The e-news publication of the Association for Vascular Access MAY 2018 | VOLUME IIX | ISSUE 2
CHANGED MY LIFE FEATURING TERRY FISHER
Terry Fisher won’t forget the feeling of helplessness when her boss said she needed to take over her hospital’s vascular access team following its current full-time leader’s sudden absence due to a medical emergency. It was 2011, and Fisher, an ICU nurse, placed PICC lines as an extra duty while having a patient assignment. As this was a job on the side, after hours and on weekends, Fisher did not feel anywhere like an authority on the subject that could lead a team. “I was scared because I didn’t feel like I had the tools to run a team and be the expert,” she said. Yet her focused shifted from feeling underqualified, overwhelmed and anxious to going forward and finding out how and where to get the knowledge and expertise to lead her group and deliver quality vascular access. She remembered a name her mentor mentioned – Hadaway – and sprinted to her computer to conduct a search. Fisher found Lynn Hadaway, M.Ed., RN-BC, CRNI on Facebook and contacted her with a question about PIVs that kept failing in CT patients. Hadaway told Fisher she was actually giving a lecture on the subject at the 25th annual AVA Scientific Meeting in San Jose, California. Fisher said she needed help to gain more knowledge and expertise to be the new manager of her vascular access team, and Hadaway responded in earnest, “Get to AVA!” Fisher’s mentor and the previous vascular access lead, Jerry Bartholomew, RN, MSN, also spoke of AVA’s value in the past. Not long after, Fisher found herself on a flight to California. Fisher’s first AVA conference was overwhelming but overtly beneficial! With the help of conference 2 | IQ | INTRAVASCULAR QUARTERLY NEWSLETTER
presenters, the educational sessions and ample opportunities to network with other vascular access experts, she returned home with a renewed sense of confidence. “I learned so much. I came home and had these great ideas,” she said. “Since then, we have completely changed our practice. We Terry Fisher (L) at Conference are one of the smallest vascular access teams in the city, but we’re kind of known as leading in technology and change.” When Fisher realized another presenter, Ken Symington, MD, was from her hometown, she reached out to him. Despite working in different hospital systems, Symington became one of her greatest resources for help with difficult or puzzling vascular access situations. Fisher did not have an interventional radiologist working in her facility at the time, but Symington was just a phone call or text away. Talk about networking! “There has not been an AVA conference that I have attended that has not in one way or another changed our practice for the betterment of our patients,” Fisher says. “That is what keeps me coming to the annual conference.” Other vascular access supervisors in her community contact Fisher with questions on practice and products. She and Symington guide their community’s interest in AVA, leading others to attend the annual conference and join their local network chapter, CONTINUED ON PAGE 9
Marcia Wise, RN, VA-BC™ | Chair – D-Team, AVA Scientific Meeting, 2018
The AVA Conference Design Team (D-Team) has been hard at work since December planning the agenda for the 32nd Annual AVA Scientific Meeting in Columbus, Ohio. We reviewed more than 150 abstracts. As a result, we believe we have planned, yet again, an amazing program. In keeping with the AVA mantra Protect the Patient | Educate the Clinician | Save the Line, conference sessions will provide evidence and clinical experience to drive toward those goals. The weekend will kick off with an action-packed Pre-Conference on Friday, September 14th. Participants will be able to choose from several interactive sessions that include: Preparation for the VACC exam, X-Ray interpretation, an ECG tip navigation workshop, a legal workshop and a vascular access procedural lab. PediSIG will offer for the first time a Neonatal and Pediatric Ultrasound Guided PICC insertion class. This class has been designed specifically for clinicians with excellent PIV insertion skills wanting to venture further into the art of PICC placements within the dynamic realm of neonates and pediatrics. It will be an interactive class led by experts in the field of neonatal and pediatric vascular access. With Patient Advocacy as our focus this year the meeting will begin on Saturday morning with an inspiring keynote speaker, Marcus Engel, a renowned author and presenter on the impact of clinician/
patient interaction. As a college freshman, Marcus was blinded and nearly killed after being struck by a drunk driver. Through two years of rehab, over 350 hours of reconstructive facial surgery and adaptation through a multitude of life changes, Marcus witnessed the good, bad and profound in patient care. AVA is truly excited to have Marcus join us in Columbus this year. Marcus will also be available for a book signing during the opening reception on Saturday evening. Check out www.MarcusEngel.com for more information! The remainder of the conference is sure to be just as inspiring and educational. Sessions include relevant and timely topics such as complication management, alternative access, new technologies, and current research surrounding vascular access. Sessions highlighting education strategies and vascular access team development are topics suggested by previous participants. Those participants new to the specialty of vascular access will have special “novice-track” sessions which will provide a review of current standards of care. And there is nothing more energizing than a good debate, right? Plan on joining us Tuesday for lunch and an interactive debate on whether CVAD materials really make a difference. This session, sponsored by the AVA Foundation and coordinated by the CONTINUED ON PAGE 11
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WE ARE EXCITED TO REPORT THE PEDIATRIC WORK CONTINUES! Cindy Anderton | Director of Affiliates, AVA Mary Beth Hovda Davis, MSN, RN, VA-BC™ | ELC Chair, Pediatric Special Interest Group (PediSIG)
PediSIG projects continue to move forward thanks to the tremendous work and effort of our volunteers. Thank you to all of those who share their time, talents and expertise with us. As part of AVA’s overall rebrand, you will notice changes happening to the PediSIG logo. Watch for the new logo to be integrated and expect it to start appearing across all avenues. Below is an update on all the work going on within the PediSIG.
PediSIG Pediatric Special Interest Group
The PediSIG Assessment of Vascular Access Education and Support (PAVES) survey was designed to assess the current state of pediatric vascular access education for clinicians. It will also assess institutional standards for providing pain control and comfort. We received IRB approval for the survey and are in the process of evaluating the data collected. Our goal is to publish the results. PediSIG is using these survey results as a platform to help define the next steps of our 1MPokes campaign. Thank you to all those who responded and participated in the survey.
NEONATAL AND PEDIATRIC ULTRASOUND GUIDED PICC INSERTION CLASS
Our conference participants have asked for a formalized course to teach core Pediatric PICC insertion content. We are excited to announce that we will premiere this class at the 2018 Pediatric Pre-Conference meeting in Columbus! Attend this full day insertion class designed specifically for neonatal and pediatric clinicians wishing to dive into the art of PICC placements within neonates and pediatrics. Registration for this workshop includes admission to the Pediatric Reception. Space is limited. Register today! 4 | IQ | INTRAVASCULAR QUARTERLY NEWSLETTER
Be sure to join us after the PICC Insertion Class for the Peds Reception! This reception is open to ALL of our pediatric and neonatal clinicians so be sure you plan to arrive in Columbus early! It will be a great night packed with food, recognition, networking and a whole lot of fun. Stay tuned for more details as we get groovy with our 70’s theme. Start working on your 70’s outfit, polish up your best 70’s karaoke songs and get ready for a unique networking opportunity.
PEDIATRIC GRAND ROUNDS
Vascular access professionals often encounter unique challenges with pediatric and neonatal patients. We learn best by sharing our challenges, interesting cases, and interventions that resulted in great results! We invite you to submit your case for consideration for the 4th Annual PEDISIG Neonatal and Pediatric International Grand Rounds. Submissions due May 28th! CLICK HERE for submission details.
CALL TO ACTION
Stay tuned for a new pediatric vascular access Call to Action Award. This recognition will highlight the great work our PediSIG members are already doing in their home institutions to decrease needlesticks and improve the vascular access outcomes for our patients. The PediSIG Executive Leadership Council (ELC) will carefully review and objectively score all submissions. Winning participants will receive special recognition at our scientific meeting along with an award. Thank you again to our dedicated ELC and membership. Your talents and efforts are what make the difference in providing better outcomes for neonatal and pediatric patients. You are making a difference in pediatric vascular access!
MAY 2018 | 5
A BALANCING ACT: TRUSTING EXPERIENCE & TECHNOLOGY Susan Brown MSN, MSED, VA-BC™ | Chief Nursing Officer, ivWatch
Our skills in vascular access are grounded in the deployment of science and evidence-based practice to improve patient outcomes. And we become better professionals through hands-on learning, time and unique experiences. As technology progresses, there’s been more focus on its impact and potential to better clinical processes, especially as it relates to patient care. New innovations are going to keep transforming healthcare, but how does our professional community ensure our clinical experience and judgment are not replaced by the emergence and implementation of new devices, software and other technology?
experience taught me that medical advances often generate more uncertainty, not less – but there are ways to help expedite building trust with a new technology. To move our practice forward, we must question current best practices and continually review available evidence and advancements to ensure a given standard of care or technology is beneficial. By doing this, we can balance what we’ve learned as vascular access professionals, continue to hone diagnostics skills and trust clinical intuition, educate ourselves on care options and new technology to best define the payoff to the patient, clinician and care facility.
Throughout my clinical healthcare career, I have been INTUITION AND UNDERSTANDING THE HOW at the bedside in the Pediatric Critical Care Unit, Inquisitive professionals are not quick to accept what provided education and leadership to new nurses, we are told about a novel technology, yet, a recent supervised overall patient flow operations, and LinkedIn survey1 of more than 600 nurses reported managed operational and clinical care departments. that 82 percent have a somewhat or very positive One of the most exciting aspects of working in this view of how technology is affecting patient care. field is that we have more tools at our disposal than ever before. % who indicate ________ will have the greatest positive/negative impact on nursing I lived through the transition from paper documentation to electronic medical records, implementation of barcode scanning, and webbased patient/bed flow software. I was involved in many device evaluations throughout my career, 8% yet, few captured my attention 5% % % % % % % 47 47 44 41 26 POSITIVE 75 like a technology aiding in the Electronic Remote “Smart” Real-time Scheduling Artiﬁcial health patient E-prescribing Telemedicine devices/ locating early detection of infiltrations/ software Intelligence records monitoring biosensors systems extravasations which peaked my NEGATIVE 19% 10% 12% 14% 25% interest in the industry side of % 5 8% 8% the business. I was inspired by the use of technology to solve an issue within the healthcare system Graph of responses from a survey LinkedIn conducted of more than 600 nurses, an overwhelming majority — 82 that I witnessed many times from percent — said they have a somewhat or very positive view of how technology is aﬀecting patient care. The graph shows which technologies had the greatest impact. Source: LinkedIn the bedside. Still, my years of 6 | IQ | INTRAVASCULAR QUARTERLY NEWSLETTER
This is a welcome but surprising stat, given we’ve all experienced a time when technology failed us. For example, vital sign monitors or blood pressure cuffs. If there is a disconnect between what you see and what it’s telling you – as trained clinicians, the gap is our focus. If your patient is sound asleep and breathing normally, but the respiratory rate on your monitor is declining, your first instinct is to rely on your clinical assessment to come to the conclusion that something is off with the machine. If you are puzzled by a blood pressure cuff reading, we redo steps until what we know as true or accurate matches the reading. We are trained to ask ourselves why, until the root cause of a problem is determined. But to do that and provide the best care possible, we must first be informed on the how. Medical device and technology advances can provide a way to detect an issue that is simply not available in any other form. Part of our job is not to blindly accept what we’re told, but to be avid learners. Reviewing published studies, researching stats, and asking questions about the data and science behind a new technology will help remove the “mistrust”.
TRAINING ALLOWS FOR QUICKER ADOPTION
Because every patient is different, a new technology is rarely one size fits all. As clinicians, we feel it’s an obligation of the product maker to work with department heads and clinical educators to brief them on the science behind the technology and develop protocols and training content. In all of these areas, transparency is key to ensure the leaders of the implementation team can address questions by the staff.
informed, which often shortens the learning curve and leads to the creation of champions and power users. The “aha” moment from clinicians comes after they get the right training, work through the difficulties and apply the technology in different patient scenarios. The trust of new technology or a device comes from experience and seeing the patient benefit firsthand.
TECHNOLOGY MUST FIT INTO WORKFLOW
LinkedIn healthcare news editor Beth Kutscher discussed additional survey findings by stating that many also claimed new tools have added time to their workday. Especially if something isn’t working correctly. That feedback is common, especially as clinicians are faced with many tasks that often put them in the difficult position of having to decide what they will not get done during their shift. This phenomenon, referred to as unfinished care or missed care, has consistently been associated with negative patient, nurse and organizational outcomes2. One of the primary reasons for this is inadequate resources. The fear in healthcare is that critical thinking will be lost as the rate of technological acceptance increases, but I don’t buy that. Yes, there are new technologies that are not intuitive and cause frequent troubleshooting. These ultimately take the clinician away from priority tasks and can end up in the “more trouble than it’s worth” category. But I would argue that users are eager to adopt new technologies when CONTINUED ON PAGE 11
It’s important to understand that knowledge of some specialties may not apply to clinicians across the hospital floors or different departments, so training must be well-rounded. Detailed information that reaches different departments on the full scope of the issue plus product solution and its implications help training staff assess what they are already doing and determine what protocols need revisited to deploy a new initiative or process into the equation. By developing a general criterion for patient populations best suited for the technology and guidelines for best use, a clinical team will be more MAY 2018 | 7
Industry Sales and Marketers are US Infectio Preventionists are US Pharmacists are US Qualit Researchers are US Respiratory Therapists are U Register by August 13 Anesthesiologists are US Hospitalists are US to SAVE! are US Physicians are US Physicia Administrators comingare toUS Chi Assistants are US Patient Advocates Life Specialists are US Advance Practice Nursin are US Vascular Access Nurses Pharmacists are US Quality Researchers are US Respiratory Therapists are US Anesthesiologists are US Hospitalists are US Administrators are US Physicians Pharmaare US
Register and join over 1,400 Vascular Access Healthcare Professionals
Did You KNOW . . . ? Continuing Education Credits for Nurses, Physicians, Respiratory Therapists and Radiology Technologists Nurses can receive up to 19.8 contact hours for attending AVA 2018 You can save $125 by registering before August 13th Your registration includes access to the audio and PowerPoint presentations to all AVA main meeting sessions
Lunch is provided for you EVERY day
#AVASM18 This educational activity is jointly provided by SynAptiv and the Association for Vascular Access
hands-on skills building opportunities Columbus is the 14th largest city in the U.S. and within a one-day drive or one-hour ďŹ‚ight from more than half of the U.S. population
The Hilton Columbus Downtown and Hyatt Regency Columbus are both connected to the convention center 8 | IQ | INTRAVASCULAR QUARTERLY NEWSLETTER
HOW AVA CHANGED MY LIFE, CONTINUED FROM PAGE 2 WAMIVAN. Before the latter’s inception, vascular access education in their community was absent for more than a decade. Yet Fisher knows the work completed to begin the network is worth it when nurses from nearby hospitals thank her for putting it together. It’s great! Fisher speaks with other Veteran Affairs Vascular Access Nurses about getting together in person to share information. Where do these conversations take place? At AVA. “I get to chitchat with and share information with other Federal Vascular Access Specialists like Artie Hansford from the Palo Alto VA in California, Linda Smith from the VA in Tampa, Florida, and Joe Trullijo in Grand Junction, Colorado. What a great way to serve our veterans with best practice!” Now, as Fisher and her vascular access team of five others move throughout their daily routine, they do
so with an all-in-one ultrasound kit and up to date techniques from the latest evidence-based practice. She learned her way around an ultrasound machine at AVA, how to find nerve bundles and other skills she then brought back and shared with her team. “Being able to be hands-on with industry leaders who have been doing it for 30-some years that know way more than you and then be able to bring that back to your members and even non-members, it’s great,” she said. “People that are just starting IVs that really have no interest in vascular access – you show them what you see with an ultrasound and then they become interested and want to learn and do better. Which is what this is all about.” If you are someone you know has a similar story as Terry, AVA wants to hear from you! Please contact Eric Seger at email@example.com or (801) 792-9079 ext. 107 to share your story!
AVA currently has 49 active networks 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
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. Post an ad for an available vascular access position -- find the best talent!
Start your search at: jobs.avainfo.org MAY 2018 | 9
NHIA ANNUAL CONVENTION Beth Gore | AVA Director of Outreach
The National Home Infusion Association (NHIA) held its annual convention in Phoenix in April. AVA Director-at-Large Amy Stone and Director of Outreach Beth Gore staffed a table right outside the educational sessions where participants stopped by all day to learn about AVA and ask vascular questions. Gwen Coney, AVA Director at Large, served as faculty on their Preconference Workshop “Home Infusion RN Essentials.” This is a newly developed program where participants learned skills-based training to deliver infusion therapy in home and alternate site settings including classroom instruction and experiential hands-on learning on CVAD care, aseptic technique, peripheral insertion, port care and maintenance, plus managing and preventing complications. Beth was also asked to participate in an advisory panel and roundtable discussion where audience members could “ask anything.” One participant called it his favorite session of the conference. The session was entitled “Putting Patients First – Incorporating
Jennifer Charron, Cheryl Gast-Whitaker, Alaina McCormick, Ansley McCormick, Beth Gore, and Swapna Kakani
Patient Feedback to Improve your Business.” One common theme to emerge was the fragmented initial transition of care from acute care to home infusion. In addition, for longer-term patients, the transition back into acute care after being home as a common source of anxiety. NHIA and AVA are continuing to work on several joint-ventures to help Protect the Patient | Educate the Clinician | Save the Line across the continuum of care. If you are experienced in this area of vascular access and would like to volunteer, please contact Beth Gore at firstname.lastname@example.org
Beth Gore, Director of Outreach, Ramzy Nasrallah, CEO and Amy Stone, Director at Large
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D-TEAM UPDATE, CONTINUED FROM PAGE 3 world-renowned research team, AVATAR, will shine light on this controversial topic as well as provide insights into evaluating and incorporating research into your practice. Don’t leave early! The two closing sessions on Tuesday will be well worth the wait. PICCs in 2018: Where Are We Now? This session highlights recent studies that shed new light on the approaches for device selection. There will be a review of updated guidelines and recommended algorithms recently developed by experts in Europe and presented by the ever-entertaining Mauro Pittiruti. This session is designed to encourage critical thinking and will surely create a lot of dialogue during the Q&A! And last but not least will be an expert panel who will present an interactive session entitled Data, Engagement and Alphabet Soup: Partnering to Prevent Bloodstream Infections. Three
DeVries, MPH, CIC, Holly Hess, RN and J. Hudson Garrett, Jr., PhD, MSN, MH, FNP, VA-BC™ will share the latest and greatest from the front lines of CLABSI prevention. The presentation will include a variety of strategies to broaden your understanding of approaches to help achieve and sustain reductions in bloodstream infections. These inspiring presenters will walk you through a lively A-Z discussion to stimulate discussion while considering products, people and processes. Role playing will enhance the experience – be ready to volunteer! Our venue this year is in one of the most accessible and dynamic cities in the country. Known as a “foodie’s paradise”, Columbus also offers world class arts, culture and lively entertainment. On behalf of the entire D-Team, we look forward to seeing you in Columbus. We hope this 4-day experience and interaction with your colleagues will demonstrate how WE are AVA and AVA is US by inspiring and motivating you to propel you to the next level in your practice, no matter your specialty within vascular access.
A BALANCING ACT, CONTINUED FROM PAGE 7 they easily fit into the workflow and provide another layer of care, especially when it can help us confirm an assessment or reduce preventable harm events.
where she is responsible for clinical research and training programs. Kutscher, Beth. “Artificial Intelligence Could Completely Transform Patient Care. So Why Are Nurses so Skeptical about It?” LinkedIn, LinkedIn, 23 Mar. 2018, www.linkedin.com/ pulse/artificial-intelligence-could-completely-transformpatient-kutscher/. 1
Vascular access leaders must be open to innovation that serves patients, and we should use our technological savvy to not only advance patient care, but also our careers and profession.
Jones, Terry L., et al. “Unfinished Nursing Care, Missed Care, and Implicitly Rationed Care: State of the Science Review.” International Journal of Nursing Studies, vol. 52, no. 6, 2015, pp. 1121–1137., doi:10.1016/j.ijnurstu.2015.02.012. 2
About the Author Susan Brown MSN, MSED, VA-BC™ Susan Brown is the chief nursing officer at ivWatch,
MAY 2018 | 11
STAFF SPOTLIGHT KATIE BAYLOR TORNOW: DIRECTOR OF FINANCE MY SUPPORT SYSTEM: My high school sweetheart husband, Mark and my two children: my “too smart for her own good” daughter, Baylor (4) and my “just wants to play and laugh” son, Archer (2). MY FAVORITE MOVIE: Boondock Saints MY FAVORITE QUOTE: “Today me will live in the moment unless it’s unpleasant in which case me will eat a cookie” ~ Cookie Monster MY FAVORITE CITY: Portland, Oregon MY ESCAPE: A good, hard work out. MY ROOTS: Ohio raised. Come from a humble and hardworking family, line of bankers. West Virginia University graduate and collegiate rower. 10 years nonprofit and leadership experience. WHAT DO YOU ENJOY ABOUT WORKING FOR AVA: Our small but mighty Core Team. I love how nonprofit teams collaborate with amazing, passionate board members and volunteers – the output is amazing and truly impactful – AVA is nothing less! WHAT DO YOU DO AT AVA: Work closely with the CEO, COO and Board of Directors on the organization’s financial picture and how it can support the strategic direction and mission of AVA and The AVA Foundation. WHAT ARE YOUR GOALS AT AVA: Collaborate with board members and core team on finding cost saving measures and creative revenue options to allow AVA to become a household name.
2018 BOARD OF DIRECTORS PRESIDENT
JOCELYN GRECIA HILL
KEN SYMINGTON JOSIE STONE
JOCELYN GRECIA HILL
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STAFF SPOTLIGHT JUDY THOMPSON: DIRECTOR OF CLINICAL EDUCATION MY FAVORITE MOVIES: Rudy and/or Grease, and Andrew Bulmer’s vascular videos. MY FAVORITE AUTHORS: Patricia Cornwell, James Patterson, Atul Gawande MY FAVORITE QUOTE: “Every journey begins with a single step” ~ Maya Angelou “Success is no accident. It is hard work, perseverance, learning, studying, sacrifice and most of all, love of what you are doing or learning to do” ~ Pele MY FAVORITE CITIES: Bora Bora, Tahiti; Vancouver B.C.; Palm Springs, California MY ESCAPE: Walking on the beach, the sounds of the ocean waves, the smell of the salty air and a beautiful sunset. MY ROOTS: San Diego born and raised. It’s a great place to live and I wouldn’t want to leave here. Although, I wish San Diego was a hub for any major airline, the cost of living was kinder, and we had any facsimile of public transportation. My son, Adam, is a senior at Sonoma State University and will graduate next semester with a degree in Economics. I also have a cat named Mika who is about as spoiled as any non-human could be. WHAT DO YOU ENJOY ABOUT WORKING FOR AVA: I love the possibilities! I’ve been given a lot of autonomy to create tools for the vascular access community. The team surrounding me as well as the Board of Directors is supportive and a joy to work with. The last time I was so excited about the work in front of me is when I was training to place CICCs. It’s a great time to be a part of this team. WHAT ARE YOUR GOALS AT AVA: Create, maintain and revise evidence-based documents, education, and tools. The tools and resources I wish I had as a practicing clinician are the same ones I plan to write, coordinate and illustrate for AVA. The big question is . . . how fast can I pedal?
OUR STAFF CHIEF EXECUTIVE OFFICER
DIRECTOR OF CLINICAL EDUCATION
DIRECTOR OF OUTREACH
CHIEF OPERATING OFFICER
DIRECTOR OF COMMUNICATIONS / JAVA EDITOR-IN-CHIEF
DIRECTOR OF FINANCE
MEMBER SERVICES COORDINATOR
TONYA HUTCHISON email@example.com
DIRECTOR OF AFFILIATES
CINDY ANDERTON firstname.lastname@example.org
JENNIFER LIVSEY email@example.com
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NETWORK NEWS LITEVAN 2018 The theme of the 46th annual LITEVAN conference was “Make Every Connection Matter,” as we are all connected one way or another. Our associations are a result of our organizations, the facilities in which we work and our other activities outside of work. We are connected to our patients, their families, caregivers and to other healthcare workers. In order to best provide for help our patients we need to make each of those connections matter as we continue to connect. When we see our patients they often have many tubes, IVs, oxygen, drains, etc., and it is our responsibility to make sure we place high importance on each connection. Whether inserting or maintaining these devices, we want to ensure we use evidence-based practice as we provide care. LITEVAN’s two-day conference began with great discussion among speakers and attendees, something that continued throughout the event’s duration. A brief review of the list of speakers and their topics: Kathy Kokotis, RN, BSN – Kicked off the conference sessions discussing the pros and cons of MAGIC, citing personal experiences and reminding us to keep the patient at the center of our decisions regarding vascular access. Every line matters regardless of type, be it a peripheral IV or a centrally placed line. Chellie DeVries – Examined value-based purchasing and its impact, guidelines and standards. Chellie shed light on the steps her hospital has taken regarding evidence-based practice and clinically indicated line replacement and encouraged us to consider our use of midlines instead of inappropriately placed PICCs. Stephanie Pitts – Spoke on thrombosis, the most 14 | IQ | INTRAVASCULAR QUARTERLY NEWSLETTER
common complication of our vascular access devices, which can then result in an increased chance of a bloodstream infection related to the device. Heather Romme – Discussed mindfulness and its connection to vascular access. When we’re mindful in our connections it means that we’re fully present mentally, nonjudgmental and with complete awareness to our surroundings. Jill Nolte – Standardizing the practice by looking at the evidence and putting patient safety first. The human elements of assessments go hand in hand with the standards and guidelines when we make our device selection, recognize the options, and formulate a plan. Marcia Wise – Discussed issue adhesives. She reviewed the complications of peripheral IVs, outlined current securement stabilization devices and methods and introduced us to tissue adhesive as a method of securing peripheral catheters. Nancy Moureau – Reminded us to look to the evidence to be clean, clean our hands, the access device, the connectors, and skin at the site by allowing the antiseptic its appropriate dry time to kill the bacteria. We should no longer guess about which device is best for each device – instead use the evidence and technology available to place the right device in the right vessel at the right time. Connie Girgenti – Summarized the use of the Seldinger Technique for peripheral IVs and use of maximum sterile barriers for midlines. Things are not always black and white: we must be prepared to use our assessment skills. Jennifer Bokor – Broke down rule breakers and vascular access issues in pediatrics and presented an evidence-based approach to decision-making for unique cases. CONTINUED ON PAGE 19
PROMOTING ADVANCED VASCULAR ACCESS CERTIFICATION: HOW A LOCAL AVA NETWORK CAN CONTRIBUTE Contributed by AVACNY Janice Elliott, RN, BS, CRNI, VA-BC™ and Lisa Steeper, RN, BSN, VA-BC™
Nursing specialties use certification as a way to promote patient safety and help ensure optimal patient outcomes.1 Employers, consumers and professional nurses recognize the value of certification in providing quality patient care. Specialty nursing certifications demonstrate a knowledge base, skills and abilities that meet rigorous national standards and establish a mark of excellence in providing patient care. The mission of the Association for Vascular Access (AVA) aligns with that of the American Board of Nursing Specialties (ABNS) by supporting certification of its members.2 This article discusses the role that one local AVA network, the Association of Vascular Access of Central New York (AVACNY), plays regarding promoting and achieving advanced vascular certification (VA-BC™) of its members.
DESCRIPTION OF NETWORKS
Local AVA networks are comprised of healthcare professionals committed to promoting and improving vascular access and its role in infusion therapy. Our local network holds quarterly meetings that provide members with the opportunity to meet and learn from a variety of experts in vascular access. Members are attentive and energized to hear knowledgeable professionals speak on important topics currently trending within the vascular access arena. Some of these topics include the latest technology and
innovations that enhance patient experiences, promote safe quality care, increase patient satisfaction scores and provide better outcomes. AVA networks support the importance of achieving higher education and skills validation by offering continuing education opportunities, scholarships, review classes and access via the website avainfo.org to local meeting schedules. Advanced certification is promoted at network meetings as one way to recognize vascular access nursing as a specialty. VABC™ nurses have met high standards for current professional practice by validating current knowledge of vascular access in order to assure safe patient care.3
VA-BC™ REVIEW SEMINAR
AVACNY members became enthusiastic and eager about certification in their own nursing specialty. In response to this overwhelming request, our network leaders focused on providing a class taught by an expert in the field of vascular access. This expert would provide an extensive seminar outline focusing on evidence-based medicine, CDC Guidelines and Standards of Practice to ensure successful preparation for taking the VA-BC™ exam. After considering previous exam preparation experience, our network chose to reach out to Kay CONTINUED ON PAGE 18
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NETWORK NEWS Kristin Jacobs, MSN, RN, VA-BC™
GULFVAN It was a packed house at GulfVAN’s March 8 meeting. GulfVAN welcomed Leigh Ann Bowe-Geddes, RN, CRNI, VA-BC™ to Tampa to discuss the topic and components of tissue adhesives in vascular access. We wish to extend a special thank you to Tacy Medical and Adhezion Biomedical for your support of our network! Our next meeting is scheduled for May 8th – GulfVAN’s very own Jenny Bokor will be speaking about how she became a “Rule Breaker” while facing a unique vascular access case in her facility.
MEET OUR NEWEST NETWORK: HOUVAN We’re excited to welcome our newest Network! Their inaugural event “Right Line, RIght Patient, RIght Time, Right Clinician” will be held on May 22 in Houston, TX. HouVAN’s officers are Wendy Clark and Susan Heins. Follow HouVAN on Facebook Email: HouVAN2018gmail.com
NEVVAN On May 9th NEVVAN hosted a ‘Learning About IVs’ event in Las Vegas, NV. The presentations included: Dr. Gregory J. Schears presented “Reducing PIVC Complications & Guiding Clinicians: Technology & the 5Ps.” Dr. Schears is an acknowledged thought leader in vascular access. He is a Professor of Anesthesiology at Mayo Clinic working with both pediatric and adult patients. He has served on the editorial board for JAVA and on the AVA Board of Directors as Treasurer. He is very active with product development to help reduce complications and has given hundreds of presentations locally, regionally, nationally and internationally. Dr. Catherine Prado, PhD, RN, Director of Nursing Education-Nevada State Board of Nursing presented 16 | IQ | INTRAVASCULAR QUARTERLY NEWSLETTER
“What you Thought You Knew about the New IV Regulations and Probably Don’t.” There was much to learn and we’re grateful for everyone who was able to attend. And don’t forget that Armed Forces Day is Saturday, May 19th, 2018! Please bring some extra cash to donate to our own favorite organization for the military-Adopt-A-Platoon. We have a $300 matching grant for this organization. Remember, these self-sacrificing men and women and donate as generously as you can at this meeting. These military members put their lives on the line for us. Remember them as generously as you can!!!
to our Newest
Members (Joined February 1, 2018 - April 30, 2018)
Tina La Haise -- Fitchburg, Wisconsin Paula Zapolnik -- Lenexa, Kansas Sandra Ponder -- Dearborn Heights, Michigan Kathy Kogon -- Wellington, Florida Jessica Kilcoyne -- Atlanta, Georgia Donna Vincequere -- Conway, South Carolina Viviane Gusmáo -- Brasília, Distrito Fedral Christopher Koon -- Midlothian, Virginia Barry Curran -- Folsom, California Denise Eisele -- Rocklin, California Andrea Smith -- Frostproof, Florida Shiljamol Mathew -- Pearland, Texas Laura Fryza -- Apex, North Carolina Jorge Perez Acosta -- Miami, Florida Karen Magaletta -- New Palz, New York Debra Ghee -- Poughkeepsie, New York Pat Kipper -- O’Fallon, Missouri Brittany Rothe -- Vernon Hills, Illinois Anamika Laddha -- Ann Arbor, Michigan William LeMay -- Olive Branch, Mississippi Molly Cooper -- Aurora, Colorado Bonnie Dale -- Henrico, Virginia Sherrie Adams -- Boise, Idaho Margaret Farrar-Laco -- Akron, Ohio Charles Baria -- Moss Point, Mississippi Lisa Polier -- Broomall, Pennsylvania Allison McDowell -- Charlottesville, Virginia Carolyn Tatum -- Dry Ridge, Kentucky Christine Faulkner -- Attleboro, Massachusetts Lauren Carter -- Houlton, Wisconsin Marcela Maldonado -- CABA Kim Quinn -- Marengo, Ohio Chris Haynes -- Stone Mountain, Georgia Sandra Whitmire -- Babson Park, Florida Carl Swingle -- Tucson, Arizona Tonya Heffelfinger -- Suwanee, Georgia David Bourey -- Bellingham, Washington Melanie Brandan -- Philadelphia, Pennsylvania Qun Shang -- South Pasadena, California Jodi Pilot -- Kennewick, Washington Jean Hagel -- Lakewood, Washington Nancy Deland -- Milford, Michigan Collin Main -- Sanger, Texas Miranda Clemons -- Brownwood, Texas Andrea Raynak -- Thunder Bay, Ontario Suzanne Hall -- Dawsonville, Georgia Loraine Rollins -- Mesa, Arizona Janet Jones -- Lewisport, Kentucky Gazmen Lesevic -- Staten Island, New York Kim Newcombe -- Hamilton, Ontario Kathleen Beveridge -- Kalispell, Montana Amanda Fortier -- Wayne, Maine Todd Schimmel -- Chesapeake, Virginia Marisa Noonan -- Tenino, Washington Victoria Klink -- Gainesville, Florida Darcy Melton -- Hudson, Wisconsin Alicia Williams -- Richfield, Ohio Micah Klaas -- Guys Mills, Pennsylvania Melissa Kennedy -- Yakima, Washington Pam Jansen -- Union, Washington Katie Tornow -- Columbus, Ohio Cynthia Rice -- Klamath Falls, Oregon Antonia Ithurralde -- Long Beach, California Sarah Randall -- Enid, Oklahoma Mari Fahrbach -- Henrico, Virginia Frank Guzman -- San Antonio, Texas Jennifer Gwilliam -- Ravenel, South Carolina Jeanne Higginbotham -- Oregon City, Oregon Sung Kang -- Orlando, Florida Steve Panetti -- Katy, Texas Madeline Giering -- Houston, Texas
Sara Barbur -- East Pembroke, New York Greg Pertuit -- Cumming, Georgia Theresa Hall -- Charleston, South Carolina Loretta Mabry -- Waterford, Michigan Lorie Durso -- San Diego, California Ericka Godoy -- Amarillo, Texas Silvia Hodge -- Vega, Texas Gina Kern -- Milan, Indiana Claire Solomon -- Tallahassee, Florida Linda Mulcahy -- Tinley Park, Illinois Tanya Peden -- North Hollywood, California Kathleen Grogan -- Red Lion, Pennsylvania Nicola Burnett -- Derby, England Beverley Carter -- Maidenhead, Berkshire Louise Hamilton -- Frimley, Surrey Jan Feist -- Monroe, Ohio Sarah Ashton -- Huddersfield, West Yorkshire Evan Chatterton -- Spokane, Washington Eileen Loveland -- Bury St Edmunds, England Jennifer Andrade -- Grand Island, Nebraska Nermin Osman -- New York, New York Rebekah Khachatourian -- Cameron Park, California Brett Roth -- Colorado SPrings, Colorado Shari Hill -- Asheville, North Carolina Sheryl Tan -- Raleigh, North Carolina Eileen Fernandez -- Brownstown, Michigan MalVerne Inniss -- Summerville, South Carolina Leslie Stoner -- Coon Rapids, Minnesota Melissa Barcelos -- Oakdale, California Ryain Alexander -- Walnut, Mississippi Angela Ayers -- Omaha, Nebraska Mike Griff -- St. Charles, Illinois Ann Mini -- Everett, Massachusetts Cynthia Sulewski -- Brownsville, Texas Laura Cook -- Iron Station, North Carolina Alma Keesling -- Alachua, Florida Justino Magat -- North Providence, Rhode Island Dawn Sauber -- Sycamore, Illinois Carey Belt -- Marion, Kentucky Penni Marshall -- Durham, North Carolina Richard Reed -- Bowie, Texas Colleen Atkins -- Oroville, California Guillermina Rodriguez -- Chino, California Lindsey Snell -- Queen Creek, Arizona James Bossman -- Pembroke Pines, Florida Mandi Cowden -- Des Moines, Iowa Corrie Carter -- Kent, Washington Scott Callaghan -- San Francisco, California Trent Carter -- Fort Worth, Texas Sarah Rodriguez -- Goodyear, Arizona Subha Raman -- Campbell, California Kay Horne -- Tomah, Wisconsin Christine Vandenhouten -- Oneida, Wisconsin Syreeta Cameron -- Phoenix, Arizona Debra Chiccone -- Middle River, Maryland Angela Restivo -- Rome, Rome Sergio De Nardi -- Rome, Rome Andrea Bilancia -- Rome, Rome Francesco Morrone -- Rome, Rome Daniel Orozco -- Oroville, California Debra Langseder -- Highland, New York Brandy Gray -- Leavenworth, Kansas Russell Cuenca -- San Francisco, California Rechuel Francisco -- Atlanta, Georgia Nancy Scott -- Valparaiso, Indiana Nancy Clavin -- Miller Place, New York Sharmila Ballal -- Cincinnati, Ohio Judy Owen -- Norman, Oklahoma Terri Macbrien -- Poughkeepsie, New York Jennifer Waller -- Valrico, Florida Becky Stahl -- Risingsun, Ohio
Jane Chuakay -- Auburn, Washington Neethu Gopinadh -- Yorktown Heights, New York Siwanee Darsch -- Chicopee, Massachusetts Lana Garces -- Garden Grove, California Kris Tyler -- Bothell, Washington Cynthia Valcorza -- Elmhurst, New York Robert Smailes -- Apex, North Carolina Kathleen Bogucki -- St. Louis, Missouri Jasper Hotchkiss -- Brewer, Maine Marina Pedrosa -- Sevilla, Sevilla Shantel Onken -- Hawthorne, California Melanie Waddell -- New York, New York Shelley Cosgrove -- Columbus, Ohio Valerie Speed -- Shoreline, Washington Jack Querio -- San Francisco, California Igor Hanak -- San Jose, California Diane Mancini -- Norwell, Massachusetts Kimberly Guess -- Hendersonville, North Carolina David Wallace -- San Diego, California Joseph Baczewski -- Southington, Connecticut Jennifer Thomason -- Western Springs, Illinois Kathi Marak -- Hemet, California Cheryl Ferraro -- North Chesterfield, Virginia Lourdes Filipovic -- Menomonee Falls, Wisconsin Shanon Brown -- Greenville, North Carolina Jessica austin -- Florence, Alabama Amie Howell -- Livonia, Michigan Kathleen DiMaggio -- Haddonfield, New Jersey Mark Alpert -- Rockville, Maryland Dee Troeh -- Aberdeen, Washington Shelencia Weatherspoon -- Skokie, Illinois Servane Pelle Lombardy -- Bures sur Yvette Kathryn Trimble -- King of Prussia, Pennsylvania Sofia Warren -- Traverse City, Michigan Tasha Asbell -- Westfield, Indiana Regina Campbell -- Ridley Park, Pennsylvania Jill Harrigan -- Wyncote, Pennsylvania Marguerite Ryder -- Durham, North Carolina Rebekah Davis -- Philadelphia, Pennsylvania Suzanne Dominey -- Houston, Texas Rachel Rohlen -- Truckee, California Milcah Swedbergh -- Boise, Idaho Kathy Speigel -- Yukon, Oklahoma Maria Elena Luttrell-Teixeira -- Turlock, California Ginger Grier -- Thomasville, Georgia Josephine Ogbonna -- Charlotte, North Carolina Kerrie Curtis -- Hampton, Victoria David Rynders -- Visalia, California April Soto -- Antioch, Illinois Richard Salve -- Cary, North Carolina Eva Gallegos -- Albuquerque, New Mexico Kelsey Giandalia -- Lancaster, Pennsylvania Carol Low -- Warwickshire, UK Cheryl Roper -- Old Fort, North Carolina Emily Wilson -- Marquette, Michigan Chad Weible -- Grayling, Michigan Ronaldo Manjares -- Goodyear, Arizona Christie Lightfoot -- Albuquerque, New Mexico Alix Thomson -- Arlington Heights, Illinois Angelica Chavez -- Las Vegas, Nevada William Smith -- Rockwall, Texas Dovette DeVore -- Blaine, Minnesota Alan Nunag -- Union, New Jersey Chris Miller -- Sanford, Florida Julie Garrison -- Staten Island, New York Joe Bunch -- Romeoville, Illinois Marsha Hall -- Portage, Indiana Chelsey Kennedy -- Dallas, Texas Amy Chastain -- Rainbow City, Alabama Jennifer Schwartz -- New Castle, New Hampshire Andrea Ochs -- Colorado Springs, Colorado
Kari Remer -- Waterford, Wisconsin Nancy Yankovic -- Palmer, Alaska Julie Kenyon -- Darwen, Lancashire Ronda Van Arsdale -- Coronado, California Rachel Peck -- Jackson, Missouri Jenn Simmons -- Lititz, Pennsylvania Gregory Rothenbusch -- Lehigh Acres, Florida Cassandra Fox -- Chicago, Illinois Faith Insisiengmay -- Cumming, Georgia Betsy Harnois -- Meredosia, Illinois Frantisek Slimacek -- Hanusovice, Hanusovice Lauren Pascarelli -- Shelton, Connecticut Bryan Rockwell -- La Mesa, New Mexico Sondra Eyler -- Grand Bay, Alabama Anna Mack -- Minneapolis, Minnesota Sally Key -- Mount Pleasant, South Carolina Julie Wiebe -- Glendale, Arizona Robyn Davenport -- Atlanta, Georgia Candice Highland -- Pevely, Missouri Sue Herran -- Fort Wayne, Indiana Julie Russian -- Haskins, Ohio Cynthia Glynn -- Quincy, Massachusetts Andrew Haft -- Livermore, California Gabriella Speakman -- Greenfield, Ohio Lola Faulkner -- Lexington, Kentucky Jessica Langille -- Springfield, Virginia Jeanne Viers -- Louiscille, Kentucky Jackie Morley -- Lansdale, Pennsylvania Jean Harrington -- Newport, Rhode Island Mary Zock -- Post Mills, Vermont Jonathan Verseput -- Peru, New York Edward Whipple -- Borrego Springs, California Tricia Morrow -- Midlothian, Virginia Nneoma Oparah -- Wylie, Texas Hart Freeman -- Denver, Colorado Winnie TienThomas -- San Dimas, California Gregory Roberts -- Raymore, Missouri Shawna Koetz -- Rochester, New York Krystal Caricofe -- Bridgewater, Virginia Anthony Smoot -- Bloomington, Indiana Judeth Lewis -- Willoughby, Ohio Weikai Chen -- Shanghai, Shanghai Marc Mecoli -- Cincinnati, Ohio Lifang Zhang -- Pearland, Texas Alicia Fulk -- Bellville, Ohio Pearl Bean -- Hill, New Hampshire Rachel Mueller -- Cincinnati, Ohio Hue Le -- Winterville, North Carolina Elyse Chodur -- Osage, Iowa Lisa Ellert -- Fort Wayne, Indiana Thomas Mowery -- El Macero, California Raquel Montero -- Downey, California Marla Jordan -- Orange Beach, Alabama Mary White -- Bay Minette, Alabama Brian O’Connor -- Pittsburgh, Pennsylvania Uleta Bruny-Fils -- Astoria, New York Heather Murphy -- Gallatin, Tennessee Stephanie Lee -- Boise, Idaho Brittany Bonanza -- Marcy, New York Arica Briggs -- Utica, New York Maria Nagy -- Poughkeepsie, New York Rebecca Wall -- Newnan, Ga 30263, Georgia Sherry Rice -- Mechanicsville, Virginia Tonya Van Ee -- Hugo, Minnesota Melody Greene-Henriquez -- Smyrna, Delaware Sydney Allen -- Newton, Massachusetts Charles Vidourek -- Westerville, Ohio Shavaun Guyton -- Cleveland Heights, Ohio Lisa Ha -- Whitestone, New York Nadia Handspike -- Chicago, Illinois
MAY 2018 | 17
HOW A LOCAL AVA NETWORK CAN CONTRIBUTE, CONTINUED FROM PAGE 15 Coulter from Infusion Knowledge, Inc. in February 2015. She informed AVACNY that she provides a formal preparation class for the VACC National Infusion Certification Exam, a two-day workshop. The content included exam overview, test taking techniques, quality management, research, infection prevention of central line blood stream infections (CLABSI), vascular access devices clinical theory, placement, complications, interventions, care and maintenance of central vascular access devices, pediatric and older adult considerations, regulatory agencies and infusion organizations role. The price of the class was $399, which included a workbook and audio MP3 CD. Infusion Knowledge, Inc. handled online registrations and offered a 25% discount to those that registered before the deadline. Infusion Knowledge, Inc. also sponsored one AVACNY member to attend the class free of charge when online registrations exceeded eight attendees. AVACNY selected the Craftsman Hotel in Fayetteville, New York, the host site of seven of our annual teaching day symposiums, to house the class. Our emphasis for choosing this venue was plentiful space, reasonable cost, hospitality, professionalism and equipment availability. We also reached out to our industrial partners to provide a continental breakfast and a lunch and learn hour showcasing new product launching and/or homecare setting vascular access/ infusion therapy services. AVACNY places emphasis on assuring the ability of participants to attend a review class and/or purchase online approved VACC materials by also offering a scholarship, awarded each May by AVACNY to an individual working towards the VA-BC™ credential. In 2015, our review seminar 18 | IQ | INTRAVASCULAR QUARTERLY NEWSLETTER
registered 10 attendees, and all passed the exam and were awarded the VA-BC™ credential. Enrollment lacked for the VA-BC™ review class workshop the following year. It was stressed and announced in every AVACNY quarterly meeting and our teaching day symposium the recognition, impact, value and notability achieving a national certification can have professionally. Network leaders set up tables to promote awareness by including an informational pamphlet about the VACC exam and AVA national membership benefits. In response to this proactive measure, awareness and encouragement many members ordered online review materials from various websites that offer the preparation materials for the VACC National Infusion Certification Exam. Our network also led an independent study group that met one weekend in May 2016 at Upstate Homecare in Clinton, New York. We had 8 members attend and Upstate Homecare donated their conference room, snacks and projector to AVACNY members to review and share their materials, audios and flashcards they ordered online prior to the June 2016 exam. All 8 members that attended the independent study group passed the exam. We had renewed interest from new members for the 2017 December exam offering and just held another interactive review class on May 1 in Syracuse. CONTINUED ON NEXT PAGE
LITEVAN, CONTINUED FROM PAGE 14 Dean Parry â€“ Reviewed the current state of medicinal marijuana legislation throughout the United States with a specific focus on a Pennsylvania program signed into law one year ago. LITEVAN received an overwhelming positive response from conference attendees, who said it was an exciting and beneficial. They enjoyed the
opportunity to engage in discussion with the speakers and networking with one another. The speakers were knowledgeable and made us consider our practice and institutional policies. Save the date! The 47th annual LITEVAN conference is set for April 25-26, 2019 again at the Nemacolin Woodlands Resort near Pittsburgh. We look forward to seeing you all there!
HOW A LOCAL AVA NETWORK CAN CONTRIBUTE, CONTINUED FROM PAGE 18 The efforts of AVACNY to promote and facilitate advanced vascular access credentialing at the local level have led to an increase in awareness, participation and membership for our network. By establishing ourselves as an organization focused on vascular access excellence and using extensive national and international networking, we have successfully been able to maintain an ever-increasing membership. Additionally, these grassroots efforts have given our members and attendees the tools needed to successfully achieve the credentialing needed to move vascular access forward as a specialty within the infusion world. As the established mission of AVA is to distinguish the vascular access specialty and define standards of vascular access through an evidence-based approach, our local group has promoted this by providing education, financial assistance and peer support to achieve specialty certification. Our local group has been able
to assimilate the tenets of the AVA mission and its multidisciplinary membership to advance research and provide professional and public education in order to shape practice and enhance patient outcomes. American Board of Nursing Specialties. (n.d.). Fact sheet. Retrieved April 14, 2017 from http://www. nursingcertification.org/resources/Documents/ ABNSFactSheet-2-10.pdf 1
Association for Vascular Access (AVA). (2016). Retrieved from http://www.avainfo.org/ 2
Davis, L. & Graham, D. (Sept/Oct 2014). Vascular Access Certification: An Essential Ingredient. 3
AVACNY: www.avainfo.org/avacny AVA National: www.avainfo.org VACC: www.vacert.org
MAY 2018 | 19
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.org Or contact the JAVA Editor at JAVAEditor@avainfo.org
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20 | IQ | INTRAVASCULAR QUARTERLY NEWSLETTER
Advertising space available on AVAinfo.org
The Second Edition of the ‘Chart of Pediatric CVC Maintenance Bundles’ IS AVAILABLE AT AVAINFO.ORG
GET YOURS TODAY! Printed full color with gloss UV coating 13” x 19” size Package of 5 Members: $40 Non-members: $50 Shipping included
FEBRUARY 2018 | 21
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 AVA@avainfo.org
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
Visit our website www.avainfo.org
Association For Vascular Access www.youtube.com/channel/UCP3i3q44bvmVdjjUclt9esw