This course will explore some of the challenges with administering power injection through both central and peripheral catheters. The concept of infusion induced catheter movement (IICM) is explained along with examples of how central venous catheters can cause movement due to infusion pressure. Infiltration and extravasation injuries can be associated with power injection through short peripheral catheters. This course was originally presented as a symposium at the 24th Annual Scientific Meeting of the Association for Vascular Access (AVA) held in National Harbor, MD in September 2010.
After completion of this course, you will be able to
- Explain infusion induced catheter movement.
- Explore the risk factors associates with IICM.
- Discuss the risk associated with peripheral contrast injections.
- Review the current FDA requirements for products labeled for power injection.
Greg Schears, MD
Dr. Gregory Schears is an associate professor of anesthesiology and pediatrics at the Mayo Clinic in Rochester, Minnesota. He is a practicing pediatric intensivist and anesthesiologist boarded in pediatrics, anesthesia and pediatric critical care. His training includes a pediatric residency at St. Louis Children's Hospital in St. Louis, Missouri; anesthesia residency, pediatric anesthesia fellowship, and pediatric critical care fellowship at Johns Hopkins Hospital in Baltimore, Maryland. Following his training he spent five years at the Children's Hospital at the University of Pennsylvania in Philadelphia, Pennsylvania, where he developed his interest in reducing catheter-related infections and improving catheter securement. At the Mayo Clinic his clinical research interests continue to be looking at ways to use technology to reduce patient complications. This has included studies evaluating how to improve catheter securement, reduce catheter-associated complications and improve methods of achieving vascular access. He is the physician liaison for the PICC Nurse Team and medical director of the ECMO team.
Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway, M.Ed., RN, BC, CRNI has more than 35 years experience in infusion nursing and adult education. Her experience comes from multiple acute care settings, healthcare manufacturing, and continuing professional education.
She holds two national certifications -- infusion nursing from the Infusion Nurses Certification Corporation and nursing professional development from the American Nurses Credentialing Corporation. She also holds a Masters in Education from the University of Georgia.
Her publications include many aspects of vascular access devices, anatomy and physiology, nursing care of all types of vascular access devices, infusion and vascular access complication management, legal and regulatory issues, and principles of adult learning.
She has served as director-at-large and president of the Association for Vascular Access (AVA); served as the president of the Southeastern Chapter of INS twice; served on the INS Standards committees that revised the 2006 and 2011 editions; and chairs an INS committee on Infusion Therapy Teams. She is president of Lynn Hadaway Associates, Inc., an education and consulting company started in 1996.
Steve Bierman, MD
Dr. Bierman currently serves as the chief executive officer for Access Scientific, Inc., a manufacturer designing new catheter technologies. He was also the founder and CEO of Venetec International, the company that introduced the first catheter stabilization device to the market. His clinical background is in emergency medicine and medical hypnosis.
After successful completion of this course you will receive 1.5 contact hours.
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