Access device guidelines: recommendations for nursing practice and education

Access device guidelines: recommendations for nursing practice and education

26th June 1905
Oncology Nursing Society - Professional Association
Summary,

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GUIDELINE OBJECTIVE(S)
  • To describe the different types of access devices available, their advantages and disadvantages, patient selection criteria, the use of access devices, and techniques of insertion
  • To describe the special features, maintenance, and care of each type of access device
  • To describe potential complications associated with each type of access device
  • To list nursing interventions for monitoring and treating access device complications
  • To identify the learning needs of and resources for patients and care providers related to each type of access device
  • To describe controversial issues associated with access devices
  • To describe documentation procedures recommended for access devices
  • To describe educational needs and clinical competency for RNs providing care to patients with an access device
  • To describe anatomic and physiologic parameters influencing placement and management of access devices
  • To describe the significance of vein selection and catheter size/catheter material used in relation to complications
TARGET POPULATION

Adult and pediatric patients with cancer

INTERVENTIONS AND PRACTICES CONSIDERED
  1. The use of access devices, including vascular access devices, arterial access devices, intraventricular access devices, epidural and intrathecal access devices, intraperitoneal catheters, and implantable pumps
  2. Patient selection criteria and techniques of insertion
  3. Removal techniques
  4. Maintenance and care of each type of access device
  5. Nursing interventions for monitoring for and treating access device complications
  6. Identifying the learning needs of and resources for the patient and care provider related to each type of access device
MAJOR OUTCOMES CONSIDERED
  • Quality of life
  • Complication rates and types associated with the use of access devices

Keywords:
Vascular Access Devices, Arterial Access Devices, Iintraventricular Access Devices, Epidural and Intrathecal Access Devices, Intraperitoneal Catheters, Iimplantable Pumps

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