Vascular Access Device Flashcards
Vascular Access Device
● 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
A-line or Art-line
Arterial line
Administering medication
3.Heparin or Saline lock
Hep lock
catheter that is placed in an artery
Arterial line
most commonly placed in a radial artery
Arterial line
drawing blood
3.Heparin or Saline lock
Hep lock
Never apply a blood pressure cuff or tourniquet, or perform
venipuncture, on an arm with a shunt
Arteriovenous shunt/AV fistula
continuous blood pressure monitoring
Arterial line
Erosion of arterial treatment
Arteriovenous shunt/AV fistula
blood gas analysis
Arterial line
hemodialysis treatment
Arteriovenous shunt/AV fistula
Never apply a tourniquet or perform
venipuncture on an arm with an arterial line
Arterial line
Arterial line
● 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
surgical procedure that fuses vein & artery
Arteriovenous shunt/AV fistula
vein in the lower arm above the wrist
3.Heparin or Saline lock
Hep lock
Thin plastic tube or catheter
4.Intravenous (IV) Sites
can be left in place for up to 48 hours
3.Heparin or Saline lock
Hep lock
inserted in a vein to administer fluids
4.Intravenous (IV) Sites
blood specimens can be contaminated or diluted with
the IV fluid, causing erroneous test result
○ Draw blood below the IV site
4.Intravenous (IV) Sites
IV in one arm: Collect blood from the other arm
4.Intravenous (IV) Sites
flushed with heparin or saline to keep it from clotting
3.Heparin or Saline lock
Hep lock
5-mL discard tube should be drawn first
3.Heparin or Saline lock
Hep lock
Drawing coagulation specimens is not recommended
3.Heparin or Saline lock
Hep lock
IVs in both arms or the other arm is unavailable?
collect by capillary puncture
4.Intravenous (IV) Sites
Only specially trained personnel
3.Heparin or Saline lock
Hep lock
4.Intravenous (IV) Sites
● 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
3.Heparin or Saline lock
Hep lock
● 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
- Arteriovenous shunt/AV fistula
● 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
- Arterial line
● 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
Performing Venipuncture Below an IV
- Ask the nurse to turn off the IV for 2 minutes .
- Apply the tourniquet distal to the IV.
- Select a venipuncture site distal to the IV.
- 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.
- Previously active IV sites
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
Blood should not be collected from a known previous IV
site within ____ of the time the IV was discontinued
24 to 48 hours
Needleless closed blood sampling
device is sometimes connected to an __________
arterial or central
venous catheter
For collecting blood specimens
Blood Sampling Device
Reduce the chance of infection,
prevent needlesticks, and minimize waste associated
with line draws
Blood Sampling Device
Blood Sampling Device
● 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
Performing Venipuncture Below an IV
Document that the specimen was collected below an IV, indicate the
________
type of fluid in the IV, and identify which arm was used
Performing Venipuncture Below an IV
Apply the tourniquet ____________-
distal to the IV.
Performing Venipuncture Below an IV
Ask the nurse to turn off the IV for _________
2 minutes
Blood Sampling Device
● Needleless closed blood sampling
device is sometimes connected to an __________
arterial or central
venous catheter
For collecting blood specimens
Blood Sampling Device
Blood Sampling Device
● 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
IVs in both arms or the other arm is unavailable?
collect by capillary puncture
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
Previously active IV sites
IV in one arm:
Collect blood from the other arm
Previously active IV sites
Blood should not be collected from a known previous IV
site within ___________ of the time the IV was discontinued
24 to 48 hours
Drawing coagulation specimens is not recommended
Hep lock
Intravenous (IV) Sites inserted in a vein to ___________
administer fluids
4.Intravenous (IV) Sites
blood specimens can be contaminated or diluted with
the ___________
IV fluid, causing erroneous test result
Thin plastic tube or catheter
Intravenous (IV) Sites
5-mL discard tube should be drawn first
Hep lock
IN HEPLOCK
flushed with _______ or saline to keep it from clotting
heparin
HEPLOCK
______ should be drawn first
5-mL discard tube
Only specially trained personnel
Hep lock
flushed with heparin or saline to keep it from clotting
Hep lock
can be left in place for up to 48 hours
Hep lock
vein in the lower arm above the wrist
Hep lock
Administering medication
Hep lock
drawing blood
Hep lock
Saline lock
.Heparin
in arteriovenous shunt, never apply ___
Never apply a blood pressure cuff or tourniquet, or perform
venipuncture, on an arm with a shunt
Arteriovenous shunt/AV fistula
● 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
most commonly placed in a radial artery
Arterial line
catheter that is placed in an artery
Arterial line
Eliminating multiple phlebotomies Uses:
1.Administer fluids or medication
2. Draw blood
3. Central venous pressure reading
continuous blood pressure monitoring
Arterial line
blood gas analysis
Arterial line
1.Administer fluids or medication
2. Draw blood
3. Central venous pressure reading
Eliminating multiple phlebotomies Uses:
Tube inserted into a vein or artery
Vascular Access Device
Ready access to the patient’s circulation
Vascular Access Device
Never apply torniquet or perform venipuncture
on ________
an arm w/VAD or on an arm with an arterial line
Specialized personnel
Vascular Access Device
