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Newsletter of the Canadian Vascular Access Association

Summer 2017

Meet the Board — Andrea Raynak Why did you join the CVAA Board? I became a CVAA Board Member to be immersed in a national organization that advocates and disseminates information related to vascular access and infusion therapy to provide optimal outcomes for the patients we serve. As such, I have the ability to collaborate and create partnerships across the globe to direct education, research and knowledge at a micro and macroscopic level. This fuels my personal passion for vascular access and my own professional growth and experience.

What are you the most excited about for 2017 with CVAA? I am very excited for everything CVAA has on the horizon for 2017 and in the years to come! Specifically, the expansion and recognition of our journal, Vascular Access. This provides an avenue for evidence-based literature to be shared across the globe and disseminated into multiple settings, improving our care. What are you most looking forward to with your role on the Certification Steering Committee? Being on the Certification Steering Committee for 2017, I am looking forward to examining the current process and identifying ways in which we can support our future writers and recruit new writers in becoming CVAA(c) certified. The value of certification and the benefits it has provided me in my current role are visible and utilized on a daily basis. I hope we can support

and encourage more people to become certified in multiple locations so they can see the benefits it has to their practice and professional development. Support from the organization for exam preparation and testimonials of those certified are key to the success of future writers. Tell us something interesting about yourself (personal, not professional) Basically, if it involves movement and/or the outdoors, I am interested!

CONGRATULATIONS! The CVAA Board of Directors is pleased to announce the winners of the 2017 CVAA/BD Excellence in Vascular Access Management & Infusion Therapy Award! The award recognizes the important contributions made in vascular access management and infusion therapy practice with a focus on peripheral IV therapy. Purpose of the award: • Promote safety and quality improvement in peripheral IV vascular access management and infusion practices for optimal patient outcomes • Recognize champions and trailblazers in Canadian vascular access management and infusion therapy practice • Raise awareness of the impact of individual contributions to system-wide results.

BD Representative Carine Boeda, National Winner Shelley Lacelle, and BD Representative Susan Fleming

We had a great number of deserving applicants and the submissions were blindly reviewed by a committee of Board members. We are very pleased to announce the following recipients: First Place/National Winner – Shelley Lacelle, Sudbury, ON Second Place/Regional Winner – Cathy Duerksen, Vancouver, BC Third Place/Regional Winner – Nathan Best, Vancouver, BC The regional and national recipient(s) will receive an education grant of $500 and $1,000 respectively, to be used for educational pursuits and a registration for the upcoming CVAA conference where they will be presented with the award. CVAA is appreciative of the initiative and support of BD Canada, one of our 2017 Platinum Corporate Members, and wishes to thank them for funding this award.

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AND A SOLUTION FOR HIGH IV FAILURE RATES. IV therapy is one of the most common, invasive procedures conducted today. Yet complications cause up to 50% of all IVs to be replaced before therapy is completed.1 That can result in delayed treatment, unnecessary restarts, pain and discomfort for your patients and stress for you. Enter BD Vascular Access Management—a new, integrated solution for reducing peripheral IV complications. It’s an approach that can help you achieve improved outcomes for your patients by combining evidence-based clinical training and education with a comprehensive portfolio of products—all working together to raise the quality of vascular access care. Discover the difference one company can make. Discover the new BD.

Visit the BD booth at CVAA Conference 2017 or to learn more about the Difference of One. 1 Helm RE, Klausner JD, Klemperer JD, Flint LM, Huang E. Accepted but unacceptable: peripheral IV catheter failure. J Infus Nurs. 2015;38(3):189–203. © 2017 BD. BD and the BD Logo are trademarks of Becton, Dickinson and Company. BD-2003 MC7517 (0217)

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Have you joined the CVAA Survey Panel yet? At CVAA, we are always looking for ways to add value to your membership and we pleased to introduce a voluntary online panel that pays members like you to respond to surveys from CVAA’s Corporate Members. Joining CVAA’s market research panel gives members like you the opportunity to receive an honorarium payment for each survey you are suitable for that you choose to answer. Payments

to you are typically $40 CAD per 20-minute survey, and the survey sponsor also makes an additional donation to CVAA each time you respond. This panel helps CVAA’s industry partners advance practice, helps support CVAA’s initiatives, and rewards you for each survey response. To join, please click the link below and answer a short profile survey about your

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clinical background. When you are a match for a survey’s requirements, we will send an email explaining the study and the value of the honorarium offered to you. Remember, it is important to fill out the profile survey as completely as possible to ensure you are matched with applicable surveys. Join the CVAA Survey Panel

CVAA 2017 Conference Awards

Certification Champion Award #1 – Most new writers in 2016 Winner: Greater Toronto Chapter

Certification Champion Award #2 – Most certified chapter members in 2016 Winner: London Chapter

Chapter Achievement Award Winner: Nova Scotia Chapter

Conference Keener Award – First person to register for the CVAA conference Winner: Laura Pope-Goulet, Beamsville, ON


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Sosido Participation Award – Most engaged person on the Q&A portion of Sosido Winner: Kerry McDonald, Pembroke, ON

1st Place Poster: Vascular Access Liaison Program: Feasibility and Effectiveness Mark Rowe, MNSc, RNP, VA-BC™

2nd Place Poster: Experience with the use of 70% ethanol locks in polyurethane and silicone Central Venous Access Devices (CVAD) in patients with long-term home parenteral nutrition. Are polyurethane CVAD safe to use with ethanol locks? Geraldine Schaack, Dr. Marie-Pier Dumas, Dr. Ana Maria Sant’Anna

3rd Place Poster: Evaluation of Occlusion Rates in Percutaneously Inserted Central Venous Access Devices Using Normal Saline vs. Heparin Lock Flush Melanie Cates, MSN, RN, ENC(c), Chad Johnson, MSN (NED), RN, CNCC(c), Tia Cooney, DNP, RN

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Continuing Education Questions 1. What is the mortality associated with infection of a CVC? a) 0–12% b) 12–25% c) 25–37% d) 37–50%

4. The two most frequent sources of infection of central venous catheters are: a) The catheter hub or injection cap b) The insertion site c) A contaminated solution d) Seeding from another source

2. To diagnose a Central Line Associated Blood Stream Infection (CLABSI), these criteria must be met, except one: a) No other source of infection b) Two positive blood cultures with a known skin contaminant c) There must be five times more bacteria in the culture coming from the central catheter compared to the culture coming from the peripheral vein d) Signs and symptoms of infection (e.g., fever, hypotension, elevated WBC…)

5. This type of contamination is the most frequent one involving short-term catheters (i.e., jugular, femoral or subclavian): a) Intraluminal b) Exoluminal c) Medialuminal d) Extraluminal

3. In the presence of a CVC, it is preferable to use the CVC to do blood procurement to avoid unnecessary puncture of the patient. a) True b) False

6. This organism is a contaminant that may cause central line infection? a) Candida albican b) Staphylococcus aureus c) Staphylococcus epidermidis d) Pseudomonas aeruginosa

Answers to Winter/Spring 2017 CVAA Link questions: 1. C; 2. B; 3. A; 4. D; 5. B; 6. D

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Sosido Q&A Review Recap of CVAA Q&A in April: Lanyard cards for peripheral veins | Switching community CADD to inpatient | Subcutaneous butterflies | Cathflo in occluded CVAD | and three more! There were seven new discussions in the CVAA community on Sosido last month. CVAA National members have access to the full discussions here: • Asked on April 21: Does anyone know where I can get lanyard cards for peripheral veins? I found these (picture attached) at the last CVAA conference and would like to get some more for teaching purposes. (2 replies to date) • Asked on April 19: Does anyone have a policy or algorithm related to switching over a community CADD to an inpatient one when the patient comes to ED? (1 reply to date) • Asked on April 13: Subcutaneous Butterflies (4 replies to date) • Asked on April 10: Alternate dressing for PICC if a patient has a skin reaction (6 replies to date) • Asked on April 10: Cathflo use in occluded CVAD (7 replies to date) • Asked on April 7: What wording and number do people use to identify the «internal length» of a PICC? (14 replies to date) • Asked on April 3: Flush volume for PICCs prone to plugging | Devices for end of unused PICC | Flushing PICC post blood withdrawal | Drawing blood from IVAD (7 replies to date)

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Conference Highlights The 42nd Annual CVAA Conference was held in Ottawa, ON, from April 26-28, 2017.

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This year’s conference was a great success with several new features and high delegate turnout — thank you for attending! In addition to our plenary and concurrent sessions, handson Skills Lab stations, exhibit hall and poster presentations, we brought back the Dinner/ Social event, which was enjoyed by all! Also, the pre-conference workshop “Integrated Approach to Successful Peripheral IV Insertion: A Combination of Skill, Veins and Technology” hosted by BD and FujiFilm SonoSite provided attendees with hands-on learning. We were

pleased to partner with Smiths Medical this year to offer a Focus Group to attendees where they could share their perspectives and opinions on products and practices. Celebrating in Canada’s capital for our 150th celebrations was a great opportunity to explore this great city with our supper club and parliament tours. Thank you for our delegates and our sponsors for making this year another great conference! See you in Toronto next year (April 25–27, 2018)!

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The CVAA Link: Summer 2017  
The CVAA Link: Summer 2017  

Newsletter of the Canadian Vascular Access Association