Intravascular Quarterly | IQ | Feb 2022 by Association for Vascular Access

Intravascular

QUARTERLY

Global Disclaimer: The views and opinions expressed in the Intervascular Quarterly Newsletter are those of the authors and do not necessarily reflect the official policies or positions of the Association for Vascular Access (AVA) or any of its leaders, volunteers, employees, committees, networks or other groups associated with AVA. For information on this publication, please email info@avainfo.org.

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IQ CONTENT INSIDE AVA.............................................................................05 NOTE FROM 2022 AVA BOARD PRESIDENT ....... 07 PEDINEOSIG BOARD .........................................................08 D-TEAM CONFERENCE UPDATE.....................................11 BOTH ENDS OF THE LINE: A CLINICAL AND PATIENT PERSPECTIVE ON CATHETER SECUREMENT ........................................................................13

ISAVE THAT PODCAST SEASON 4............................... 15 CARES BY AVA ...................................................................... 16 THANK YOU INDUSTRY PARTNERS .......................... 20 NETWORK NEWS................................................................ 21 MEMBER NEWS.................................................................. 23

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INSIDE AVA

INSIDE AVA: NOTES FROM THE EXECUTIVE TEAM Cate Brennan, MBA, CAE, AVA Chief Executive Officer Tonya Hutchison, CAE, AVA Chief Operations Officer

“IF YOU DON’T KNOW WHERE YOU ARE GOING, ANY ROAD WILL GET YOU THERE.” LEWIS CARROLL “IF YOU DON’T KNOW WHERE YOU ARE GOING, YOU’LL END UP SOMEPLACE ELSE.” YOGI BERRA

WELCOME TO 2022! I sometimes feel like the whole world has been wandering down the foggy path of COVID-19 – plugging forward, despite abject uncertainty. While the above quotes can seem to say the same thing at first blush, one represents deliberate, purposeful choices made, while the other is that of a wanderer with no aim. As the COVID conversation turns from “pandemic” to “endemic”, my hope is the fog is lifting and we are purposefully and deliberately charting our destinations: not only our world and nation, but also as individuals and as an association. At the beginning of each year, AVA welcomes new officers and board members. President Tonja Stevens, RN, BSN, VA-BCTM will lead AVA this year. The Board of Directors met face-to-face (wow!) in January to learn about how to be an effective board member and stewards of AVA resources. A good portion of their generous volunteer time was spend scrutinizing and updating the AVA strategic plan and charters, which serve as roadmaps to our committees and special interest groups. The board has many responsibilities, but the “duty of foresight” is important to the future of AVA. AVA employs “strategic thinking” instead of strategic planning. This allows the organization to be agile and dynamic in response to the times. There will be more to come soon on the strategic plan. Please take a moment to visit here to learn about your dedicated board. Speaking of volunteer and board service, are you interested? AVA is seeking increased participation from bedside clinicians. Do you have experience as an AVA Network leader or have served on local or national professional, charitable or corporate boards? The AVA Board Development Council (BDC) works all year round to identify, recruit and vet board candidates for the AVA and AVA Foundation boards. In general, the BDC seeks members who have a commitment to support the mission of the organizations. The strategic priorities generally determine what specific experience or expertise is desired to help achieve those goals. Applicants are evaluated on their professional and volunteer qualifications and what they can contribute to strategy-focused conversations and other contributions in guiding the work of committees, SIGs and task forces. Both organizations strive to achieve and reflect the diversity AVA. Please visit here to volunteer for board or committee service.

JOURNAL OF THE ASSOCIATION FOR VASCULAR ACCESS (JAVA) JAVA, AVA’s peer-reviewed quarterly journal, is a highly rated benefit of membership. But like many professional journals during COVID-19, its researchers and authors, many of whom are clinicians, have been overworked and highly stressed. This has led to a decrease in the quantity of manuscripts, though it is beginning to improve. Here’s the opportunity: JAVA is actively seeking authors who can submit quality manuscripts. The AVA board has authorized a JAVA Task Force to develop a plan to attract new authors and researchers. Another likely outcome is a narrowly focused mentor program to assist aspiring researchers and authors. Watch this space

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INTRAVASCULAR QUARTERLY INSIDE AVA: NOTES FROM THE EXECUTIVE TEAM, CONTINUED FROM PREVIOUS PAGE for more details to come. The JAVA editor-in-chief contractor position is currently open, and the job description is being rewritten. You can submit your interest by contacting cbrennan@avainfo.org.

AVA FACTOIDS • The AVASM22 exhibitor prospectus will be available in early March • The CARES group membership campaign was launched to AVA Networks in January. Contact cbrennan@avainfo. org for more information or to sign your Network up for this campaign. • The 3-course Fundamentals of PIV™ Access™, developed in conjunction with B. Braun Medical Inc., will soon launch the #201 course with the #301 course launch in Fall 2022. The novel training courses center the failure rate of PIVCs and improving the training of the placement of PIVCs. The online education completely free of charge to medical, nursing, respiratory therapist, and other allied healthcare schools. Are you a preceptor or faculty? Please go here for more information. • New in AVA Academy! (CE courses) o Putting the Standards into Practice...and Not Stopping There o Getting Back to Pre-COVID Strategies for Prevention of CLABSI o Love at First Sight: Leveraging Vein Visualization Technology to Improve Patient Satisfaction and Provider Resilience o Building on the Bundle: Leveraging Nasal Decolonization to Help Prevent BSI in Critical Care Patients

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A NOTE FROM 2022 AVA BOARD PRESIDENT

A NOTE FROM 2022 AVA BOARD PRESIDENT Tonja Stevens, RN, BSN, VA-BCTM | President, Association for Vascular Access

DEAR AVA AND VASCULAR COLLEAGUES: On behalf of the Association for Vascular Access (AVA) Board of Directors and staff, I want to wish you all a happy and healthy 2022. I am honored to lead AVA in 2022. In early 2020, AVA began working together with vascular clinicians to address COVID related issues and identify potential solutions. Using virtual technology, we were able to address, present, and discuss issues and solutions

with the with the Spring issue of IQ—Intravascular Quarterly. Please share an idea, experience or ask a question via IQ; send your thoughts to AVA@avainfo.org. The AVA family is here to support you. Together we can endure, grow, and learn. AVA accomplished great things in 2021, and there are many more opportunities for 2022!

nursing, medical and allied health students. Professional education will continue through ISAVE That podcasts and webinars, the quarterly IQ, JAVA (Journal for the Association for Vascular Access), and AVA Academy CE courses. Now, more than ever, it is imperative for all clinicians

to help everyone persevere and progress during the COVID pandemic. As we face another year with COVID, we are all working harder, facing new challenges, and seeing more complications. AVA wants to acknowledge your highs and lows and continue to strive for resolutions. We want to hear from you. Share with us your ideas, successes, defeats, and stories of survival, improvement, and inspiration. Together we can continue to grow and improve vascular access and provide highquality care to ALL patients. We are starting a member news column

Our goal in 2022 is to offer new clinical pathways for vascular clinicians to continue to grow and learn in order to provide evidencebased care to each patient. This year we will be promoting our ACE by AVA program and our the Fundamentals of Peripheral IV Access curriculum. ACE by AVA is a program that offers access to education, skill development and the ability to document competency for ultrasound-guided intravenous vascular insertions (USGPIV). The Fundamentals of PIV curriculum will continue to offer pre-licensure education to

to prioritize their own wellbeing! Start by regaining work-life joy by supporting each other as we face 2022 together with a stronger resolve and renewed sense of purpose. Rest assure that AVA will continue to support you. I want to thank you for all your efforts to preserve vascular access while providing each patient the proper access. Stay safe and healthy while you continue to Save That Line, Tonja Stevens

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The start of 2022 brings us hope and excitement as we embark on a fresh start to a new year! PediNeoSIG welcomes all of those who have chosen to provide quality vascular access to our most vulnerable population. As your PediNeoSIG chair, I am honored to work with the following group of individuals who will serve on the Executive Leadership Council (ELC) of the special interest group. We look forward to seeing everyone this fall in Minneapolis at our annual AVA conference.

PLEASE WELCOME YOUR BOARD FOR 2022:

KATIE FRATE BSN, RN, VA-BCTM CHAIR

ANGELA ALDERMAN BSN, RNC, NIC, VA-BCTM, CHAIR ADVISOR

• I love living in sunny Florida! Some of my favorite things to do are beach days, Walt Disney World trips, and catching a sunset on the gulf!

• I love baking and vegetable gardening.

• My happy place is with family and friends.

• I cycle each morning averaging about 18 miles.

• I love exploring somewhere new and trying different foods.

• I am a proud mama of two, Aria and John Anthony, they are my world!

• Warm weather and sandy beaches are my love language

• My simple pleasures include a favorite song on the radio, hugs, sunny days by the ocean, puppies, and warm cookies.

• I am a pediatric vascular access specialist, love what I do and I would not trade it for the world!

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KACEY WISEMAN BSN, RN, CPN, VA-BCTM, D TEAM

PEDINEOSIG

JANE HARTMAN MSN, APRN, PNP-BC, DIRECTOR OF LARGE

MELISSA STEBLE MSN, CNS, VA-BCTM, CPEN, CEN, SECRETARY

• Lived in the OSU Stadium Dorm

• Working with kids is the best job ever!

• 1st Generation American

• I love outdoor activities and most days you can find me running along the beautiful San Diego coast.

• Inventor of the High-Line™

• Family travel is my favorite thing to do with my husband, Bryan and our three kids who are all out of college with good jobs - yay!

FOR MORE INFORMATION ON THE PEDINEOSIG AND HOW TO JOIN: WWW.AVAINFO.ORG/PEDINEOSIG

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REGISTRATION IS OPEN Join us in Minneapolis – in-person! We look forward to welcoming everyone to the 2022 AVA Annual Scientific Meeting, September 30 - October 3, 2022 at the outstanding Minneapolis Conference Center. 10

Pre-Meeting Workshops will be held immediately prior to AVASM2022 on September 29.

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D-TEAM

WHO’S READY FOR A CONFERENCE?? Warren McGlauflin, RN, BS, VA-BCTM, Chair | D-Team, AVA Scientific Meeting 2022

HELLO FELLOW VASCULAR ACCESS PROFESSIONALS I can’t say enough about how excited I am to be joining with all of you in Minneapolis, Minnesota this year for AVA’s 2022 annual scientific meeting. The D-Team (Design team) is hard at work planning and evaluating topics for the meeting - and from the looks of it we are going to be having some awesome speakers and topics. These include learning with subjects from preinsertion, insertion, after care thru home care (including adults to neonates) with many well-known experts in the field of vascular access - and brand-new future leaders in our specialty. Some of you may be asking, how are all the sessions chosen that we see at the scientific meeting? Well, let me tell you about the science behind it. All the submissions that are received through AVA’s Call for Presentations are compiled, blinded, and then assigned to be reviewed by 3 individual D-Team members. They are scored on the following:

• PURPOSE/GOALS STATEMENT REFLECT PRESENTATION • LEARNING OBJECTIVES ARE WELL STATED AND REFLECT PRESENTATION • CONTENT DESCRIPTION IS CONCISE AND COMPREHENSIVE • TOPIC / SUBJECT IS OF INTEREST TO THE AVA AUDIENCE • RISK OF COMMERCIAL BIAS • OVERALL SUBMISSION If we have new presenters that have never presented previously at an AVA conference, we may have an interview set up as well so that our D-Team can further evaluate the potential speaker and answer any questions they may have about presenting at an AVA meeting. Total scores are then compiled, and the full D-Team then meets tother to review each submission. Notes from the reviewers are further discussed and the full team then votes on each submission before plugging each session into an overall schedule. Since the D-Team has already reviewed the surveys from the previous

year’s meeting, they are evaluating sessions to make sure the schedule is covering important topics from the audience’s perspective as well as incorporating new topics and speakers. After two years of virtual learning due to COVID, we now have the potential to meet face-to-face/ mask-to-mask. Those that have attended before in real time know the rich experience and recharge of our vascular access batteries by meeting face-to-face. Experiencing a 30/60-minute breakout session with your peers, perusing the poster presentations, or exploring the newest products in our Exhibit Hall - where you can talk with a live person (and see the newest technologies and medical equipment): it’s not to be missed!

Another great opportunity that we all find with the face-to-face meetings is networking with each other and putting faces to the names we see on various social media group pages every day. Networking is a key component to the experience at AVA’s scientific meeting and you should fully take advantage. Many of the current experts are there and extremely approachable to meet and talk. All I can say is you will be hooked after your first meeting.

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INTRAVASCULAR QUARTERLY CONFERENCE, CONTINUED FROM PREVIOUS PAGE When you start to feel the need for something non-vascular-access-related, you can take a trip to the local areas with your newfound vascular friends. In Minneapolis you will find places such as St. Paul’s Grand Avenue shopping or Midtown Global Market for a Juicy Lucy burger to satisfy your palate and then complete your night at Guthrie Theater or First Avenue for live music. https://www.minneapolis.org/visitor-information/ I am extremely honored to be your D-Team Chair this year to help make this a great comeback to a live event (with some virtual components). I can’t say enough about the team of professionals I am working with (and the amount of time they are willing to give) to make this a phenomenal experience for all. I sincerely want to thank each and every one of them for all they are doing and what we are creating. I also can’t say enough about AVA as an organization bringing this form of education to us - It should be a great time with something for all vascular access professionals.

Watch for the latest from JAVA

Check out our latest edition of:

Have you checked out the Winter Edition of JAVA yet? 12

AND BE ON THE LOOKOUT THE SPRING EDITION COMING SOON!

Behind on your CEs?

AVA members have access to the CE article in each issue of JAVA! Simply read and complete the short quiz to receive 1.0 contact hour.

Click here.

Learn more about JAVA here. The Journal of the Association for Vascular Access (JAVA) publishes original peer-reviewed feature articles related to the care and management of patients with vascular access devices. AVA members are the ‘trend-setters’ in the vascular access arena and are keeping up with the most current advancements in the industry.

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IQ SUBMISSION

BOTH ENDS OF THE LINE: A CLINICAL AND PATIENT PERSPECTIVE ON CATHETER SECUREMENT M.L. Hawes, RN, DNP, CRNI, VA-BCTM

“I HAVE NOW EXPERIENCED LIFE FROM BOTH ENDS OF THE LINE. CLINICALLY I HAVE STABILIZED A MULTITUDE OF PICCS IN PATIENTS OF ALL AGES AND BODY TYPES WITH SASS SINCE 2012. NOW, AS A PATIENT WHO HAS LIVED WITH A LINE ANCHORED IN PLACE, I FOUND THE EXPERIENCE UNREMARKABLE. WHICH IS EXACTLY WHAT PATIENTS WOULD PREFER. “

In 2012 I met a couple of gentlemen at an AVA conference expo (aka IV Geek Theme Park) who showed me a device that had a chance to survive the demands of long-term acute care patients with central venous access devices (CVAD). Until the opportunity to stroll the aisles of the expo, my team was securing CVADs with an adhesive engineered securement device (AESD), a transparent semi-permeable membrane (TSM), and then covered with an elastic net. Although far superior to sutures, this type of adhesive-based securement could not hold up to patients on long-term ventilation, total parenteral nutrition, and frequent physical repositioning. With the disruption of the adhesive securement, a CVAD would retract out of the superior vena cava and require replacement. Unfortunately, replacing a CVAD in this patient population is often more difficult secondary to the numerous invasive lines they have received in their extensive recovery phase. Therefore, finding even the possibility of genuinely securing the CVAD for these patients was worth investigating. The subcutaneous anchor made sense to me immediately. Growing up helping my father build things, I have understood various methods to secure one thing to another; tape, glue, nails, staples, anchors, et al. The SASS seemed like an ingenious answer to what, in a simplistic view, is an anchoring issue. Why expect a tiny tube to stay in place with adhesives designed not to stick too hard to the skin surface? Instead, anchor the line under the skin and keep that anchor holding the catheter for the duration of therapy.

The subcutaneous anchor securement system (SASS) took my team a short time to master placement and removal.1 We followed the first 20 patients from implant to explant. My team was impressed with this small orange device’s ability to do what all securement manufacturers claim, keep the CVAD in place until no longer needed. In addition, none of the patients with the SASS experienced catheter dislodgement, and none had a bloodstream infection related to the CVAD. The outcome seems evident that a securement device would perform the role it was engineered to do, but this remains a problem for many patients in many settings.2 Change is difficult for everyone, but when it comes to securing any vascular access catheter, many hospitals still rely on sutures which were an improvised method that followed the birth of CVADs in the 1950s.3 Using sutures to secure external devices

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INTRAVASCULAR QUARTERLY BOTH ENDS OF THE LINE, CONTINUED FROM PREVIOUS PAGE was a sufficient stop-gap measure before the development of tools engineered for securing central and peripheral vascular catheters. Despite the decades of research, CDC guidelines, manufacturer’s specifications that sutures are for wound closure, occupational safety regulations, et al. clinicians still rely on this improvised off-label method of temporary securement.3,4 Subcutaneous anchoring provides under the skin stabilization without all the adverse outcomes of inconsistent suturing techniques.5,6 How is the change to a device engineered for stabilization so problematic for some clinicians? I believe it may be that we are loyal to whatever we learned and mastered at the beginning of our careers. We are also accustomed to using whatever is supplied in the kit. However, my issue was that my patients were losing their lines with the current stabilization method. I needed the problem to stop for my patients more than I needed comfort with what I already knew and the convenience of what I already had.

Karma . . . After decades of placing vascular access devices in patients of all ages, teaching others to do the same, I had the pleasure of receiving a peripherally inserted central catheter (PICC) secured with a SASS for six weeks of intravenous antibiotics following sepsis. I had the chance to experience life with a tube hanging out of my arm. During this time, I had raised garden beds to build, dirt to haul, and paving stones to place in preparation for planting season. Through the unsanctioned strain of garden preparations and activities of daily living, my PICC stayed anchored in its original position. After six weeks, my infection was defeated, and my PICC was ready to be removed. Multiple phone calls with home health, infectious disease, and my surgeon failed to obtain an official order to remove my line. As a seasoned vascular access specialist and nurse, I felt qualified to remove my line. I had always wondered what it felt like to live with a PICC and a SASS, and for me, the worst part was the itching under the dressing and covering it for a shower. However, the PICC and SASS did not cause any discomfort, not even with onehanded self-directed removal. I have now experienced life from both ends of the line. Clinically I have stabilized a multitude of PICCs in patients of all ages and body types with SASS since 2012. Now, as a patient who has lived with a line anchored in place, I found the experience unremarkable, which is exactly what patients would prefer.

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REFERENCES 1. SecurAcath, Interrad Medical Inc. SecurAcath, subcutaneous catheter securement system, instructions for use. SecurAcath.com Retrieved July 8, 2021. https://securacath.com/wp-content/ uploads/2020/05/1386-002-rF-IFUSecurAcath-US.pdf 2. McParlan D, Edgar L, Gault M, Gillespie S, Menelly R, Reid M. Intravascular catheter migation: A cross-sectional and health-economic comparison of adhesive and subcutaneous engineered stabilisation devices for intravascular device securement. The Journal of Vascular Access. 2019; 1-6. doi: 101177/1129729819851059 3. Noel-Lamy M. The Seldinger technique: A short history, and its applications 60 years later. University of Toronto Medical Journal. 2015; 93(1): 30-31. 4. Johnson & Johnson, Inc. Nonabsorbable suture catalog. Johnson & Johnson.com 2019; Retrieved July 8, 2021. https://www.jnjmedicaldevices.com/ sites/ default/files/user_uploaded_assets/ pdf_assets/2019-10/ 115681-190531_WC_ Suture_ Catalog_2019_Update_297_7_ CA.pdf 5. Struck MF, Friedrich L, Schleifenbaum S, Kirsten H, Schummer W, Winkler BE. Effectiveness of different central venous catheter fixation suture techniques: An in vitro crossover study. PLoS ONE. 2019;14(9): https://doi.org/10.1371 / journal.pone.0222463 6. Brescia F, Pittiruti M, Roveredo L, et al. Subcutaneously anchoed securement for peripheally inserted central catheters: Immediate, early, and late complications. The Journal of Vascular Access. 2021; 1-5. doi: 10.1177/11297298211025430

SUBSCRIBE N FOLLOWING P OW ON THE LATFORMS:

WWW.AVAINFO .ORG/PO

DCAST

HAVE YOU BEEN LISTENING? ISAVE That Podcast Season 4

END STAGE RENAL DISEASE: POPULATION HEALTH AND CLINICAL PRACTICE IMPLICATIONS In this third installment of the Chronic Kidney Disease and End Stage Renal Disease series Judy and Blake are joined by Dr. Jennifer Stoddard, MD and Jessica Lancaster, RN to talk about this population’s health considerations and the perspectives of nephrologists and clinicians in hemodialysis practice. Dr. Michael Serle DMSc, MA, PA-C helps shape the discussion around vascular access and the fistula management practices. This at risk population dialysis access is their life line and needs to be protected at all costs. A special thanks goes out to Medtronic for sponsoring this episode of the ISAVE That Podcast. Check out the latest episode on any of your favorite podcast platforms. For the latest discussion on vascular access, please like and follow us on Facebook, Instagram, Twitter, and LinkedIn! Enjoy the show!

END STAGE RENAL DISEASE: EDUCATION AND THE PATIENT’S PERSPECTIVE The implications of vascular access in hemodialysis go well beyond the vascular access specialist’s perspective. Patients and their families have needs that require special resources, education, and consideration. AVA’s Judy Thompson and Blake Hotchkiss are joined by Terry Litchfield MPA, CPC who shares her unique vantage point as the wife of a dialysis patient and internationally recognized patient advocate. Dr. Michael Serle DMSc, MA, PA-C joins the podcast as we discuss this vulnerable population of patients and how we can make meaningful differences by educating patients and clinicians alike. A special thanks goes to Medtronic for sponsoring this episode of the ISAVE That Podcast.

GFR TO VASCULAR ACCESS SEQUELAE AND EVERYTHING IN BETWEEN The implications of vascular access in hemodialysis go well beyond the vascular access specialist’s perspective. Patients and their families have needs that require special resources, education, and consideration. AVA’s Judy Thompson and Blake Hotchkiss are joined by Terry Litchfield MPA, CPC who shares her unique vantage point as the wife of a dialysis patient and internationally recognized patient advocate. Dr. Michael Serle DMSc, MA, PA-C joins the podcast as we discuss this vulnerable population of patients and how we can make meaningful differences by educating patients and clinicians alike. A special thanks goes to Medtronic for sponsoring this episode of the ISAVE That Podcast.

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COMPETENCY-ACTION-RESULTS-EDUCATION-SATISFACTION

HELPING YOU TO IMPROVE YOUR VASCULAR ACCESS COMPETENCY AND OUTCOMES THROUGH PEER EDUCATION AND COMMUNITY Starting in 2022, AVA has launched the CARES program, offering members of participating Networks steeply discounted one-year AVA memberships. CARES by AVA is designed for AVA Networks to encourage their local members to join AVA, increasing the strength of the vascular access community through diversity and benefitting the local Network through AVA’s reach.

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CARES BY AVA

To help meet this goal, CARES by AVA has been developed with a dual purpose: encourage AVA Networks and key decision-makers at hospitals and other employers to help us reach this goal. This is a deeply discounted one-year membership of $99/annual dues, which is a $26/20% discount. This discount is only available to new members of AVA. Why join? Free education!

SOME RECENT HOT TOPICS: ✓ There’s No “I” in Scrub: It Takes Teamwork to Reduce CLABSI ✓ Where’s my line? Atypical tip positions of central lines on radiography ✓ Ultrasound Guided Extended Dwell Peripheral Program

✓ PIVCs Won’t Draw Blood: A Deep Dive with New Data & Perspective ✓ PICCy Pediatric Patients ✓ The A.V.G.’s of Dialysis Access Delivered as live webinars and ondemand through AVA Academy,

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INTRAVASCULAR QUARTERLY AVA’s specialized education is free with AVA membership. When you join AVA, you have direct access to this invaluable content and many other membership benefits, including the peer-reviewed journal, JAVA, annual scientific meeting and member-only VA community. All of these are included as member benefits of AVA. Improving vascular access across the care continuum is imperative. As a leader and recognized expert, AVA provides you convenient, cost-effective specialized CE and knowledge to share with your team. For more details, contact ava@avainfo. org or call 1-877-924-AVA1. AVA is the leading non-profit vascular access continuing education and membership organization, providing high-quality continuing education (CE) to nurses, physicians, respiratory therapists, advance-practice providers, and technicians.

AVA CURRENTLY HAS 52 ACTIVE NETWORKS

www.avainfo.org/networks

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CORE VALUES RESPECT AVA believes treating others with respect will ensure a safe and healthy environment.

ACCOUNTABILITY AVA believes in setting and meeting timely deadlines and working together with our members, volunteers and other partners to pursue outcomes that help patients.

INTEGRITY AVA aspires to have a foundation of honesty and integrity in everything we do.

TEAMWORK AVA believes working together to unleash everyone’s potential will achieve exceptional results.

EXCELLENCE AVA creates a lasting and positive impact within vascular access through excellence in all endeavors.

MISSION

VISION

To lead healthcare by protecting patients and providers to improve lives

A world with safe vascular access

2022 BOARD OF DIRECTORS PRESIDENT-ELECT

SECRETARY

Tonja Stevens, RN, VA-BC™

Chellie (Michelle) DeVries, MPH, CIC, VA-BC™

PRESIDENT-ELECT

TREASURER

DIRECTOR-AT-LARGE Nieltje Gedney, BA

DIRECTOR-AT-LARGE

Tonya Heim, MHA, MSN, RN, NEA-BC

Jon Bell, RN, MSN, VA-BC™

Karen Laforet, RN, MCISc-AHCP, CCHN, CVAA, VA-BC™

PRESIDENTIAL ADVISOR

Staci Harrison, DNP, RN

DIRECTOR-AT-LARGE

Jocelyn Grecia Hill, MN, RN, CVAA(c), VA-BC™

DIRECTOR-AT-LARGE

Swapna Kakani, MPH

Nael Mhaissen, MD

DIRECTOR-AT-LARGE

Chaitenya Razdan, MBA

AVA STAFF CHIEF EXECUTIVE OFFICER Cate Brennan, MBA, CAE cbrennan@avainfo.org

CHIEF OPERATIONS OFFICER Tonya Hutchinson, CAE thutchison@avainfo.org

MARKETING MANAGER & ANALYTICS DIRECTOR Kayce A. Maisel kmaisel@avainfo.org

CLINICAL EDUCATION SPECIALIST Blake Hotchkiss, BSN, RN, CCRN, CRNI, VA-BC™ bhotchkiss@avainfo.org

DIRECTOR OF CLINICAL EDUCATION Judy Thompson, MSNEd., RN, VA-BC™ jthompson@avainfo.org

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ANGEL

2021 ANGEL PARTNERS: Lineus Medical • MightyWell • SterileCare

2021 STRATEGIC PARTNERS: Access Vascular • Adhezion • Eloquest Healthcare • Genentech • Hampton House Medical • Interrad/SecurAcath • Parker Laboratories • StatSeal (Biolife, LLC)

2021 ENTERPRISE PARTNERS:

3M • AngioDynamics • B. Braun Medical BD • PDI • Smiths Medical • PFM Medical • Teleﬂex

ACADEMY

Thank you to our loyal Industry Partners for sharing AVA’s mission. Email partner@avainfo.org to design a program that becomes an indispensable instrument for advancing education, awareness, adoption and expansion. 800.792.9079 EXT. 105 | PARTNER@AVAINFO.ORG | WWW.AVAINFO.ORG

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NETWORK NEWS

N E T W O R K N E W S

DMVVAN would like to extend the warmest welcome to our new board member, Tiffany Noel, who will be the DMVVAN’s Secretary. Continuing DMVVAN Board Members are President, Michele Cox; Vice President, Jessica Langille; Treasurer, Sarah Muma, and; Advisor, Tonja Stevens. We also wish to thank all the Network board members for all they have contributed and we look forward to all the education that will be provided for the upcoming year.

GulfVAN is ready to start off 2022 with our first in-person meeting since the pandemic began. We are hosting this meeting at Brio Italian Grille with sponsorship from Access Vascular and Eloquest Healthcare. Our network also had a virtual meeting titled ‘Virtual Vascular Victories from AVASM21’ in December 2021. This meeting was led by our four Nina Marie Marino-Williams Scholarship recipients. The 2021 scholarship recipients were Sheila Castle (Johns Hopkins All Children’s Hospital, Liz McCoy (AccessRB), Christine Romano (Kindred Hospital), and Megan Pacheco (Moffitt Cancer Center). GulfVAN is honored to send our members to the Scientific Meeting in the name of Manny Matters 2017-2018 Person of the Year. Additionally, GulfVAN will be supporting a new scholarship in 2022 in honor of our beloved colleague Jill Nolte. Both Jill and Nina will never be forgotten. #MannyMatters

Kristin Jacobs, DNP, MSN, RN, VA-BCTM www.gulfvan.wildapricot.org

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Welcome

to our Newest

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THE E-NEWS PUBLICATION OF THE ASSOCIATION FOR VASCULAR ACCESS

Members

(Joined December 1, 2021 - January 31, 2022)

Julia Mercier-Lords Deborah Mitchell Stephanie Moncrieff AnneMarie Moorehouse Debbie Morgan Michelle Morgan Sarah Morse Vadim Motov Loretta Moyer Amy Muir Gesuino Mureddu Russ Nassof Renee Nathan-Mirando Inez Nichols Rongchai Nilmag Mary Jane Nolan Rebecca Norby Kimberly Nunnery Tim O’Halla Paul Okazaki Natalee Olah Gretchen Olejnik Denise Olszak Nicole Osinski Christopher Osterbauer Mallory Oxford Deborah Pacitti Tina Payton Michelle Pearson Crystal Penna Jorge Perez Acosta Samantha Persing Kelly Peters Kelsie Peters Maegan Peterson Nikki Phanyoraj Sasha Piatt Becky Piccione Lisa Piccirilli Meggen Platzar Tonja Pool Brianna Poore Candace Prater Wendy Prescott Pamela Pressnall Libby Price Darlene Primer Mya Przybylski Edward Pulido Steven Ramsey Diane Rathbun Kimberly Rathnam Sandell Reichard Stephanie Reid Rob Renander Olivia Render Jonathan Rent Shannon Reupke Joven Reyes Jacqueline Reyman Megan Richard Wendy Richey Lori Rickert Amanda Ridgeway John Rios Nuala Rippere Diana Robinson Mattie Robinson Lindsey Roddy Theresa Rodgers Sarah Rodriguez Christine Romano Morgan Rosen Lilian Ross Kerry Ross Ginger Ross Beth Rowell Josee Roy Kristy Rushing

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MEMBER NEWS

M E M B E R N E W S

Marlene Branigan, BSN, RN, VA-BCTM just celebrated her one year anniversary with Tridentcare as a Vascular Access Nurse. “I really enjoy working for Tridentcare.”

Antonia Fowler, BA, MSN, RN, VA-BCtook a new position with UM St. Joseph Medical Center on their Vascular Access Team in September 2021, and was just promoted to Senior Clinical Nurse 1 in December 2021.

SHARE YOUR GOOD NEWS WITH US AT INFO@AVAINFO.ORG TO BE FEATURED ON OUR NEW MEMBER NEWS SECTION OF IQ.

FEBRUARY 2022 | VOLUME XII | ISSUE 1

AVAILABLE NOW

INTRAVASCULAR QUARTERLY

RESOURCE GUIDE FOR VASCULAR ACCESS

The 2021 AVA Resource Guide for Vascular Access: AVA's Recommended Study Guide for Vascular Access Board Certification provides an overview of basic vascular access knowledge and covers essential elements that clinicians implement on a daily basis. Throughout the Resource Guide, readers have access to high definition images, videos, illustrations and engaging animations that give them a greater understanding of the concepts. The guide may be used to prepare for the vascular access board certification examination (VA-BC™), as well as serve as a resource throughout professional practice.

AVA MEMBER PRICE: 24$99 digital only $129 print only $159 bundle (print and digital) NON AVA MEMBER PRICE: $129 digital only $169 print only $199 bundle (print and digital)

Check out the Resource Guide sneak peak videos on our YouTube channel!

PURCHASE IT ONLINE TODAY! Digital Access: • Not a downloadable file. It is not printable and is for view on your device only. The digital access is not shareable with another account. You will receive a redemption key and an access link after purchase. • Corrections and incremental updates to version one will automatically populate your digital copy (no additional charge)

THE E-NEWS PUBLICATION OF THE ASSOCIATION FOR VASCULAR ACCESS

Educational Offerings from AVA

Available anywhere you get your podcasts

Educational Offerings from AVA I Save That Podcast

• Streaming on Spotify, SoundCloud, iTunes, Stitcher, Google Play Music, iHeart Radio, Pandora, Amazon Music •

Journal of the Association for Vascular Access • Published quarterly • Approximately 3,000 subscribers I Save That Podcast

• Streaming on Spotify, SoundCloud, iTunes, Stitcher, Google Play Music, iHeart Radio, Pandora, Amazon Music

Intravascular Quarterly (IQ)

• • Published quarterly Journal of the Association for Vascular Access • E-newsletter sent to AVA members • Published quarterly • Approximately 3,000 subscribers

ACADEMY

AVA Academy

Intravascular Quarterly (IQ)

• Continuing Education courses ALL available on demand • Published quarterly • E-newsletter sent to AVAwebinars, members • Procedural courses, scientiﬁc meeting sessions, etc.

ACADEMY

AVA Academy

• Continuing Education courses ALL available on demand

• Procedural courses, webinars,for scientiﬁc meeting Access AVA Resource Guide Vascular sessions, etc.

• Prepare for the VA-BC™ exam, as well as serve as a resource throughout professional practice AVA Resource Guide for Vascular Access

• Prepare for the VA-BC™ exam, as well as serve as a resource throughout professional practice

Learn more at www.avainfo.org Learn more at www.avainfo.org

FEBRUARY 2022 | VOLUME XII | ISSUE 1

AVA Academy is always open! INTRAVASCULAR QUARTERLY

ACADEMY

The Association for Vascular Access (AVA), in collaboration with The Clinician Exchange (TCX), launched a new, best-in-class learning management system tailored to aspiring and established vascular access clinicians. Providing cutting edge training, critically-acclaimed presentations from scientiﬁc meetings, journal review courses and much more, AVA Academy is a groundbreaking initiative that advances the heart of AVA’s mission – Protect the Patient | Educate the Clinician | Save the Line. Academy curriculum is now available to the public, and to active AVA members at a discount.

Looking to further your education but struggling to ﬁnd the time amidst a busy work schedule? AVA Academy is always open! It's our mission to create greater public awareness of vascular access and to empower our members with signiﬁcantly more educational resources, networking opportunities, and 26 advocacy tools in support of and dedication to the patients that we are entrusted to serve.

AVA Academy is now open to all curious minds Choose and enroll in your classes today!

View Course Catalog

Launch My Courses

• Review course content, outlines and objectives

• Sign in to your personal AVA Academy Account

• Purchase courses

• Launch your courses

• Add courses to your personal Course List

• Take quizzes

• Available to Members, Non-members and all site visitors with a Guest Account

• Available to Members and Non-members with a Guest Account

• If you're not an AVA member, consider Joining AVA or you may create a Guest Account at no charge

• You will need to sign in to the AVA website prior to clicking Launch My Courses above

Learn more at www.avainfo.org/AcademyLaunch

THE E-NEWS PUBLICATION OF THE ASSOCIATION FOR VASCULAR ACCESS

You probably already know about the ISAVE That Line campaign AVA launched in 2006 to bring crucial principles of vascular access device management directly to the bedside. Putting patients first, ISAVE encourages and emphasizes a “back to basics” approach, essential to reducing the risk of infection and improving the management of all vascular access devices.

On the cliniciancentered version, ISAVE stands for:

Implement insertion care and maintenance bundles

Scrupulous hand hygiene

Always disinfect every needleless connector

Vein Preservation

Ensure Patency

Introducing our NEW addition to the ISAVE family that supports this program from the ground level: A patientfriendly version. Written and edited by patients and caregivers, this new resource is completely FREE as a downloadable PDF. Please share and distribute this resource in your facilities, with your colleagues, on your social media platforms, with your patients and with your family. We simply ask that you not amend it without prior permission from AVA.

On the patientcentered version, ISAVE stands for:

Inform us right away

See us check your IV often

Ask us to clean our hands

Value your veins

If you’d like laminated full-size sheet versions of this patient asset already printed, we have those available for sale in the AVA store in packs of 10 for $25.

Expect us to follow basic rules

Click here to purchase yours.

A Guide For Patients and Families

Remember, purchasing official ISAVE assets directly helps AVA advance its mission, which is Protect the Patient | Educate the Clinician | Save the Line. You can also support the AVA Foundation, which focuses on advancing Education, Research and Innovation in vascular access.

Take the pledge, be involved and join AVA in our mission to keep our patients free of infection!

Find out more online.

NFORM US RIGHT AWAY IF YOUR IV SITE HAS ANY

S A V E

S welling T emperature Change O ozing P ain

OF THE FOLLOWING:

EE US CHECK YOUR IV OFTEN

Is it working? Is there Swelling, Temperature change, Oozing, Pain? Is your IV dressing clean, dry and not peeling? Is your IV still needed?

SK US TO CLEAN OUR HANDS

Expect us to wash our hands or use hand sanitizer when going in and out of your room.

ALUE YOUR VEINS

We have technology to help us place your IV. If you are not getting IV fluids or medicines, you might not need an IV. Protect your IV from accidently getting pulled out.

XPECT US TO FOLLOW BASIC RULES:

We will talk with you about your IV needs. We will select the best IV for your care. We will choose the best site for your IV. We will ask for help if we cannot get your IV after 2 attempts. We will clean your skin before inserting your IV. We will scrub the end of your IV every time we use it.

www.avainfo.org

The information presented in this PDF is free to download and share and made available by The Association for Vascular Access (AVA) strictly for educational purposes. This document is meant to provide general information and understanding of Vascular Access devices and procedures. It is not meant to provide specific medical advice. AVA, it's Board of Directors, staff and members are not liable for outcomes associated with your care. AVA encourages the use of this document for Vascular Access education, provided it is not modified. Please share it with clinicians, patients and their families and attribute this resource to AVA. You may also include the links to our additional resources (if applicable). AVA's informational resources educate these clinicians, patients and their families to ensure they receive safe Vascular Access care. Feel free to print, post and share this document within your healthcare institution, as well as on social media. If you have questions, please contact ava@avainfo.org.

Stay up on the latest at www.avainfo.org/isavethatline

FEBRUARY 2022 | VOLUME XII | ISSUE 1

INTRAVASCULAR QUARTERLY

The special enhanced edition of Vessel Health and Preservation: The Right Approach for Vascular Access is now available to purchase.

Get yours today for just $9.99! Hours of exclusive audio interviews with the authors discussing their areas of expertise are embedded into this version of the book, as well as animated videography capturing elements from actual vascular access procedures. AVA has also elevated the overall readability, and through Apple, Amazon and Barnes & Noble has added note-taking and flash card functionality for readers.

1,500

THE E-NEWS PUBLICATION OF THE ASSOCIATION FOR VASCULAR ACCESS

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 www.avajournal.com Or contact the JAVA Editor at JAVAEditor@avainfo.org

FEBRUARY 2022 | VOLUME XII | ISSUE 1

Advertise to the Market You’ve Been Looking For . . . INTRAVASCULAR QUARTERLY

Advertising space available on AVAinfo.org 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

THE E-NEWS PUBLICATION OF THE ASSOCIATION FOR VASCULAR ACCESS

FEBRUARY 2022 | VOLUME XII | ISSUE 1

INTRAVASCULAR QUARTERLY

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? 32

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 ava@avainfo.org

SUBMISSION DATES ARE:

Visit our website www.avainfo.org

@associationforvascularaccess www.facebook.com/associationforvascularaccess/

@ISaveThatLine twitter.com/ISaveThatLine

@i-save-that-line www.instagram.com/i-save-that-line/

Association For Vascular Access www.linkedin.com/company/association-for-vascular-access/

February 1 deadline for submissions for February issue May 1 deadline for submissions for May issue August 1 deadline for submissions for August issue November 1 deadline for submissions for November issue

Association For Vascular Access www.youtube.com/AssociationForVascularAccess

FOR COMMENTS OR SUGGESTIONS, PLEASE SUBMIT TO 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 IQ 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 IQ 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 info@avainfo.org and ask to be removed from the list. All removal requests are addressed promptly.

THE E-NEWS PUBLICATION OF THE ASSOCIATION FOR VASCULAR ACCESS

Intravascular Quarterly | IQ | Feb 2022

Articles inside

BOTH ENDS OF THE LINE: A CLINICAL AND PATIENT PERSPECTIVE ON CATHETER SECUREMENT

THANK YOU INDUSTRY PARTNERS

INSIDE AVA

NETWORK NEWS

NOTE FROM 2022 AVA BOARD PRESIDENT