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  • Book
    Nancy L. Moureau, editor.
    Summary: This Open access book offers updated and revised information on vessel health and preservation (VHP), a model concept first published in poster form in 2008 and in JVA in 2012, which has received a great deal of attention, especially in the US, UK and Australia. The book presents a model and a new way of thinking applied to vascular access and administration of intravenous treatment, and shows how establishing and maintaining a route of access to the bloodstream is essential for patients in acute care today. Until now, little thought has been given to an intentional process to guide selection, insertion and management of vascular access devices (VADs) and by default actions are based on crisis management when a quickly selected VAD fails. The book details how VHP establishes a framework or pathway model for each step of the patient experience, intentionally guiding, improving and eliminating risk when possible. The evidence points to the fact that reducing fragmentation, establishing a pathway, and teaching the process to all stakeholders reduces complications with intravenous therapy, improves efficiency and diminishes cost. As such this book appeals to bedside nurses, physicians and other health professionals.

    Contents:
    Preface. About the concept of VHP, beginnings, process and ideal
    Section 1. Right Assessment and Right Vein
    Chapter 1. Catheter and vein selection with avoidance of joints and danger zones
    Chapter 2. Ultrasonic assessment and placement of right device
    Section 2. Right Training
    Chapter 3. Training process, competencies, preparation for PIV, PICC, CVC insertions
    Section 3. Right Insertion
    Chapter 4. Catheter size, type, number of lumen for patient and treatment
    Chapter 5. Placement with no more than 2 attempts
    Chapter 6. Infection Prevention principles with Kits for insertion and compliance with sterile procedure (bundles, checklist, CHG, etc)
    Chapter 7. Tip positioning
    Chapter 8. Securement
    Section 4. Pediatric Vessel Health
    Chapter 9. Differences between paediatrics and adults for vein assessment
    Chapter 10. Right Site selection
    Chapter 11. Right Device assessment (type, size, no. of lumens)
    Chapter 12. Right Technology assessment
    Chapter 13. Why is VHP important in paediatrics?
    Chapter 14. Troubleshooting in paediatrics
    Section 5. Right Supplies and Technology
    Chapter 15. Ultrasound
    Chapter 16. Insertion kits for USGPIV, PICC, Midline, CVC
    Chapter 17. Antimicrobial dressings
    Chapter 18. Needleless connector issues
    Section 6. Right Care and Assessment
    Chapter 19. Daily or twice daily assessment for catheter function, dressing adherence and necessity of device
    Chapter 20. Hub disinfection issues and compliance measures
    Chapter 21. Flushing with proper techniques
    Section 7. Right Evaluation
    Chapter 22. How to evaluate a VHP program initiative
    Chapter 23. Staff education and satisfaction
    Chapter 24. Patient satisfaction
    Chapter 25. Pathway effectiveness and outcome measures.
    Digital Access Springer 2019