with educational materials or point them to specific websites that will prepare them to be more proactive during their hospital stay.

Set Expectations Early The institution onboarding process is crucial for new graduate nurses who face an enormous challenge of transitioning from school to the bedside. The same rings true for experienced nurses coming from another institution – it’s best to set expectations up front. In my conversations with VAT leaders, managers and educators at hospitals, they talk about the huge transition from nursing student to a practicing bedside nurse who is competent in providing safe IV therapy. Training is a financial investment, and although it’s an essential one, its importance isn’t always conveyed. Mandated training is possible and can be accomplished in various ways; we’ve seen education and device training included in house-wide onboarding, rolling education and as part of a dedicated skills day. CONTINUED ON PAGE 7

AVA 2018 wrap up It was great seeing everyone in Columbus this year for AVA’s 2018 Scientific Meeting! It was our biggest meeting yet with a total of 1,523 attendees; 1,064 clinical attendees and 459 exhibitors. This was our highest number of clinical attendees ever! We welcomed 79 companies that exhibited at this year’s Conference. Click here to check out some fun times we had. With your paid registration fee, attendees have access to all AVA 2018 recorded sessions (AVA Session Library) by logging onto the AVA 2018 conference site at Under Educational Presentations, you can choose the session by title, speaker, type, etc., then click on the microphone graphic to hear the recording and/or the paper graphic to see the slides. AVA 2018 attendees had extremely positive feedback:

AVA 2018 Attendee Survey








Programs were relevant to my area of practice.

Programs provided current information.

Speakers were knowledgeable in subject matter.

I will apply at least 85% of the concepts presented in the sessions to my work.

The quality of the educational sessions met or exceeded my expectations.

*764 total responses recieved

“I am planning to attend AVA 2019 in Las Vegas”





NOVEMBER 2018 | 5

CONGRATULATIONS TO THE AVA 2018 People’s choice Poster Winners FIRST PLACE POSTER “Fighting For Those That Fight For Us: An innovative product combined with comprehensive training program reduces peripheral IV complications” Dale Guinther, RN | Wright Patterson Medical Center, Registered Nurse Prize: $150 + Certificate


“The Importance of Collaboration and Cross-Industry Relationships in Developing Healthwear to Improve Patient Experiences” Chaitenya Razdan, BS, MBA | Care+Wear, Co-Founder and CEO Prize: $100 + Certificate


“The Ripple Effect - Analyzing the Cascade of Events Associated with Peripheral IV Loss and the Impact on Nurse Workflow, Patient Outcomes, and Resource Utilization” Spencer Jones, RN-BSN | Lineus Medical, CEO Prize: $50 + Certificate


IV 101: Education Gaps, CONTINUED FROM PAGE 4 Working with your onboarding team to include vascular access resources and skills training early on will make it easier to standardize placement and site assessment, as well as adhere to specific VAT and facility policies/procedures, documentation and device best practices. Involve your education teams along the way to test competencies from onboarding through the first year as well as by unit. Still, a recent study1 of new graduate nurses concluded, “While transitional support programs are helpful in supporting new graduate nurses in their first year of practice, there are unmet needs for clinical, social and emotional support. Understanding [their] experiences and unmet needs during their first year of practice will enable nurse managers and educators to better support new graduate nurses and promote confidence and competence to practice within their scope.” The recommendations to combat these unmet needs from our customers and colleagues are not surprising.

New nurses need help with prioritization and how to apply industry standards to their daily work; content not typically found in a textbook, but through handson experiences.

Resources and Reminders It’s the responsibility of the field, institution and individuals to explore and take advantage of continuous learning opportunities. It’s important to stay abreast and help educate your care teams on vascular access industry standards as they are developed and implemented within the hospital. One of the examples I saw at AVA was showcasing the noncytotoxic vesicant medications and solutions list on the institution’s in-unit posters and via their online education portals. Across the industry, most organizations agree on red and yellow solutions and their potential for complications, but the green medications vary by organization. Having information easily accessible reinforces the requirement to follow the set guidelines and accelerates acceptance.

NOVEMBER 2018 | 7

IV 101: Education Gaps, CONTINUED FROM PREVIOUS PAGE Even the most renowned institutions are not immune to traditional industry characteristics like high professional turnover. Succeeding in this environment requires frequent training, assessment and support.

EMPOWERING THE PATIENT With multiple responsibilities every shift, each hour, even down to the minute, new nurses are learning to balance and prioritize tasks and patients. What can sometimes fall to the side is education to help patients speak up when they think something is wrong. However, a proactive patient is one of the best tools for protection from harm.


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Patients’ reactions to IV therapy run the range of unconcerned to terrified. Regardless of whether they are getting a minimally invasive procedure like a peripheral IV or learning to care for a PICC line upon discharge, patients are often left with questions; • Will it hurt? • Is this normal? • Should I be worried? Education before, during and after a procedure allows patients to be active in their care. For the busy nurse juggling multiple responsibilities, there are patient-centric materials the vascular access team can make available to those at the bedside to help patients understand and contribute to their health care. One example is, a free online resource for patient education on IVs and IV therapy. On the website, you can find handouts like “How to Talk to Your Health Professional” and a “Parents IV Toolkit” as well as definitions to terms used in the hospital, like CLABSI and extravasation. I welcome the call to increase networking and ideasharing among those in vascular access to bring up the next generation of clinicians. Together we can champion education, innovations and interventions to better patient outcomes and care. There is work to do, but momentum is on our side.

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About the Author Susan Brown MSN, MSED, VA-BC™ is the chief nursing officer at ivWatch, a leading medical device manufacturer and biosensor technology company focused on improving patient safety and the effectiveness of intravenous therapy. Susan is responsible for clinical research and training programs for the company. Prior to her position at ivWatch, Susan spent 16 years at Children’s Hospital of the King’s Daughter’s (CHKD) specializing in pediatric intensive care and ended her tenure in the position of Director with Patient Care Services. During her time at CHKD, her responsibilities included managing operational and clinical care departments, including departments responsible for patient flow, vascular access, resource pool, and neonatal/pediatric critical care transport. Hussein, R., Everett, B., Ramjan, L. M., Hu, W., & Salamonson, Y. (2017, July 28). “New graduate nurses’ experiences in a clinical specialty: A follow up study of newcomer perceptions of transitional support.” Retrieved from articles/PMC5534089/ 1

NOVEMBER 2018 | 9

Presence Saint Joseph Medical Center Vascular Access Symposium Sheri Pieroni, BSN, RN, VA-BC™ and Constance Girgenti, BSN, RN, VA-BC™

The Vascular Access Team at Presence Saint Joseph Medical Center (PSJMC) recently held its first Vascular Access Symposium for clinicians and students on September 21, 2018. Many of the attendees were senior clinical staff, new graduate nurses in cohorts and an array of nursing students from local colleges. Invited speakers engaged with the audience to emphasize the importance of vascular access specialists in the healthcare setting. Topics discussed were to increase device awareness as well as care and maintenance and to discuss clinically-related issues. From infection prevention, device selection strategies, and evidence-based practices to improve care and outcomes, the symposium covered it all. This collaborative approach between the vascular access specialists and the clinical staff aims to increase clinician confidence of identifying the device being used and increase confidence in the management of these catheters. The education also serves to reduce the risk of inappropriate device use as well as decrease the risk of bloodstream infection during the dwell time of the catheter. The vascular access specialty is relatively small within many healthcare organizations but is one that is very impactful to both our patients and our organization. Each and every patient relies on their intravenous (IV) access for administration of lifesaving medications and therapies. These devices deserve respect and the attention to prevent harm to our patients who require them.

There are two phases of care used for vascular access devices: The insertion component and the care and maintenance component. The insertion phase for many vascular access devices accounts for a very limited time during the life of the catheter, while the care and maintenance phase continues until the device is no longer required and removed. Care and maintenance of the catheter is the crucial time when a catheter is utilized and manipulated for many different treatments, and it does not come without serious risks. One of the biggest risks is bloodstream infection. Bloodstream infections have serious implications and can quickly develop into a lifethreatening condition. Knowledge regarding catheter care and maintenance according to evidence-based guidelines is imperative for the safe and accurate use of the catheter by bedsides clinicians and will help reduce the risks associated with vascular access devices. The conference attracted over 150 attendees from PSJMC, as well as other local area hospitals, staff from nursing homes, new nurses working in new graduate cohorts, and senior students who are preparing to graduate. Hospital executives and leadership were also in attendance. Speakers included: Sheri Pieroni BSN, RN, VA-BC™, Connie Girgenti BSN, RN, VA-BC™, Marita Tomacruz BSN, RN, VA-BC™, Marc Molitor MSN, RN, VA-BC™, CIC, CONTINUED ON NEXT PAGE

Presence Health Vascular Access Team

Sheri Pieroni, BSN, RN, VA-BC™, Constance Girgenti, BSN, RN, VA-BC™, Marita Tomacruz, BSN, RN, VA-BC™

10 | IQ | Intravascular Quarterly NEWSLETTER

Attendees during break

Presence Saint Joseph Medical Center, CONTINUED FROM PAGE 9 Bonnie Smith RN, CRNI, VA-BC™, MS-BC, Renee’ Odehnal MS, BSN, RN, CRNI, VA-BC™, and Timothy Spencer DipAppSc, BHSc, ICCert, RN, APN, VA-BC™. Speakers presented to the attendees on topics such as: “Device Identification with Hands-on Learning of Multiple Devices,” “Bloodstream Infections Related to Catheter Maintenance,” “Impacting Hospital Central Venous Access Device (CVAD) Care,” “Clinical Convention vs. Evidence Based Medicine” and lastly,

“Strategy or Risk: The Use of Midline Catheters.” Creating a collaborative learning environment continues to be a dedicated focus of the Vascular Access Team at Presence Saint Joseph Medical Center. The team believes that mentorship and creating an awareness of vascular access related knowledge will continue to ensure positive outcomes and improved safety for all our patients.

Timothy Spencer DipAppSc, BHSc, ICCert, RN, APN, VA-BC™, speaker of “Strategy or Risk: The Use of Midline Catheters”

Renee’ Odehnal MS, BSN, RN, CRNI, VA-BC™, speaker of “People Still DO that? Clinical Convention vs. Evidence Based Medicine”

The Vascular Access Team with Marc Molitor MSN, RN, VA-BC™, speaker of “BSI: Addressing Clinical Challenges with Catheter Maintenance”

Bonnie Smith RN, CRNI, VA-BC™, MS-BC, speaker of “Impacting Hospital CVAD care”

NOVEMBER 2018 | 11


Association for Vascular Access Scientific Meeting, September 2018, Columbus, Ohio The Alliance for Vascular Access Teaching and Research (AVATAR) team got their annual fix of inspiration, fun and friendship at the AVA Scientific Meeting, held this year in Columbus, Ohio. AVATAR researchers contributed to the pre-meeting workshop, invited speaker sessions, poster and oral sessions on topics including Neonatal and Pediatric Ultrasound-Guided PICCs, Skin Health and Device Security, Value Frameworks for Vascular Access, The I-DECIDED Device Assessment and Decision Tool, Pediatric Vascular Access Journeys, State of the Art Ultrasound, PIVC Associated Bloodstream Infections, Expert vs Generalist PIVC Insertion, Vascular Access Teams, and PEDISIG Grand Rounds. We were moved by the Keynote presentation from Marcus Engel and loved seeing our friend Dr. Jack LeDonne honored with the 2018 Herbst Award for Excellence in Vascular Access. On the final day, we were all very tired after working and socializing hard, but we brought our best Oscar-worthy performances to the “Lunch and Learn with the Experts” session, dressing up to debate, “CVAD Materials matter: Or do they?” We continued to argue about this amongst ourselves for a few of the many hours on the long plane ride back home!

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Subscribe no w on the following pla tforms:

www.avain ast

2018 Board of directors President

Andrea Owens


Lori Kaczmarek




Stephanie Pitts


Ken Symington

Madalyn George-Thiemann

Samantha Crandall

Presidential Advisor







Jocelyn Grecia Hill

Tonja Stevens AMY STONE

Christie Chapman LORELLE WUERZ


Russell Nassof


Director of Clinical Education















NOVEMBER 2018 | 13

STAFF SPOTLIGHT Ramzy Nasrallah: Chief Executive Officer My Support System: My wife Jillaine, my children Madeline, Juliette and Amelie, my dog Oshie, my cats Tyvis and Javier as well as a large, diverse and international collection of dead poets. My Favorite Movie: Inception. Or Major League. Depends on the day. My Favorite Quote: “To be nobody but yourself in a world which is doing its best day and night to make you like everybody else means to fight the hardest battle which any human being can fight and never stop fighting.” e.e. cummings (he didn’t capitalize his name so neither will I) My Favorite City: Winter in Sydney. Spring in Dubai. Summer in London. Fall in Columbus. My Escape: Sportswriting and gardening My Roots: Dunk Beirut in beer batter, deep-fry it and serve it at the Ohio State Fair. What do you enjoy about working for AVA: The knowledge that we’re both upgrading the gateway to healthcare delivery and shaping the future of the most common invasive procedure in medicine. When you enjoy what you do - and you know that it impacts life, death, well-being, communities and the economy it becomes a lot more than just a job. What do you do at AVA: I lean into being a servant-leader for our volunteers, task forces, committees, key opinion leaders, employees and directors. My job is to create and refine strategies we can operationalize and execute that strengthen AVA’s stakeholders, amplifies our mission and protects more patients while educating more clinicians. All of the people I serve are the face of AVA. I’m just a guy trying to get more faces in more places. What are your goals at AVA: I would like to see AVA driving 1) A seismic cultural change around patient expectations and clinical accountability for vascular access procedures. 2) Comprehensive vascular access classroom and tactile education as foundational requirements across clinical academia. 3) A mandate for dedicated vascular access team or a specialist in every acute care setting. 4) tireless innovation for the insertion, care and maintenance of vascular access procedures through new products, interventions and techniques. 14 | IQ | Intravascular Quarterly NEWSLETTER

Connecting Talent with Opportunity Search and apply for job opportunities in the vascular access field. On LinkedIn? Save time and import your profile directly to the AVA Career Center.

Start your search at:

Post an ad for an available vascular access position -find the best talent!

PEDISIG LETTER FROM THE CHAIR, CONTINUED FROM PAGE 2 survey and revising our Central Line Care and Maintenance Best Practice Guidelines are among our first priorities. We will have lots of opportunities for writers and reviewers of content! We also will launch the next steps for our 1 Million Pokes campaign, further developing our collaborative relationships with the Association for Pediatric Hematology and Oncology Nurses (APHON) and Child Life. If we connected in Columbus, you will be hearing from us soon. For those interested in being further involved, please fill out an AVA Volunteer Application. For those of you who have ideas of where you want this group to go, please share your thoughts with me.

Together we will all do big things! Cheers to a productive next year! Comments can be emailed to Mary Beth Hovda Davis, MSN, RN, VA-BC™, ELC Chair, Pediatric Special Interest Group (PediSIG)

NOVEMBER 2018 | 15

Call for Topics & Presentations Deadline for submission: January 2, 2019 AVA ANNUAL SCIENTIFIC MEETING 2019 marks AVA’s 33rd Annual Scientific Meeting with at least 1,300 attendees which include 60–70 industry partners. The meeting site is the Caesars Palace in Las Vegas, NV. AVA demonstrates its leadership role in the art and science of vascular access. This four day conference (October 4-7, 2019) provides attendees with opportunities to participate in educational sessions, hands-on training, facilitated discussion, and networking. General sessions focus on development of the vascular access specialty, clinical research, professional development, technological advances, and evidence-based practice. Breakout sessions will offer small group presentations emphasizing subjects of interest for the vascular access specialist and related disciplines; abstract and poster presentations allow participants to share original research, education projects and clinical innovations. Platinum Showcases and exhibits afford participants, corporate members, and exhibitors the opportunity to learn from each other, design and apply new technologies, science, and techniques in the most effective ways. With separate registration fees, an additional day of pre- meeting workshops (October 3, 2019) offers in-depth exploration of topics of critical importance to the vascular access community. • Proposals for Breakout Sessions, General Sessions, and/or Hands-On Workshops may be submitted through this form. • Participation and submission of topic suggestions is NOT limited to AVA members. • Topics should address the general or specific interests of AVA members and meeting participants keeping in mind that AVA is an organization of clinicians, healthcare specialties, and industry/corporate professionals involved in vascular access and related fields. • Presentations must avoid any semblance of commercialism. • Topics constituting promotional activities and/or advertising are prohibited. • If a presentation or its content is underwritten in any way by an individual or organization other than the presenter, acknowledgement of the source and scope of support is required. • No materials that promote the self-interest of the presenter or commercial interest of a company, or organization may be distributed/displayed. • Sessions may be scheduled from 30 to 60 minutes in length at the discretion of the selection committee. • Submissions are selected through a blinded peer review process unless prior authorization from AVA is received. • AVA values diversity, inclusion, and professional mentoring among its membership and promotes these values in its topic and speaker selection processes. • AVA reserves the right to solicit additional and or new speakers for any proposed topic.

16 | IQ | Intravascular Quarterly NEWSLETTER

NETWORK UPDATE Cindy Anderton | AVA Director of Affiliates

This has been a busy year for AVA networks, with 6 inaugural events held across the country. We welcomed CaliVAN, PolarVAN, HOUVAN, DMVVAN, INDIVAN and TRIADVAN, pushing our total active networks number to 52. Collaboratively there are 173 network meetings on the calendar which offered a considerable number of CE credits. Thank you to all the network officers who put in countless hours to bring quality vascular access education to local communities! AVA has been working hard to add new resources for the network officers. We are most excited about the Billhighway project announced during the 2018 AVA Network Leadership meeting in Columbus, Ohio. Billhighway is a tool that will improve network operations and allow officers to

better serve its members while spending less time doing administrative tasks. AVA will provide Network officers with regular updates on this tool and we hope to roll it out in mid-2019. Network officers – stay tuned for more details. Updates will also be tracked and published at Do you know where your nearest AVA Network is and what events are happening? Check out Network pages and calendar events at Networks. Don’t have a Network in your area? Interested in starting one? Have questions? Contact Cindy Anderton at to learn more. Join a network and become a part of the solution.

AVA currently has 52 active networks The Association for Vascular Access is committed to providing an opportunity for members to broaden their knowledge of vascular access and related fields through networking opportunities and education. AVA Networks offer vascular access professionals the opportunity to network with other professionals in their area of expertise. Network meetings offer educational sharing opportunities, continuing education credits, dinner meetings and quality dynamic speakers.

Do You Know Where Your Nearest Network Is? w w w. ava i n f o . or g / n e t w or k s NOVEMBER 2018 | 17

NETWORK NEWS Kristin Jacobs, MSN, RN, VA-BC™

GULFVAN GulfVAN is pleased to announce its new scholarship program: the Nina Marie Marino-Williams Scholarship. This scholarship is dedicated to 2017-18 Manny Matters Person of the Year Nina Marie Marino. Manny Matters is GulfVAN’s community outreach program dedicated to educating nursing students and the community about vascular access. Nina was born with VACTERL association, a non-random association of birth defects that affects multiple parts of the body. You can read Nina’s story on the GulfVAN website: http://www.gulfvan.wildapricot. org/Person-of-the-Year-2017-2018

Nina passed away on September 6, 2018, after a brave battle with cancer. She was 19 years old. Nina loved Disney, rainbows, and her family. She spent a lot of time at Camp Boggy Creek helping a multitude of friends. She married her childhood best friend, Joey Williams, two days before her death. Their love story went viral, shared in People Magazine, the Ellen Degeneres Show, and internationally. You can watch their story here: watch?v=LGE5wAJDyTs Nina is a strong reminder of why we strive for excellence in vascular access. We are committed to sending one scholarship applicant to the AVA Scientific Meeting every year in Nina’s honor. #MannyMatters

18 | IQ | Intravascular Quarterly NEWSLETTER


TRIADVAN Starting the local Triad Vascular Access Network has been both fun and rewarding! TRIADVAN is an AVA network located in the Triad Region of North Carolina, making it the third AVA Network in the state along with ENCAVA and FoothillsAVA. The Vascular Access Team at Forsyth Medical Center in Winston-Salem, North Carolina, sparked the interest and motivation to start this network with the intention of establishing vascular access educational opportunities locally. Several of our team members are VA-BC™ certified and enthusiastic about providing best practices for our patients. We held a discovery meeting in August to gauge interest from other local vascular access specialists to join and actively participate in a local AVA network. That is where it all began! At the initial meeting we established our name “TRIADVAN” because of the location and we decided on our colors black and purple, representing the two largest healthcare systems in this area. In the beginning we only had two

TRIADVAN held its inaugural meeting on September 26, 2018 and more than 25 Vascular Access Specialists attended. Attendees came from several local acute care facilities in and around the Greater Winston-Salem Market, and Cindy also joined us. She has been very influential in helping us every step of the way to get TRIADVAN started. Thank you, Cindy! TRIADVAN’s second meeting came in October 2018, with 20+ in attendance, and we have another meeting scheduled for November 28, 2018 with guest speaker Dr. Jack LeDonne. Over 50+ vascular access specialist has registered for this event which will be held at the Forsyth Medical Center, Winston-Salem, NC. I cannot speak to only one thing that I enjoy the most about TRIADVAN. I love spending time with my team outside of work, collaborating with other Vascular Access Specialists, and learning/obtaining new knowledge about processes and products.

TRIADVAN mission statement: The mission of the Triad Vascular Access Network (TRIADVAN) is to collaborate with other Vascular Access Specialists in and around the Winston-Salem market to get a better understanding of and add value to our work as vascular access experts to better serve our communities. officers, Christie A. and I, along with AVA Director of Affiliates Cindy Anderton to plan TRIADVAN activities. Since then we have grown and filled all our officer positions: Angela F. – President, Angela D. – Vice President, Charles A. – Secretary, Stacy A. – Treasurer and Elizabeth H. – Director-at-Large.

Goals: • Provide better customer services • Increase vascular access knowledge • Product knowledge

NOVEMBER 2018 | 19


to our Newest

Alison Acott -- Little Rock, Arkansas Beth Adame -- Franklin, Tennessee Angel Priscilla Aguilar -- San Jose, Costa Rica Dawn Allsman -- Omaha, Nebraska Caitlin Anders -- West Jefferson, Ohio Ellen Anderson -- Cincinnati, Ohio Stacey Armstrong -- Sacramento, California Amit Bahl -- Bloomfield Hills, Michigan Adam Bailey -- Castaic, California Tabatha Baldwin -- Queensbury, New York Michelle Ballard -- Del Rio, Texas Dan Ballas -- San Diego, California Patricia Banner -- San Antonio, Texas Elijiah Barboza-Boyd -- Saugus Ma, Massachusetts Brian Barlag -- Kailua, Hawaii Erica Barnes -- Temple, Texas Ashley Bates -- Carpentersville, Illinois Angela Bayless -- Pittsburgh, Pennsylvania Stephanie Bell -- Newnan, Georgia Elizabeth Bender -- Stockton, California Rebecca Biringer -- Decatur, Georgia Gail Bisbach -- Fort Atkinson, Wisconsin Garrett Blackburn -- Nashville, Tennessee Patrick Bladon -- Atlanta, Georgia Jill Boulanger -- Sabattus, Maine Amy Brito -- New York, New York Jared Brown -- Purcell, Oklahoma Kyle Bruno -- Rancho Cucamonga, California Thales Brustolini -- Tampa, Florida Pamela Buhidar -- Boonsboro, Maryland Gail Burdette -- Huntersville, North Carolina Lisa Calabrese -- Franklin Square, New York Gilberto Caldera -- El Paso, Texas Maike Camp -- Milton, Vermont Trisha Campbell -- Jackson, Wisconsin Ying Cao -- Nanchang, Jiangxi, China Nicole Capps -- Florence, South Carolina Dana Capps -- Candler, North Carolina Mitsie Cazeau -- Saugus Ma, Massachusetts Raquel Cechinel -- Rio Grande Do Sul, Brazil Jodi Chambers -- Marthasville, Missouri Mayra Chang-Estupinan -- Tallahassee, Florida Nicole Chapin -- Clayton, North Carolina Liying Chen -- Weifang, Shandong, China Dawn Clark -- Dwight, Illinois Fiona Clarke -- Worcester, United Kingdom Michelle Cokeley -- Salisbury, North Carolina Paul Cole -- Palo Alto, California Angela Colmenero -- Ruidosos, New Mexico Heather Colon -- Warwick, New York Jo Connick -- Lynn, Massachusetts Judith Cook -- Holt, Michigan Carina Copeland -- Lake Tapps, Washington Walter Corpuz -- Waipahu, Hawaii Lissette Cosculluela -- Miami Lakes, Florida Anabel Costa -- Glendale, California Sean Coyle -- Cockeysville, Maryland Bonnie Crane -- Las Vegas, Nevada Rowena Crisologo -- Hermosa Beach, California Tara Daly -- Buffalo Grove, Illinois Cynthia Daniel -- Dunwoody, Georgia Matthew Daniels -- Fort Collins, Colorado Mary Ann Dark -- Gregory, Michigan Rachel Davis -- Longview, Texas Abby Davis -- Conway, Arkansas Michael Decker -- Danville, Virginia Jami Dehnert -- Aguanga, California Eric Del Vescovo -- Albany, New York Nathan Dickinson -- Los Angeles, California Liping Ding -- Beijing, Beijing, China

Jie Ding -- Beijing, Beijing, China D’Lanie Donnell -- Dallas, Texas Misti Dornseifer -- Wylie, Texas Heidi Dorsey -- Middletown, Delaware Westi Douglas -- Farr West, Utah Scott Dove -- Amelia, Ohio Michelle Downham -- Wolverine Lake, Michigan Tabatha Dybzisnki -- Concord, Ohio Trenece Earley -- Knoxville, Tennessee Catherine Fearing -- South Portland, Maine Amy Feaver -- Linden, California Anna Fiamalua -- Kent, Washington Karen Fischer -- Fresno, California Sherl Fox -- Vista, California Laura Francks -- Springfield, Pennsylvania Mavis Freeman -- Brandon, Mississippi Jonathan Frizzell -- Brentwood, New Hampshire Nikcola Fulton -- Lees Summit, Missouri Peter Gantchev -- Albany, New York Richard Garris -- Sanford, Florida Angelique Gaston -- Ypsilanti, Michigan Andrea Gatmaitan -- Las Vegas, Nevada Rebecca Gemmell -- Painesville, Ohio Lugenia Gibbs -- Davenport, Florida Alison Gilliland -- Grafton, New Hampshire Julie Godfrey -- Weaverville, North Carolina Amber Goglanian -- Laguna Niguel, California Jillian Golich -- Sylvania, Ohio David Goral -- Southington, Connecticut Alexandria Gosselin -- Raymond, New Hampshire Amber Goudge -- Ashtabula, Ohio Betti Grab -- Surprise, Arizona Angela Graul -- Johnson City, Tennessee Catherine Grubbs -- Pearland, Texas Douglas Guss -- Tulsa, Oklahoma Amandah Gustafson -- Montrose, Minnesota Shawn Gwynne -- Centerville, Massachusetts Kevin Hale -- Evansville, Indiana Julie Hall -- Huntington Beach, California Joann Hammond -- Essex Junction, Vermont Molly Hanna -- Rochester, New York Jennifer Hays -- Virginia, Illinois Molly Heflin -- Chicago, Illinois Beth Heilman -- Hillsborough, North Carolina Kimberly Hennigan -- Pittsburgh, Pennsylvania Chelsie Heuring -- Watkins, Minnesota Evelyn Higby -- Kansas City, Missouri Peter Hobday -- Culver City, California Deborah House -- Weaverville, North Carolina Robin Houts -- Youngstown, Ohio Brielle Hoyt -- Portage, Michigan Xuefang Huang -- Guangzhou, Guangdong, China Jacqueline Huddleston -- Billings, Missouri Melissa Huff -- Waterford, Michigan David Ilnitskiy -- Gresham, Oregon Jama Jaderquist -- Spokane, Washington Jessica James -- Benbrook, Texas Jaime Jenkins -- Dayton, Ohio Michael Jernigan -- Globe, Arizona Maria Jimenez -- San Juan, Alajuela, Costa Rica Aiyun Jin -- Hangzhou, Zhejiang, China Joanna Johns -- Waconia, Minnesota Kimber Johnson -- Ashland City, Tennessee Tamara Johnson -- Oak Grove, Minnesota Diona Johnson -- Las Vegas, Nevada Elizabeth Johnston -- Waxhaw, North Carolina James Jones -- Oklahoma City, Oklahoma Hayley Jorstad -- Bremerton, Washington Marcel Kaganovskaya -- Ridgefield Park, New Jersey Denise Kaiser -- Carver, Massachusetts

20 | IQ | Intravascular Quarterly NEWSLETTER

Members (Joined September 1 - October 31, 2018)

Brittany Keller -- West Fargo, North Dakota Deirdre Kennedy -- Chicago, Illinois Angela Kigathi -- Randiolph, Massachusetts Carl King -- Falmouth, Maine Tricia Kleidon -- South Brisbane, Qld, Australia Christopher Knoot -- Arvada, Colorado Nicole Koel -- Hesperia, California Amy Krier -- West Bend, Wisconsin Nancy Kurtz -- Reading, Pennsylvania Leslie Lamptey -- Hahira, Georgia Melinda Langston -- Henderson, North Carolina Shannon Leach -- Pelahatchie, Mississippi Helen Lee -- Buffalo, Minnesota Tiah Lee -- Atlanta, Georgia Barbara Leeder -- Canal Fulton, Ohio Jonathan Lengson -- Thousand Oaks, California Zachary Lester -- Columbus, Ohio Andrea Lewis -- Woodland Hills, California Bin Li -- Haikou, Hainan, China Katie Little -- Willow Spring, North Carolina Lili Liu -- Beijing, Beijing, China Angela Logan -- Lake Junaluska, North Carolina Holly Longmuir -- Oakley, California Xiaorong Luan -- Jinan, Shandong, China Merrybeth Lynch -- Haddon Heights, New Jersey Michael Marks -- Salem, Indiana Donna Martens -- Elkhart, Indiana Amy Martin -- Seattle, Washington Kristi Martin -- Port Vue, Pennsylvania Aaren Mathes -- Columbia, Missouri Stacy Matthews -- Noblesville, Indiana Candace Mccoy -- Whitney, Texas Bridget Mcdermott -- Beecher, Illinois Lori Mcfarlane -- Clearwater, Florida Michelle Mckissick -- Columbus, Ohio Kelly Mcquaid -- Lynn, Massachusetts Jarod Medved -- Midwest City, Oklahoma Nathalye Mendez -- Bronx, New York Sandra Menjivar -- Castaic, Alabama Kelly Mesquita -- Cachoeirinha, Rs, Brazil Ronald Miller -- Argyle, Texas Melissa Miller -- Peoria, Arizona Justine Moore -- Branford, Connecticut Oscar Moreno -- Grand Terrace, California Molly Moyer -- Findlay, Ohio Robin Murby -- Manchester, New Hampshire Melissa Murphy -- New Braunfels, Texas Darlene Murray -- Toronto, Ontario, Canada Patrick Murtagh -- Belle Harbor, New York William Muth -- Gambrills, Maryland Dawn Muyres -- St. Paul, Minnesota Danielle Nall -- Fenton, Michigan Kellie Navigato -- Pickerington, Ohio Jeffrey Neblett -- Powhatan, Virginia Julie Nemens -- Sterling Heights, Michigan Travis Newsom -- Pocatello, Idaho Alex Newton -- Torrensville, Australia Darrin Nowicki -- Deerfield, Illinois Emily Nystrom-Pisani -- West Palm Beach, Florida Justin Oien -- Redondo Beach, California Greg Okoniewski -- Southington, Connecticut John Ommert -- Asheville, North Carolina Tami-Josee Ordway -- Saint Albans, Vermont Sarah Outariatte -- Blainville, Quebec, Canada Kelly Ann Pabich -- Lake Bluff, Illinois Cassandra Padgett -- Reno, Nevada Julie Painter -- Indianapolis, Indiana Tara Pankey -- Madisonville, Texas Arsenio Panopio -- Elk Grove, California Linda Parone -- Phoenix, Arizona

Call for Manuscripts We invite you to submit original manuscripts in the field of Vascular Access. We are interested in receiving manuscripts on clinical practice, education and research related to vascular access including articles on vascular access manufacturing and technology, and vascular access care and maintenance issues in hospitals, home settings, hospice, and alternative care facilities. We also invite submissions to our Patient/Consumer Perspective column where we ask you to share personal stories or “lessons learned” about caring for, living with or having a vascular access device. In about 1000 words and in conversational style, present your story. You can submit on behalf of someone or encourage them to write it themselves.

For complete instructions see:

Information for Authors at Or contact the JAVA Editor at

WELCOME NEW MEMBERS, CONTINUED FROM PREVIOUS PAGE Charles Partin -- Grand Junction, Colorado Tiffany Peach -- Kingston, Massachusetts Brittany Pechous -- Coralville, Iowa Brynn Pentiuk -- Florence, Kentucky Brianna Prada -- Olney, Maryland Louise Pratt -- Eagle, Idaho Darlene Primer -- Madison, Ohio Linda Pu -- Sunnyvale, California Elizabeth Pugh -- Lodi, California Ressurecion Puno -- Las Vegas, Nevada Teresa Rabasa -- Chicago, Illinois Karan Rahall -- Beckley, West Virginia Joan Ralph Webber -- Scottsdale, Arizona Alvara Rebelo -- London, London, United Kingdom Anthony Retotal -- Waipahu, Hawaii Patricia Ridgell -- Benton, Arkansas Paula Rigg -- Canton, North Carolina Elizabeth Ring -- Miami Beach, Florida Laura Ritchie -- Wilmington, Delaware Andrea Roberts -- Cincinnati, Ohio Christa Robideau -- Salado, Texas Amy Robinson -- Eaton Rapids, Michigan John Roethke -- New Jersey, Alabama Carolyn Rogers -- Marion, North Carolina Ariel Rosas -- Colton, California Lauryn Rose -- Bel Air, Maryland Sarah Rumsby -- St. Albans, Vermont Heather Ryan -- Hilton, New York Catherine Ryan -- Shreveport, Louisiana Marco Saffi -- Porto Alegre, Porto Alegre, Brazil Adrian Sanchez -- Montville, New Jersey Tonia Sanders -- Dothan, Alabama Jovita Santiago -- Irving, Texas Daniel Schlifske -- Deerfield, Illinois

Michelle Schuyler -- Windsor, California Rachel Sellek -- Raleigh, North Carolina Denise Shettles -- Snellville, Georgia Shing Yue Sheung -- Melbourne, Victoria, Australia Jeffrey Silberman -- Portland, Oregon Eneida Silva -- Porto Alegre, Universidade Federal Do Rio Grande Do Sul, Brazil Tajinder Singh -- Silver Spring, Maryland Matthew Skousen -- Peridot, Arizona Sarah Smees -- Elora, Ontario, Canada Jun Smith -- Spring, Texas Christy Smith -- Newark, Ohio Julie Smith -- Meadville, Pennsylvania Amy Solinger -- Hutchinson, Minnesota Jessica Sorkey -- Columbus, Georgia Marla Spadafora -- Tigard, Oregon Molly Sperber -- Denmark, Wisconsin Timothy Spurlin -- Greenbrier, Arkansas Michael Stankiewicz -- Northfield, Illinois Jared Stevenson -- Hoover, Alabama Megan Stimpson -- Shoreline, Washington Kirsten Swanson -- Cupertino, California Kenneth Swisher -- Tyler, Texas Brandon Tabilisma -- Honolulu, Hawaii Meredith Tanner -- Temple, Texas Yong Tao -- Shanghai, Shanghai, China Katherine Tavares -- Peridot, Arizona Andrew Terry -- Cypress, Texas Kelly Theis -- Little Falls, Minnesota Tasha Thomas -- Columbus, Ohio Gigi Thomas -- Irving, Texas Mark Thompson -- Spring, Texas Jerome Tina -- Jonesborough, Tennessee Joseph Toth -- Sicklerville, New Jersey

Lindsey Townsend -- Pooler, Georgia Gregory Turner -- Lee’S Summit, Missouri Jocelyn Turner -- Mills River, North Carolina Marianne Tysen -- Milwaukee, Wisconsin Theresa Velasco -- Winter Haven, Florida Priscilla Velazquez -- Pomona, New York Kylie Virgin -- Winchester, Kentucky Eyad Wahdan -- Corona, California Matt Wall -- Columbus, Georgia Sophia Wang -- Draper, Utah Jie Wang -- Suzhou, Jiangsu, China Mei Wang -- Haerbin, Heilongjiang, China Elizabeth Warren -- Georgetown, Kentucky Sunya Watson -- Matteson, Illinois Traci Weix -- Lemont, Illinois Deborah Welch -- Dallas, Texas Margaret Whalen -- Conifer, Colorado Katherine Whited -- Durham, North Carolina Cathy Wiese -- Kitchener, Ontario, Canada Andrew Wilbourn -- St. Petersburg, Florida Jazmin Williams -- Brownstown, Michigan Suzy Williard -- Pickerington, Ohio Chester Willis -- Nashville, Tennessee Katie Wlaschin -- St. Paul, Minnesota Amber Wolfe -- Columbus, Ohio Juanita Wootton -- Ruidoso, New Mexico Qi Xia -- Chengdu, Sichuan, China Shaoping Xu -- Chongqing, China Haili Xu -- Zhengzhou, Henan, China Fengjiao Yan -- Guangzhou, Guangdong, China Meng Yang -- Shanghai, Shanghai, China Sue Yoncuski -- Bloomsburg, Pennsylvania Jenna Zapf -- Guernsey, Wyoming Jing Zhang -- Taiyuan, Shanxi, China

NOVEMBER 2018 | 21



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22 | IQ | Intravascular Quarterly NEWSLETTER

The Second Edition of the ‘Chart of Pediatric CVC Maintenance Bundles’ IS AVAILABLE AT AVAINFO.ORG/STORE

GET YOURS TODAY! Printed full color with gloss UV coating 13” x 19” size Package of 5 Members: $40 Non-members: $50 Shipping included

NOVEMBER 2018 | 23

Do you like what you read here? Would you like to be part of this publication? Do you have something interesting, informative or new going on in your place of practice? Have you cared for a special or interesting patient? Do you or your colleagues have new or innovative ways of doing things? Have you been to or presented to any meetings or conferences?

We invite you to submit For publication Writing a submission does not mean that you have to write the next great American novel. It is more about presenting pertinent information in a brief, fun and creative way. Please submit to

Submission dates are: November 1 deadline for submissions for November issue February 1 deadline for submissions for February issue May 1 deadline for submissions for May issue August 1 deadline for submissions for August issue

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Association For Vascular Access

Association For Vascular Access

F O R C O M M E N T S OR S U G G E S T I O N S , P L E A S E S U B M I T T O AVA @ avainfo . org Disclaimer: AVA (Association for Vascular Access) is a professional organization of vascular access professionals dedicated to improving vascular access practice and patient outcomes through education and other means. AVA publishes this periodic electronic newsletter for our membership and other interested parties for information purposes only. AVA distributes this electronic newsletter with the understanding that AVA is not engaged in rendering medical or professional service through the distribution of the E-VAN publication. AVA is not giving advice and does not subscribe to guarantee the accuracy or efficacy of the information provided. Privacy Policy and Unsubscribe Information -AVA maintains strict rules of confidence with regards to your email address and all other personal contact information. We will not, under any circumstances, sell, transfer, or provide your email address to any third party for any reason. Email lists are compiled on an opt-in basis by AVA for the sole purpose of distributing the E-VAN newsletter. AVA does not condone or participate in the distribution of unsolicited email. If you feel that you have received an email transmission from AVA in error, please contact AVA at and ask to be removed from the list. All removal requests are addressed promptly.

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Intravascular Quarterly - November 2018  

The November 2018 edition of AVA's rebranded and refreshed electronic newsletter, Intravascular Quarterly (IQ). IQ is published quarterly an...

Intravascular Quarterly - November 2018  

The November 2018 edition of AVA's rebranded and refreshed electronic newsletter, Intravascular Quarterly (IQ). IQ is published quarterly an...

Profile for avainfo