Vascular Access Device

Question 1

Vascular Access Device

Answer 1

● Tube inserted into a vein or artery
● Ready access to the patient’s circulation
●Eliminating multiple phlebotomies Uses:
1.Administer fluids or medication
2. Draw blood
3. Central venous pressure reading
● Specialized personnel
● Never apply torniquet or perform venipuncture
on an arm w/VAD

Question 2

A-line or Art-line

Answer 2

Arterial line

Question 2

Administering medication

Answer 2

3.Heparin or Saline lock
Hep lock

Question 3

catheter that is placed in an artery

Answer 3

Arterial line

Question 4

most commonly placed in a radial artery

Answer 4

Arterial line

Question 4

drawing blood

Answer 4

3.Heparin or Saline lock
Hep lock

Question 5

Never apply a blood pressure cuff or tourniquet, or perform
venipuncture, on an arm with a shunt

Answer 5

Arteriovenous shunt/AV fistula

Question 6

continuous blood pressure monitoring

Answer 6

Arterial line

Question 7

Erosion of arterial treatment

Answer 7

Arteriovenous shunt/AV fistula

Question 8

blood gas analysis

Answer 8

Arterial line

Question 9

hemodialysis treatment

Answer 9

Arteriovenous shunt/AV fistula

Question 10

Never apply a tourniquet or perform
venipuncture on an arm with an arterial line

Answer 10

Arterial line

Question 10

Arterial line

Answer 10

● A-line or Art-line
● catheter that is placed in an artery
● most commonly placed in a radial artery
● continuous blood pressure monitoring
● blood gas analysis
● Never apply a tourniquet or perform
venipuncture on an arm with an arterial line

Question 11

surgical procedure that fuses vein & artery

Answer 11

Arteriovenous shunt/AV fistula

Question 12

vein in the lower arm above the wrist

Answer 12

3.Heparin or Saline lock
Hep lock

Question 13

Thin plastic tube or catheter

Answer 13

4.Intravenous (IV) Sites

Question 14

can be left in place for up to 48 hours

Answer 14

3.Heparin or Saline lock
Hep lock

Question 15

inserted in a vein to administer fluids

Answer 15

4.Intravenous (IV) Sites

Question 16

blood specimens can be contaminated or diluted with
the IV fluid, causing erroneous test result
○ Draw blood below the IV site

Answer 16

4.Intravenous (IV) Sites

Question 17

IV in one arm: Collect blood from the other arm

Answer 17

4.Intravenous (IV) Sites

Question 18

flushed with heparin or saline to keep it from clotting

Answer 18

3.Heparin or Saline lock
Hep lock

Question 19

5-mL discard tube should be drawn first

Answer 19

3.Heparin or Saline lock
Hep lock

Question 20

Drawing coagulation specimens is not recommended

Answer 20

3.Heparin or Saline lock
Hep lock

Question 21

IVs in both arms or the other arm is unavailable?
collect by capillary puncture

Answer 21

4.Intravenous (IV) Sites

Question 21

Only specially trained personnel

Answer 21

3.Heparin or Saline lock Hep lock

Question 22

4.Intravenous (IV) Sites

Answer 22

● Thin plastic tube or catheter ● inserted in a vein to administer fluids ● blood specimens can be contaminated or diluted with the IV fluid, causing erroneous test result ○ Draw blood below the IV site ● IV in one arm: Collect blood from the other arm ● IVs in both arms or the other arm is unavailable? collect by capillary puncture

Question 23

3.Heparin or Saline lock Hep lock

Answer 23

● Administering medication ● drawing blood ● vein in the lower arm above the wrist ● can be left in place for up to 48 hours ● flushed with heparin or saline to keep it from clotting ● 5-mL discard tube should be drawn first ● Drawing coagulation specimens is not recommended ● Only specially trained personnel

Question 24

2. Arteriovenous shunt/AV fistula

Answer 24

● surgical procedure that fuses vein & artery ● hemodialysis treatment ● Erosion of arterial treatment ● Never apply a blood pressure cuff or tourniquet, or perform venipuncture, on an arm with a shunt

Question 25

1. Arterial line

Answer 25

● A-line or Art-line ● catheter that is placed in an artery ● most commonly placed in a radial artery ● continuous blood pressure monitoring ● blood gas analysis ● Never apply a tourniquet or perform venipuncture on an arm with an arterial line

Question 26

Performing Venipuncture Below an IV

Answer 26

1. Ask the nurse to turn off the IV for 2 minutes . 2. Apply the tourniquet distal to the IV. 3. Select a venipuncture site distal to the IV. 4. Perform the venipuncture in a different vein than the one with the IV if possible. 5.Ask the nurse to restart the IV after the specimen has been collected. 6.Document that the specimen was collected below an IV, indicate the type of fluid in the IV, and identify which arm was used.

Question 27

5. Previously active IV sites

Answer 27

Blood should not be collected from a known previous IV site within 24 to 48 hours of the time the IV was discontinued ● Follow facility protocol

Question 28

Blood should not be collected from a known previous IV site within ____ of the time the IV was discontinued

Answer 28

24 to 48 hours

Question 29

Needleless closed blood sampling device is sometimes connected to an __________

Answer 29

arterial or central venous catheter

Question 30

For collecting blood specimens

Answer 30

Blood Sampling Device

Question 31

Reduce the chance of infection, prevent needlesticks, and minimize waste associated with line draws

Answer 31

Blood Sampling Device

Question 32

Blood Sampling Device

Answer 32

● Needleless closed blood sampling device is sometimes connected to an arterial or central venous catheter ● For collecting blood specimens ● Reduce the chance of infection, prevent needlesticks, and minimize waste associated with line draws

Question 33

Performing Venipuncture Below an IV Document that the specimen was collected below an IV, indicate the ________

Answer 33

type of fluid in the IV, and identify which arm was used

Question 33

Performing Venipuncture Below an IV Apply the tourniquet ____________-

Answer 33

distal to the IV.

Question 33

Performing Venipuncture Below an IV Ask the nurse to turn off the IV for _________

Answer 33

2 minutes

Question 33

Blood Sampling Device ● Needleless closed blood sampling device is sometimes connected to an __________

Answer 33

arterial or central venous catheter

Question 33

For collecting blood specimens

Answer 33

Blood Sampling Device

Question 33

Blood Sampling Device

Answer 33

● Needleless closed blood sampling device is sometimes connected to an arterial or central venous catheter ● For collecting blood specimens ● Reduce the chance of infection, prevent needlesticks, and minimize waste associated with line draws

Question 33

IVs in both arms or the other arm is unavailable?

Answer 33

collect by capillary puncture

Question 33

Blood should not be collected from a known previous IV site within 24 to 48 hours of the time the IV was discontinued ● Follow facility protocol

Answer 33

Previously active IV sites

Question 33

IV in one arm:

Answer 33

Collect blood from the other arm

Question 33

Previously active IV sites Blood should not be collected from a known previous IV site within ___________ of the time the IV was discontinued

Answer 33

24 to 48 hours

Question 33

Drawing coagulation specimens is not recommended

Answer 33

Hep lock

Question 33

Intravenous (IV) Sites inserted in a vein to ___________

Answer 33

administer fluids

Question 33

4.Intravenous (IV) Sites blood specimens can be contaminated or diluted with the ___________

Answer 33

IV fluid, causing erroneous test result

Question 33

Thin plastic tube or catheter

Answer 33

Intravenous (IV) Sites

Question 33

5-mL discard tube should be drawn first

Answer 33

Hep lock

Question 33

IN HEPLOCK flushed with _______ or saline to keep it from clotting

Answer 33

heparin

Question 33

HEPLOCK ______ should be drawn first

Answer 33

5-mL discard tube

Question 33

Only specially trained personnel

Answer 33

Hep lock

Question 33

flushed with heparin or saline to keep it from clotting

Answer 33

Hep lock

Question 33

can be left in place for up to 48 hours

Answer 33

Hep lock

Question 33

vein in the lower arm above the wrist

Answer 33

Hep lock

Question 33

Administering medication

Answer 33

Hep lock

Question 33

drawing blood

Answer 33

Hep lock

Question 33

Saline lock

Answer 33

.Heparin

Question 33

in arteriovenous shunt, never apply ___

Answer 33

Never apply a blood pressure cuff or tourniquet, or perform venipuncture, on an arm with a shunt

Question 33

Arteriovenous shunt/AV fistula

Answer 33

● surgical procedure that fuses vein & artery ● hemodialysis treatment ● Erosion of arterial treatment ● Never apply a blood pressure cuff or tourniquet, or perform venipuncture, on an arm with a shunt

Question 33

most commonly placed in a radial artery

Answer 33

Arterial line

Question 33

catheter that is placed in an artery

Answer 33

Arterial line

Question 33

Eliminating multiple phlebotomies Uses:

Answer 33

1.Administer fluids or medication 2. Draw blood 3. Central venous pressure reading

Question 33

continuous blood pressure monitoring

Answer 33

Arterial line

Question 33

blood gas analysis

Answer 33

Arterial line

Question 33

1.Administer fluids or medication 2. Draw blood 3. Central venous pressure reading

Answer 33

Eliminating multiple phlebotomies Uses:

Question 33

Tube inserted into a vein or artery

Answer 33

Vascular Access Device

Question 33

Ready access to the patient’s circulation

Answer 33

Vascular Access Device

Question 33

Never apply torniquet or perform venipuncture on ________

Answer 33

an arm w/VAD or on an arm with an arterial line

Question 33

Specialized personnel

Answer 33

Vascular Access Device