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Presentations by Rob Dawson, DNP, APRN, ACNP-BC, VA-BC

Driving Performance Improvement in Ultrasound Guided Peripheral Access: Navigating the Procedure and Process
PICC Performance Poster
PICC Perfomance Measurement Oral Poster
Defining and Obtaining Optimal Tip Position 2012
Evaluating performance in Vascular Access: Why and how we measure and grade vascular access clinicians’ approach to practice

Can the vascular access profession hold others accountable to modern evidence and standards if we can’t evaluate our own use of these principles? There is great value to standardizing practice and setting expectations for performance. Achieving minimal complications is only possible thorough consistent, systematic application of evidence, and a team can only realize this if everyone follows the same principles of practice. A pilot study on measuring PICC insertion performance will be presented as an example of how to apply these concepts.

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Improving the Approach to Peripheral Vein Access to optimize outcomes, decrease cost, and demonstrate the value of specialty vascular access knowledge

Learn how to apply Improvement Science Principles to reduce inefficiency, and optimize outcomes for the vast majority of your patients. The vascular access improvement triangle will be presented and explained in detail: Knowledge, Process, and Resources. Attention to all three phases is vital to improving care and reducing cost, which boosts value to the healthcare system. Even simple choices like what size device, and where to insert can make a difference in the patient experience. Given that vascular access drives modern healthcare practice, healthcare care facilities should not avoid learning about the impact of peripheral vascular access on their own system of care.

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Leadership and System Improvement in Vascular Access

This presentation will focus on how to develop leadership, and teamwork in vascular access to build a successful program.

Leadership is key to any successful program; it takes consistency, knowledge, inspiration, and a never quit attitude. Improvement in vascular access requires leadership; this is accomplished by linking actions to organizational value. Championing the cause of vascular access goes beyond your local facility.

Specializing in Vascular Access Through Graduate Nursing Education: A Professional Imperative

This presentation will describe the need for formal academic programs in vascular access to guide practice changes, and build clinician value. This is a case study, based on the presenter’s recent experience as the first U.S. nurse to pursue both clinical and theoretical specialization in vascular access through advanced practice and doctoral nursing education curricula.

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Vascular Access in 10cm or less: Intentional site selection and protocols for success with peripheral upper extremity access

This presentation will review the definitions and differences between short and long peripheral catheters, as well as Midlines. In addition, clinical cases and guidance for maximizing success with ultrasound guided short catheter insertion (10 cm or less) will be provided and enhanced with the use of images and video. A standardized approach will be presented to offer safe limits for practice to include: the Right Triangle Method and 45/50 rule for ultrasound guided insertion.

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On the cusp of change: ultrasound for dialysis and arterial access

Can portable ultrasound be used to access arterio-venous fistulas for life saving vascular access? Should ultrasound guidance be routine for peripheral arterial access? This presentation will answer the question of why to change the usual approach to fistula and arterial access from a clinical outcome, patient satisfaction, and financial perspective.

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Designing performance improvement for optimal outcomes in vascular access practice

One of the biggest challenges of any vascular access program is learning how to demonstrate and achieve value. This can be done through a purposeful, patient focused methodology, the Clinical Microsystems Approach. This presentation provides the theoretical framework and a mixed method case study doctoral capstone project to demonstrate how to design improvement in clinical vascular access.

Customization based on clinical context and patient risk factors are key to designing improvement for optimal patient outcomes, and to demonstrate value. Value includes both quality clinical outcomes, and cost efficiency, both are necessary features of any health care program. Vascular access improvement requires application of evidence with a patient focused approach; this presentation will detail how this can be done.

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A conceptual framework for vascular access practice: Application of vascular access evidence for optimal outcomes, a clinical imperative

Vascular Access practice can be applied systematically to give each patient the opportunity for best vascular access outcomes. However, it can only be done by understanding the key elements of generalizable scientific knowledge. Application of this knowledge with consistency and efficacy. The five elements of the Conceptual Framework of vascular access organize generalizable knowledge in a simple to use application tool. The key elements include: Purpose, Device, Location, Method, and Mitigator. This framework can be used as a teaching and training tool, but also as a key component in any vascular access clinician’s practice. This presentation will provide case examples, review of relevant literature as well as video to illustrate the key points of emphasis. This type of framework is required to take vascular access practice to the next level of professional and academic development.

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The Zone Insertion Method (ZIM) for Upper Extremity Vascular Access: An evidence based approach to teaching and selecting ideal forearm and upper vascular access

The ZIM is a standardized approach to assess and evaluate for the ideal vascular device insertion location in the upper and lower arm. There will be a detailed exploration of evidence and anatomy to describe how to find ideal insertion sites in the upper extremity. Ideal insertion locations set up successful and minimally traumatic procedures, which set up reliable infusion delivery and lower complications related to vascular access. Evidence, graphic images, and video will be presented to explore standardizing peripheral ultrasound guided vascular access.

Download ZIM of Upper Extremity 2015 (PDF)
Download PICC ZIM 20 minutes (PDF)
Download Upper Arm Access ZIM 30 minutes (PDF)

Presentations by Ken Symington, MD

AVA 2015 Fluoroscopy Revealed
AVA 2015 Never Events – What Are They? What Do They Cost? Why So Suddenly Important?
AVA 2015 Professional Realization via Collaboration
AVA 2015 Mal-positioned VAD Tips-Evidence, Definition, Complications and their Costs
AVA 2014 Incorporation of Intraosseous Vascular Access (IO) into a Comprehensive Venous Access Program
WoCoVa 2014 Presentation

Learn more about Sweet Spot™ – The Solution to the Venous Catheter Tip Controversy

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Sweet Spot™ presentation – AVA 2013

Learn more about Sweet Spot™ – The Solution to the Venous Catheter Tip Controversy

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Presentations by Jack LeDonne, MD, VA-BC