May 2025 IQ

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NETWORK NEWS

PRESIDENT DAVID MARKLE, RN, VA-BC™

TREASURER AMANDA PIERCE BSN, RN, VA-BC™

PRESIDENTIAL ADVISOR MEAGAN CAPEN, APRN, CPNP-AC, MSN, VA-BC™

FLAVAN, in collaboration with GulfVAN and CEPAVAN, recently hosted a virtual event titled “Implementing Evidence-Based Practice Changes AND Making Them Stick,” presented by Tammy Johnson, RN, BS, CPM, and sponsored by Magnolia Medical. The session was well attended and sparked great interaction among participants.

Orlando Regional Medical Center 2025 FLAVAN VASCULAR ACCESS SUMMIT EVENT

October 11th, 2025

We’re actively planning upcoming Dinner Meetings for May, June, and August along with SUMMIT that will be in October—stay tuned for more details!

For the latest FLAVAN updates and event announcements, be sure to visit our website and don’t forget to like and follow us on Facebook!

EDUCATION DEPARTMENT

ANTONIA (TONI) SOCHOR, BSN, RN, VA-BCTM

WE HOPE THAT YOU HAVE HAD A GREAT FIRST FOUR MONTHS OF 2025.

Here at AVA, we have been working hard on developing clinical practice guidelines tailored for clinician. 26 volunteer authors, have been diligently working on gathering data and writing recommendations. For many of us, this is something we have not embarked on before, proving to be both an adventure and a labor of love. All our efforts aim to enhance care provided to patients every day. Please stay tuned for further updates on this important project.

In addition to CPG, the D-Team is working tirelessly to ensure that the AVA Scientific Meeting of 2025 is everything you have come to expect from this organization and more. We look forward to welcoming you to sunny Florida this coming September. If you have not already registered go to https://avasm25.eventscribe.net/ and reserve your spot.

Make sure you are keeping an eye on the AVA event calendar at https://www.avainfo.org/ events/event_list.asp for the latest online as well as local network events available to you. So far this year we have hosted 4 fantastic webinars, all of which are available in the AVA Academy for your viewing pleasure if you missed them. Those can all be found in the course catalog at https://www.avainfo.org/store/. Please make sure to forward to anyone you know who may benefit from the information. If you haven’t already, register for our next Roundtable on May 20th. Don’t forget to follow us on Facebook, Instagram, and LinkedIn to ensure you don’t miss any announcements.

CASE STORY

SUBMITTED BY:

Situation

Background

Hands on provider nursing staff are sometimes unfamiliar with appropriate handling of intravenous line equipment. There is a lack of standardization, education, and clear communication in a frequently task saturated hospital environment.

In a state funded/university supported ongoing research project, several hypothetical questions were asked of nurses who handle patients with intravenous lines to gain insight into practice habits and equipment supplied at various hospitals.

Assessment Although early in gathering data, key insights regarding: lack of input in devices purchased by a hospital, problems with intravenous line systems, failure of standard practice with cleaning ports, stopcocks, complexity, convenience,missing supplies, are being tracked.

Intervention

Outcomes

Conclusions

Ongoing research and analysis is required. Some nurses voiced lack of knowledge, “cheap equipment that comes apart”, lack of respect for opinion regarding what is needed, “do not have cleaning supplies in a convenient place”, “too busy”.

Potential outcome is standardization in type of line stystems, handing of ports and stopcocks, rigorous adherence to evidence based practice standards. Nurses surveyed voiced simplicity and convenience as key factors in using products, in addition to education.

Nurses are front line providers who are key patient advocates. Patient’s may unknowing accept and receive substandard care for a variety of reasons. Clear communication, education, standardization and administrative support is needed.

Brought to you by the Association for Vascular Access (AVA), ISAVE That Podcast is your go-to source for the latest in vascular access. Since 1985, AVA has been dedicated to saving lives through best practices, research, and patient advocacy.

Industry Leaders

International Guests

Worldwide Audience

ADVANCING VASCULAR ACCESS

TUNE IN TODAY for expert discussions on research, emerging trends, and patient advocacy. ISAVE That Podcast provides professional and public education to shape practice and enhance patient outcomes. We also partner with the device manufacturing community to bring evidence-based innovations to vascular access, ensuring the best car of patients.

A CASE IN PERSISTENCE: ADVOCATING FOR PERMANENT ACCESS IN A HIGH-RISK PATIENT

VASCULAR ACCESS

ABSTRACT

This case report explores the clinical and social complexities surrounding vascular access placement in a 49-year-old hemodialysis patient with end-stage renal disease, multiple comorbidities, and a history of drug use and homelessness. The patient relied on the same femoral catheter for nearly two years, ultimately developing a catheter-related infection. Despite missed appointments and refusal of care, consistent outpatient advocacy and relationship-building led to eventual surgical intervention. The case underscores the importance of long-term care coordination and trust-building in achieving access goals for high-risk patients—often far beyond the confines of acute care settings.

CASE OVERVIEW

As the vascular access coordinator at our dialysis clinic, I worked closely with a 49-year-old man living with end-stage renal disease, a history of drug use (now in recovery), and no stable housing. He had been relying on the same femoral dialysis catheter since May 17, 2023—well beyond the safe recommended use for temporary catheters.1 For nearly two years, I had ongoing conversations with him about the importance of permanent access and the risks of infection, but he repeatedly declined surgical evaluation or hospital care.

Beyond his dialysis needs, he had numerous comorbidities that made managing his care even more complex. He was HIV positive and had anemia of chronic kidney disease, protein-calorie malnutrition, fluid overload, secondary hyperparathyroidism, hyperkalemia, hypercalcemia, recurrent chest pain, and episodes of shortness of breath. His history also included gastrointestinal bleeding, pneumonia due to Pseudomonas, pruritus, syphilis, a previous NSTEMI, secondary hypertension, and documented allergy with a prior anaphylactic reaction.2

In early 2025, during a routine dialysis session, the patient began showing signs of infection. Blood cultures drawn at the clinic later confirmed Staphylococcus aureus and Pseudomonas aeruginosa. Empiric IV antibiotics—Ceftazidime 2 g and Vancomycin 1 g—were administered on site. Despite strong recommendations, he refused hospital care and delayed treatment for nearly two weeks. When he finally agreed to be admitted, he completed a 12-day course of IV antibiotics.3

Throughout these two years, I had referred him to three different vascular surgeons. Each time, he either missed the appointment or failed to follow through. Still, I stayed in contact and offered consistent support. On April 23, 2025, after a long journey of resistance and trustbuilding, he underwent surgery. His femoral catheter was replaced with a left subclavian catheter, and a left upper arm arteriovenous graft was successfully placed. This moment represented more than a surgical outcome—it was a meaningful shift in the patient’s willingness to engage in long-term care.

REFERENCES

1. Lok, C. E., Huber, T. S., Lee, T., Shenoy, S., Yevzlin, A. S., Abreo, K., ... & KDOQI Vascular Access Guideline Work Group. (2020). KDOQI clinical practice guideline for vascular access: 2019 update. American Journal of Kidney Diseases, 75(4), S1–S164. https://doi.org/10.1053/j.ajkd.2019.12.001

2. Patzer, R. E., & Perryman, A. (2017). Social determinants of health in kidney disease outcomes: A review of socioeconomic status, education, race, and housing. Journal of Nephrology Social Work, 41(2), 45–52.

3. Dember, L. M., Beck, G. J., Allon, M., Delmez, J. A., Dixon, B. S., Greenberg, A., ... & Davidson, I. (2008). Effect of clopidogrel on early failure of arteriovenous fistulas for hemodialysis: A randomized controlled trial. JAMA, 299(18), 2164–2171. https://doi.org/10.1001/jama.299.18.2164

THE JOURNAL OF THE

Association for Vascular Access

We invite you to submit original manuscripts that may improve patient outcomes and our understanding of the vascular access specialists’ role in the healthcare system. Manuscripts could include:

• Clinical Practice

• Patient Education

• Clinician Education

• Promoting & Sustaining Change

• Vascular Access Research

• Legal perspectives

• Financial Considerations

• Anything to move AVA’s mission forward.

For complete instructions, go to Information for Authors at www.avajournal.com

If you would like some mentoring help, email AVAFoundation@avainfo.org. The AVA Foundation board can match you with free mentoring for AVA members on research and publication.

If you have general questions or don’t know where to start, contact the JAVA editor at: javaeditor@avainfo.org.

ACADEMY

Balancing a busy work

Find time for continuing education with AVA!

Check out all the educational courses & continuing education credits offered:

Free CEs for AVA Members!

Procedural courses: Ultrasound Guided

Peripheral Intravenous Catheter

Insertion, Intro to Midline Catheters using MST

PIV Curriculum - 6 CEs available for PIV Essentials Bundle!

Previous ISAVE that Line webinar events and AVA Conference Presentations. & many more!

plete a short AVA Academy to AVA CE credit

DISTORTED INTRACAVITARY ECG IN A PATIENT WITH LEFTSIDED PNEUMOTHORAX: A CASE FOR MULTIMODAL TIP VERIFICATION

PROVASC GROUP: ROMEOVILLE, IL

CORRESPONDING AUTHOR: ADMIN@PROVASCGROUP.ORG

ABSTRACT

Background: Intracavitary electrocardiography (IC-ECG) is a widely accepted technique for verifying central venous catheter (CVC) tip location. However, thoracic pathology such as pneumothorax can distort anatomical and electrical relationships, complicating interpretation.

Case Presentation: We report the case of a patient with a persistent left-sided pneumothorax who exhibited an abnormal IC-ECG tracing during CVC placement. The waveform demonstrated an initial deep negative deflection and a transient QRS complex of markedly increased amplitude and duration, followed by normalization to a high-amplitude P wave pattern. Despite the atypical ECG findings, point-of-care ultrasound (POCUS) revealed a positive right atrial swirl sign, and chest X-ray confirmed catheter tip location with radiographic evidence of cardiac displacement.

Conclusion: This case highlights the limitations of IC-ECG in the setting of thoracic pathology and reinforces the value of multimodal verification using POCUS and imaging to ensure accurate and safe CVC placement.

Keywords: Central venous catheter, intracavitary ECG, pneumothorax, tip confirmation, ultrasound, cardiac displacement, vascular access

INTRODUCTION

Intracavitary electrocardiography (IC-ECG) is a frequently used method for confirming the position of central venous catheter tips by assessing P wave amplitude as the catheter nears the cavoatrial junction. In ideal conditions, this method offers immediate and reliable feedback. However, in patients with altered thoracic anatomy—such as those with pneumothorax—the cardiac position and catheter trajectory may be shifted, leading to atypical ECG patterns and possible misinterpretation. IC-ECG has been well-established as a reliable method for confirming CVC tip location, particularly at the cavoatrial junction.¹ However, challenges arise in patients with distorted thoracic anatomy such as pneumothorax.⁴

CASE REPORT

A patient with a pathological, spontaneous left-sided pneumothorax underwent chest tube placement. Post-procedural imaging revealed a persistent 20% pneumothorax. The patient was in sinus tachycardia (approximately 130 bpm) at the time of central venous catheter placement for hemodialysis access. IC-ECG was employed to assist with tip confirmation.

The tracing showed an initial deep negative deflection, followed by a QRS complex of increased amplitude and duration. After one to two beats, the waveform normalized with a high-amplitude P wave and appropriate QRS morphology, suggesting proximity to the cavoatrial junction.

Due to the atypical early waveform, POCUS was performed. Agitated saline injection revealed a rapid swirl within the right atrium, confirming proper tip position. Chest X-rays taken before and after the procedure showed variable displacement of the cardiac silhouette, further supporting the hypothesis that the IC-ECG distortion resulted from cardiac shift due to the pneumothorax.

Figure 1. Multimodal verification images. A) POCUS with agitated saline swirl in RA. B) IC-ECG waveform with deep initial negative deflection. C) Chest X-ray showing cardiac displacement. D) Follow-up waveform confirming correct placement.

DISCUSSION

This case demonstrates the potential for misinterpretation of IC-ECG in patients with thoracic pathology. The observed waveform anomalies likely resulted from altered electrical vector orientation due to mediastinal shift and cardiac displacement. These changes can temporarily skew IC-ECG signals and should prompt clinicians to employ alternative verification strategies.

The combination of IC-ECG, POCUS, and chest imaging provided a comprehensive, accurate, and safe method for confirming tip placement in this complex case. Multimodal verification should be standard in patients with known or suspected anatomical alterations that may compromise signal interpretation. In such cases, IC-ECG interpretation must be supplemented by other modalities.²,⁴ Ultrasound-guided techniques and confirmatory imaging are essential tools for avoiding misinterpretation and ensuring catheter safety.² ³

CONCLUSION

IC-ECG is an efficient and effective tool for confirming central line tip placement, but it can be misleading in the presence of thoracic pathology. This case reinforces the importance of using a multimodal approach—particularly POCUS and chest X-ray—to ensure accurate tip verification in patients with anatomical variations. As vascular access professionals, adapting our approach to account for pathophysiologic changes is key to safe and effective patient care.

REFERENCES

1. Pittiruti M, La Greca A, Scoppettuolo G. The electrocardiographic method for positioning the tip of central venous catheters. J Vasc Access. 2011;12(4):280-291. doi:10.5301/JVA.2011.8431

2. Saugel B, Scheeren TWL, Teboul J-L. Ultrasound-guided central venous catheter placement: a structured review and recommendations for clinical practice. Crit Care. 2017;21(1):225. doi:10.1186/s13054-017-1814-y

3. Wicky S, Dubois J, Noël A, et al. Cardiac tamponade and other complications of central venous catheterization. AJR Am J Roentgenol. 2000;174(2):487-493. doi:10.2214/ajr.174.2.1740487

4. Saggi BH, Sharma SK. Electrocardiographic changes associated with spontaneous pneumothorax. Chest. 1978;74(4):412-415. doi:10.1378/chest.74.4.412

LIFE WITH A CENTRAL LINE OUTSIDE OF THE HOSPITAL

Imagine traveling to Spain and Rome with your closest friends and partner, riding a motorcycle with the wind in your hair, or stepping onto a bodybuilding stage to compete against the best— then being invited to the UK for an international competition. Now imagine doing all of this with a femoral central line

For many, that scenario seems impossible. People often assume that a femoral central line confines you to a hospital bed—that it limits your independence, travel, or physical activity. But I’m here to challenge that perception. My name is Vincent Rosche, and for over seven years I’ve lived outside the hospital with a femoral central line. Not only have I done everything I mentioned above, but I’ve lived a life that many thought wasn’t possible with this kind of venous access. I was born healthy, and my mother’s pregnancy was routine. However, once solid food was introduced, I began to experience severe bloating, nausea, vomiting, and intense abdominal pain. At just a year old, I underwent surgery called a LADS procedure, this is where surgeons try to correct the placement or layout of your bowels. My bowels were not in the right place at birth and needed to be shifted, but the symptoms persisted. It wasn’t until I was four years old that I received a diagnosis, Chronic Intestinal Pseudo-Obstruction (CIPO). Shortly after, I received a G-tube for enteral nutrition, which I have never had luck tolerating enough to maintain weight it was not a viable long-term solution for me and, later, a PICC line was placed for Total Parenteral Nutrition (TPN).

By age eight, I transitioned to a port and quickly took an interest in managing my own care. I learned how to access my line independently, and that marked the beginning of my journey toward autonomy. Over the years, I cycled through different central lines because of infections at the site and sepsis, and by age 17, I was on cyclic TPN—seven days a week, ten hours a day.

My parents played a critical role in shaping how I approached life with a chronic condition. They never treated me differently from other kids. I still had chores, expectations, and responsibilities. I played soccer, stayed up late playing video games, and even indulged in junk food from time to time—regrets and all. They taught me that while my health would always be a priority, it didn’t mean I had to live a limited life.

When I was told I had exhausted all upper venous access options and would need a femoral central line, this was because I had so many rounds of sepsis and infected central lines I was running out of locations, my first thought was: How will this affect my life? Will I still be able to do everything I love? I had concerns. The stigma surrounding femoral lines, and the information available at the time, made it seem like my active lifestyle would come to an end

But I chose to face it the same way I had faced every other challenge—with adaptation and optimism.

To my surprise, once the femoral line healed, I found it no more limiting than a chest line. In fact, I noticed some unexpected benefits: changing the dressing was easier, the dressing itself stayed secure longer, and the placement on my outer thigh allowed me more freedom of movement— and privacy. Most people didn’t even realize I had a central line.

One of my biggest concerns was how it would impact my gym routine. Fitness had become a cornerstone of my health, and I feared I’d have to give it up. But just like before, I discussed with my care team what I had been doing prior and if I could re-start my normal routine, with their blessing I started slow and built my strength over time. I found that my mobility and flexibility improved with the femoral line compared to chest lines, which had always felt a bit restrictive. Not only did I continue training, but I progressed more than ever—ultimately stepping onto a bodybuilding stage, competing in a mixed disability category, proudly showing my G-tube and femoral line.

Living fully has always been my mission, central line or not. In 2018, I was honored to be named “Person of the Year” by the GULFVAN network, thanks to a nomination by Beth Gore, CEO of the Oley Foundation. Since then, I’ve continued to advocate and speak about my experiences, and I’m now proud to work for the Oley Foundation, where I help others understand that life on nutritional support is still life—rich, full, and uniquely yours.

You can live outside the hospital with a central line. You can travel, train, explore, and achieve your dreams. It might look different, and it may require thoughtful planning with your care team, but it’s absolutely possible. I’m living proof.

Encouraging your patients to pursue a fulfilling life—despite medical challenges—starts with meaningful, personcentered conversations. To truly support them in living the lives they aspire to and go beyond standard questions about symptoms and diagnoses. Take the time to ask, “Are you living the life you want?” or “Is there something you’ve always wanted to do but feel you can’t because of your condition?” You might also ask, “How can I help you pursue the things that matter to you, even while you’re on nutrition support?” The answers may surprise you. As a member of the care team, you have the opportunity—and responsibility—to advocate for your patients’ personal goals and work collaboratively to help them find ways to achieve them.

Spain and Rome trip with girlfriend Gabriella in front of the Spanish Steps.
Body building comp where I won first place and was invited to the UK to compete.

POSTERS: WHY READ THEM? WHY SUBMIT ONE?

Scientific posters are snapshots of emerging research and practice. Posters can be case studies, quality improvement, and early research. Posters blend visual and data-driven narratives in a concise format.

In this IQ, I am highlighting the posters presented at the 2024 AVA Scientific Meeting, which focused on unique patient issue, products, and practices to improve outcomes. Our conference planning team peer-reviewed these accepted posters.

Your opportunity to submit a poster for the 2025 AVASM has passed, but now is the time to begin your work for the 2026 AVASM. The application for next year will be coming in the Spring of 2026. Please enjoy reading these posters, and I hope they spark an idea for your contribution.

Poster Title

A model for predicting the risk of difficult intravenous access in adult patients

AIL: An Alarming Issue

Application of Evidence and Science with Catheter Materials that Impact Outcomes: An Integrative Review

Are Midlines Safe for Outpatient Parenteral Antimicrobial Therapy with Vancomycin?

Challenges in Vascular Access for Indigenous population one Oncology Center Experience Bogota DC - Colombia

Characteristics and Outcomes of Midlines That Dwell Beyond 14 Days

Clinical studies evaluating long peripheral intravenous catheter: A Scoping Review

Cross Training to Cover the Gap: Elimination of Call Improves Work-life Balance

Design, Fabrication and Initial Examination of a Vein Visualizing Novel Ultrasound Prototype Device for Use in Cannulation Assistance

Exploring Alternative Vascular Access Options for Apheresis in Adults

Authors

Poster Author: Yilin Chen, Yes – Sir Run Run Shaw hospital

Presenter: Nancy L. Trick, RN, CRNI, VA-BC (she/her/hers) – NLTrick Consulting

Poster Author: Nancy Moureau, RN, PhD, CPUI, CRNI®, VA-BC™ (she/her/hers) – PICC Excellence, Inc.

Poster Author: David Paje, MD, MPH –Michigan Medicine

Presenter: Andres Felipe Forero Romero, MSc, BSN, RN (he/him/his) – CTIC Foundation Oncology Center

Poster Author: David Paje, MD, MPH –Michigan Medicine

Poster Author: MARIA LUIZA S. PEREIRA, MNSc, BSN, RN, CRNI – Federal University of São Paulo

Poster Author: Brenda F. Garlington, RN, VABC – Conway Regional Medical Center

https://cdmcd. co/7bpdPK

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Presenter: Nikhilesh Bappoo, PhD – VeinTech https://cdmcd.co/ jPdAj9

Poster Author: Maria Theresa Dizon Fabros, MSN, RN, NEBC, VABC (she/her/hers) – City of Hope Medical Center

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Poster Title Authors

Giving Biofilm the Slip: An in vitro evaluation of a new catheter material for the reduction of thrombus and bacterial adhesion

Handheld and pocket ultrasound for inserting peripheral intravenous catheters: Gimmick or game-changer? A scoping review

Impact of Noradrenaline Administration Dosage on the Occurrence of Peripheral Intravenous Catheter-Related Venous Phlebitis in Critically Ill Patients Using a TimeDependent Multilevel Cox Regression Model

Implementation Study of a Peripheral Catheter Bundle at 38 Australian Hospitals

Let Evidence Lead the Way: A Systematic Review of Needle-Free Connector Performance and Occlusion Outcomes

Making a Difference: Improving Midline Outcomes

Now You're in Good Hands: Training Nurses for Ultrasound-guided Peripheral Access

Optimizing Infusate Flow Patterns for Minimizing Vein Wall Trauma: An Exploratory Study with a Modified Off-Axis Catheter Tip Opening

Partnering Up to Prevent Pediatric Peripheral Intravenous Infiltration: A Single-center Experience with PIV Buddy Checks

Practice vs. Product: Ensuring Best Patient Outcomes

Prediction of failure risk in the first attempt at peripheral puncture: secondary analysis of the SPECTRA clinical trial from the perspective of the control group

Promoting Ultrasound-Guided Peripheral Insertion (UGPIV) to Reduce Midline Utilization, Lower Costs, Safeguard Vasculature, and Enhance Patient Outcomes.

Standardization of Evidence-Based Peripheral Intravenous Catheter Insertion, Assessment, and Maintenance Practices on a Medical Care Unit: A Quality Improvement Project

Synchronous multi-plane ultrasound imaging during vascular access procedures: Benefits and Areas of Improvement

Poster Author: Nancy Moureau, RN, PhD, CPUI, CRNI®, VA-BC™ (she/her/hers) – PICC Excellence, Inc.

Poster Author: Gillian A. Ray-Barruel, PhD RN – The University of Queensland

Poster Author: Hideto Yasuda, Medical Doctor – Jichi Medical University Saitama Medical Center

Presenter: Nicola Isles, CICP-E, RN, BN, Master IPC – Healthscope

Poster Author: Nancy Moureau, RN, PhD, CPUI, CRNI®, VA-BC™ (she/her/hers) – PICC Excellence, Inc.

Poster Author: Nancy Moureau, RN, PhD, CPUI, CRNI®, VA-BC™ (she/her/hers) – PICC Excellence, Inc.

Presenter: Jéssica A. S Barbosa, COREN 401943 (she/her/hers) – Hospital Sírio Libanês

Primary Author: Michael Anstett, RN –SkyDance Vascular, Inc

Presenter: Melissa Dawn Ruffini, BSN, RN, CPN – Childrens Health

Presenter: Kendra L. Bendak, BSN, RN, VA-BC (she/her/hers) – AVFect

Poster Author: Janaina S. Prates, RN (she/her/ hers) – Hospital de Clinicas de Porto AlegreVascular Access Program

Poster Author: Jona v. Caparas, MSN, RN, VABC (she/her/hers) – New York Presbyterian Hospital Westchester

Presenter: Kristie Coleman, MSN, RN, VA-BC –Sarasota Memorial Healthcare System

Link to Poster

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Presenter: ROBERT J. ANDERSON, Jr., APRN, DNP, CNP – MAYO CLINIC

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Poster Title Authors Link to Poster

The Importance of Needling Skills and Stations of the Needle for UGPIV Training and Success

Undergraduate nursing student and industry partnership: An opportunity for advanced learning

Unplugged: The effect of implementing ISDT on blood culture contamination

Use of the DIVA Scale to Decrease IV Sticks in the Acute Care Unit

Poster Author: Nancy Moureau, RN, PhD, CPUI, CRNI®, VA-BC™ (she/her/hers) – PICC Excellence, Inc.

Poster Author: Emma Lockett, BSc(N) –Ingram School of Nursing, McGill University

Poster Author: Justine Moore, MSN, RN, VABC, CPHQ (she/her/hers) – Yale New Haven Hospital

Poster Author: ANALYNE BABAYLAN, BSN, RN, CRNI, VA-BC – Baylor Scott and White Medical Center of McKinney

https://cdmcd.co/ JQ9dRk

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Copyright 2025 Association for Vascular Access. All rights reserved.

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 and ask to be removed from the list. All removal requests are addressed promptly.

NEW: IQ EXPO CORNER

Hall with each issue.

Expo Corner clinician’s or patient’s experience in real life. How did your product help them? Branded pictures are

Expo Corner

AVA's electronic newsle/er Intravascular Quarterly (IQ), keeps vascular access professionals up to date on important AVA news and the latest technological and educa;onal informa;on. IQ is published quarterly as a professional benefit. AVA offers the current issue available as free access. PDF version can be downloaded and shared!

Wri;ng for IQ means presen;ng per;nent informa;on in a brief fun, and crea;ve way. Share your stories - product evalua;on, quality improvement, living with vascular access, case reports, the student experience, the crea;ve educator, etc.

CLICK HERE to submit your ar5cle today!

Case Stories are another great way to share pa;ent cases without the rigor of medical case studies. Your case story should be between 25-750 words. Be sure to submit using the online form link below following the modified "SBAR" format.

CLICK HERE to submit or to review the Case Stories submission form today!

IQ will be published in February, May, August, and November 2025. A special issue of IQ will be published in September to celebrate AVA's Annual Scien;fic Mee;ng and will highlight sessions, speakers, exhibitors and much more. If you have an ar;cle to be published in IQ, please by the dates below. If you have ques;ons, call us at 1-877-924-AVA1.

Ar5cles are due by the dates below:

• August issue: theme - Educa5on and Simula5on - submit ar5cles no later than August 1st.

• November issue: theme - Innova5on - submit ar5cles no later than November 1st.

Click here for Adver;sing opportuni;es in IQ

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