If you think you know everything there is to know about vascular access you’ve got another thing comin’ when you attend one of these trendsetting conferences. It doesn’t matter how many times I hear speakers talk about a particular subject there is always something new to learn.
Here are just a few pearls I have taken away from the last two days (with two to go)
It’s hard to walk away from Mike Shlappi’s motivational speech “If you can’t Stand UP, Stand Out” and not feel inspired to overcome your own imaginary roadblocks to success.
Clair Ricard, RN, Phd from Brisbane Australia presented research revealing that peripheral IV’s have a 25% failure rate (for various reasons) whether you rotate sites or do so when clinically indicated. She pointed out that it’s hard to think of another device or therapy with this high failure rate which would be acceptable. What are we doing wrong?
Dr. Bradley Hill and Dr. Peter Bream made us very aware of how important venous preservation is to patients with kidney disease and that vascular access specialists need to be advocates to uphold the Fistula First guidelines, educating other nurses and physicians on the appropriate lines for these patients. I learned that the most common reason for AV fistula thrombosis is venous outflow stenosis caused by catheter related vessel damage.
Sharon Rose, RN shared her personal journey through 42 years of nightmares and successes with vascular access to receive home TPN. One of her first catheters was a tube introduced through a needle that could not be removed from the catheter but had to taped to the external part to prevent it shearing the catheter. She and Pharmacist Reid Nishikawa emphasized the importance of proper tip location as well as venous preservation in patients with bowel diseases. Hmmm… is there a theme developing here?
Nadine Nakazawa taught me that when you muster the courage to get up to the mic to make a point in a room of a thousand people that needs to heard but you get cut off because they ran out of time, you shouldn’t get mad, you should publish.
In the Town Hall meeting I learned that incoming president Jim Lacy shares my dream of never hearing the term “PICC nurse” again. I also learned how desperately we need to provide funding for vascular access education and research by donating to the AVA Foundation. http://www.ava-foundation.net/
I learned just how amazing Janet Pettit was and just how badly she will be missed.
And it was reaffirmed to me that physicians don’t understand how PICCs migrate with arm movement, so that the RA placement they are proposing could potentially drop the tip into the ventricle. Dr. LaDonne and I made a pact. After the conference he promised to show me his if I show him mine (CT images of course).
Stay tuned for another live update (provided I can find my way back to the conference). It’s a jungle here at the beautiful but impossible to navigate Gaylord Opry Hotel and Conference Center. Oh ya I also learned not to try to blog at night after a couple glasses of wine. You’ll just pass out and wake up with a stiff neck.
Submitted by Darilyn Cole, RN CRNI VA-BC
– See more at: http://evenamed.com/blog/live-from-nashville-tennessee-the-27th-annual-ava-scientific-meeting/#sthash.mdDLkTF6.dpuf