Vessel health and preservation (Part 1): A new evidence-based approach to vascular access selection and management
Vessel health and preservation (Part 1): A new evidence-based approach to vascular access selection and management
J Vasc Access 2012; 13(3): 351 - 356
DOI:10.5301/jva.5000042
Authors
Nancy L Moureau, Nancy Trick, Thomas Nifong, Cathy Perry, Cheryl Kelley, Ruth Carrico, Michael Leavitt, Steven M Gordon, Jessica Wallace, Monte Harvill, Connie Biggar, Michael Doll, Loreli Papke, Lori Benton, Deborah A. Phelan
Abstract
Vascular access for the infusion of medications and solutions requires timely assessment, planning, insertion, and assessment. Traditional vascular access is reactive, painful, and ineffective, often resulting in the exhaustion of peripheral veins prior to consideration of other access options. Evidence suggests clinical pathways improve outcomes by reducing variations and establishing processes to assess and coordinate care, minimizing fragmentation and cost. Implementation of a vascular access clinical pathway leads to the intentional selection of the best vascular access device for the patient specific to the individual diagnosis, treatment plan, current medical condition, and the patient’s vessel health (1). The Vessel Health and Preservation (VHP) programme incorporates evidence-based practices focused on timely, intentional proactive device selection implemented within 24 hours of admission into any acute facility. VHP is an all-inclusive clinical pathway, guiding clinicians from device selection through patient discharge, including daily assessment. Initiation of the VHP programme within a facility provides a systematic pathway to improve vascular access selection and patient care, allowing for the reduction of variations and roadblocks in care while increasing positive patient outcomes and satisfaction. Patient safety and preservation of vessel health is the ultimate goal.
Article History
- • Accepted on 28/11/2011
- • Available online on 01/02/2012
- • Published in print on 28/09/2012
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Authors
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Moureau, Nancy L [PubMed] [Google Scholar]
Excellence, Inc., Hartwell, GA - USA
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Trick, Nancy [PubMed] [Google Scholar]
Teleflex, Reading, PA - USA
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Nifong, Thomas [PubMed] [Google Scholar]
Pennsylvania State University Medical Center, Hershey, PA - USA
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Perry, Cathy [PubMed] [Google Scholar]
Vanderbilt Medical Center, Nashville, TN - USA
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Kelley, Cheryl [PubMed] [Google Scholar]
Teleflex, Reading, PA - USA
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Carrico, Ruth [PubMed] [Google Scholar]
University of Louisville, KY - USA
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Leavitt, Michael [PubMed] [Google Scholar]
University of Michigan Medical Center, Detroit, MI - USA
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Gordon, Steven M [PubMed] [Google Scholar]
Cleveland Clinic, Cleveland, OH - USA
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Wallace, Jessica [PubMed] [Google Scholar]
University of California, Los Angeles, CA - USA
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Harvill, Monte [PubMed] [Google Scholar]
Detroit Medical Center, Detroit, MI - USA
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Biggar, Connie [PubMed] [Google Scholar]
Munson Medical Center, Traverse City, MI - USA
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Doll, Michael [PubMed] [Google Scholar]
Geisinger Medical Center, Danville, PA - USA
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Papke, Loreli [PubMed] [Google Scholar]
University of Michigan Medical Center, Detroit, MI - USA
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Benton, Lori [PubMed] [Google Scholar]
Texas A&M Health Science Center College of Medicine, Temple, TX - USA
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Phelan, Deborah A. [PubMed] [Google Scholar]
Mercy Hospital, Portland, ME - USA
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