从产品到理念PPT.pptVIP

* 14 Contraindications: not intended for long term use question of safety in the home venous thrombosis of the central vessels coagulation must be assessed proximity to burns, trach, fistulas, tumor, surgical sites, draining wounds, severe pulmonary disease * * * * 15 Contraindications: venous thrombosis of the central vessels severe neutropenia / pancytopenia presence of a pacemaker determine if patient has had any previous central devices and the reason for the removal patient non-compliant SEE BARD INSTRUCTIONS FOR USE FOR DETAILED REFERENCE * 16 * 16 * 13 Contraindications: absence of palpable vessels in the ACF previous CVAD - reason for removal - complications thrombosis mastectomy, CVA anatomical distortions -previous thoracic surgery, bony trauma to the arm or shoulder on the side to be cannulated pre-existing skin infection or non-intact skin high pressure infusions presence of dialysis graft or other device pacemaker? coagulation needs to be assessed crutch walker patient non-compliant will not meet patients needs SEE BARD INSTRUCTIONS FOR USE FOR DETAILED REFERENCE * * * * 4 this is the traditional way of practice vein sites are wasted patient satisfaction is poor patients needs are not met inconsistent patient outcomes material and labour costs are wasted - high nursing labour care maps/ clinical pathways do not address vascular access needs therapy may be interrupted early discharge is not facilitated has anyone been asked to try and try again - next shift , tomorrow * 4 due to drug pH, osmolarity or chemical structure, the dwell time of the peripheral IV may be only 24 - 48 hours what is your restart policy? Do all IV’s last 72 hr? complications may include: chemical phlebitis infiltration extravasation thrombosis complications may require treatment treatment takes time and has a cost associated with it patient satisfaction is poor and needs are not met inconsistent outcomes - have you ever had missed doses due to lack of access? Therap