THE CVAA
Newsletter of the Canadian Vascular Access Association
Winter/Spring 2022
Message from our President Well, it has been a year since I came to you last with the current status of vascular access in this format. We still remain in the throes of a pandemic and while we are in a different place than we were a year ago, we are still looking for the end of the tunnel. At CVAA, we look at the role of clinicians and how we can help you function in your respective areas which may be much newer to you than you ever thought possible. Last year, we moved to a virtual conference with great success, as defined by you! We hope that you will find the time to experience the conference in a virtual format in April once again. We love that our membership was so gracious in pivoting with us, as we always try to run our operations with you in mind. It feels funny to say it, but I am excited to bring you our back-to-basics focus. As we have looked around and consulted with many of you, we know that many people are using vascular access in their roles who may have not done so in the past. This can present a problem for both the patient and the clinician, as we always want to ensure our patients are receiving the best device, inserted, and maintained with the best technique. At CVAA we are always looking to improve the tools and resources that our members have available to them in addition to creating and
updating our Guidelines and the OMG. In a world where “pivoting” has become the new normal, we often need quick tips and one-pagers to get through the day. Please continue to engage with us, answer those surveys, and send us those emails, as we enjoy the feedback and it really helps to drive our work. Join us at the conference for three days of education, innovation and fun—and don’t worry, if you can’t make every session, it will all be recorded for you to visit afterwards! Stay with us and continue to present us with the challenges you face, so that we can be a part of the solution. Carmen Cernusca, RN, BScN, MScN, CVAA(c), HIN Editor’s note: Carmen sat down with our Executive Director for a “get to know you” interview – the first in our Meet the Board video series this year. Watch it today!
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AVA Collabinar We were thrilled to partner with AVA in 2021 to present: • Beyond Doing: Using Data to Advance your Practice (and Be your Patient’s Advocate) • Locking Solutions: Current Application in Clinical Practice in Canada and the United States What topics would you like to see as part of the 2022 CVAA & AVA Webinar Series? Email Melissa at cvaa@cvaa.info and let us know what topics would be of interest.
Sterinova Heparin Sodium Injection 5000 units/0.5 mL
Now 36 month stability at room temperature. Subcutaneous needle and a needle safety device included. sterinova.com
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Canadian Vascular Access and Infusion Therapy Day January 25, 2022 marked the 6th Annual Canadian Vascular Access & Infusion Therapy Day that was celebrated across the country. This year’s theme was Not Just an IV: Why Your Work Matters. We challenged our members and chapters to explore what this means to them and we were so thrilled to see such creative celebrations! Thank you for celebrating in your region and to all of you who strive to promote best practice every day with your patients! Here are some of your submissions about Why Your Work Matters: • When we insert PICCs, we help patients have fewer venipunctures and decrease their anxiety. • We are helping people return to their own home sooner with a PICC line to receive their treatment. • We are helping patients get their chemotherapy started to fight their cancer. • We are helping COVID patients get the treatments they need to fight COVID. • I have been a proud member of an amazing IV team for 35 years and have always seen the importance of having a group of nurses who possess the knowledge, skill, and judgement that is needed to provide exceptional vascular access care to our patients. • There is a patient at the end of that line! That’s why our work MATTERS! • Our attention to detail and diligence facilitates the best care possible—getting our patients home safely, effectively and quickly! • Safe and competent vascular access care prevents injury, infection and prolonged hospitalization and leads to better outcomes for our patients. • The pediatric population can be difficult to access and a stressful situation for the families and staff. We love that we can count on our IV nurses for our most challenging patients! • My work matters to keep patent IV access to deliver fluids, medications, and treatments to my patients that could save a life, provide comfort, or alleviate suffering. • I find it very important to keep my patients at ease for the initiation or maintenance of their IV. We always love to have this one go-to person when it comes to difficult starts! Shout out to many great and skilled nurses! NECC recently converted to NEXIVA IV catheters, aligning themselves with best practice guidelines. This knowledgeable team of nurses is passionate and committed to provide the best possible care for their patients. Happy Canadian Vascular Access & Infusion Therapy Day!!
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Strategic Plan The CVAA Board of Directors held our annual weekend meeting virtually this year and were joined once again by Jacqueline Valmont of Valmont & Associates to assist us with our Strategic Planning process. We developed a continued Strategic Plan for 2022 that includes: • Generate, Disseminate & Translate Knowledge into Measurable Procedural Competence • Increase, Diversity, Add Value & Engage Membership • Demonstrate and Advocate for the Value of Our Specialty • Ensure Resilience of CVAA Organization to Support Future Growth You can find the full plan here. Speaking of that weekend Board meeting, here are the winners of the “Fidget Creativity Awards” – busy hands keep your mind free to focus!
DISLODGED IV’S AREN’T ANY FUN... SO WE’RE GETTING RID OF THEM. Patients Nurses • Fewer Needlesticks • Longer Dwell Time • Reduced risk of central line placement
Hospital
• Less time on IV • Cost Savings Restarts $200-400k/yr* • No specialty *Based on 200-bed hospital Training
INTRODUCING THE ORCHID SRV PROTECTING EVERY LINE, EVERY TIME. (TM)
nursing@linearsciences.com
(1) Moureau, N., PICC Excellence, Greenville MUMC, AVATAR. (2018). Accidental Intravenous Catheter Dislodgement: Incidence and Perception of Safety at the Bedside. (2018)
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47th Annual CVAA Conference The 47th Annual CVAA Conference this year will be going fully virtual once again! You can see the message from our Executive Director here.
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We are working with an excellent team at Redstone Agency again to help us pull this off and make it as engaging, educational and exciting as we can! We hope to see many more members attend as there is no travel or hotel required! Early bird rates apply until March 31, 2022, and as a CVAA member, you get a discounted rate. The Preliminary Program is available here with scheduled plenary and concurrent sessions, exhibit hall, hands-on Skills Lab stations (yes, hands on!) and much more. We hope to see you there! Register by March 31 and one of these hands-on delegate kits could be yours!
CVAA Merchandise Show your CVAA pride! Help us decide what sort of new CVAA merchandise we should carry—what would you be most likely to purchase and wear/use? Survey here
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Top questions on Sosido 2021 The CVAA Q&A forum on Sosido had another busy year in 2021 with 76 questions and 352 answers from CVAA members and leaders (the second busiest year in the history of the forum). Here’s a list of the 10 most discussed CVAA questions of 2021: #1 – Thrombosis Occlusion Management? I’ve read to remove the add on devices including the needless connector (NC) to assess catheter patency at the hub. Should a new NC be place on the lumen to re-establish a closed system? Or new sterile... [view 15 replies] #2 – Intra-osseous insertion by Registered Nurses [view 11 replies] #3 – Vascular access specialist role in Canadian Hospitals [view 11 replies] #4 – Monitoring time after venofer infusions [view 10 replies] #5 – To avoid the 24hr dressing change for newly inserted PICCs, we have been told that a Tegaderm CHG dressing can be used. Has anyone tried this product for this purpose? Interested in information on outcomes: advantages, disadvantages, etc. [view 10 replies] #6 – We used to obtain heparin PFS for CVADs in a 5 mL heparin in a 12 mL PFS format. Those have been recently unavailable, and we were sent a 5 mL syringe Heparin PFS format. The nurses are concerned, as many hospitals say not to flush a CVAD with less than a 10 mL barrel, but my understanding is that is referring to the actual flush (push-pause), not the instilling ... [view 9 replies] #7 – Hello, does anyone have a template or example of a 1 pager standardized order form for CVAD maintenance? Looking to create one for my nursing team. [8 replies] #8 – At present, I work at a private infusion clinic. We are looking for some guidelines or policies for the administration of the following drugs: Actemra, Orencia, Aclasta, Renflexis, Inflectra, Ruxience, Rituxan, and Ocrevus. Specifically, about nurse-patient ratios, number of nurses present during initial and subsequent infusions. Should a nurse be alone at any time? We have ... [8 replies] #9 – Following the policy and education trend... I am trying to revamp our PIV learning package... We use the BD nexeva system. Any help shortening this project would be great. I have all of the BD videos and incorporating the CVAA tool kit. [8 replies] #10 – I am interested in knowing other facilities’ policies on infusioning iron sucrose. At our facility we run 100mg in 100ccNS over 15 mins, 200mg in 100 cc NS over an hour and 300mg in 250cc NS over 1.5 hrs but, with saying that, it does not take into account the overfill in the bags, so takes longer. We have found that 300mg in a 250 cc bag = 295cc total bag volume, to infuse ... [8 replies] ... and 66 more discussions from 2021, available to CVAA members here.
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2022 Corporate Members We have an UNPRECEDENTED number of Corporate Members including ones who have been with CVAA for years, as well as some new partners—we are so appreciative for their support!
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