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Vascular Access Team 

The Vascular Access Team logoCentral Venous Access Devices (CVADs) are medical devices which are placed in a large vein. They are usually sited in the neck, upper chest or arm. CVADs are used to provide access to give medication and treatment to patients, either in hospital or sometimes at home. Because these devices break the integrity of the skin, there is a risk that an infection may enter the blood stream.

Initiated by the Infection Control Team, the Vascular Access Team was set up as a one year project to tackle MRSA infections related to CVADs. It has been nationally recognised that standardised procedures and equipment minimise the risk of infections related to CVADs. These procedures outlined in the Department of Health’s Saving Lives document (www.clean-safe-care.nhs.uk) have been adopted across the Trust, with positive results.  This is due to all those staff who have worked hard with the Vascular Access Team to implement and achieve this.

The team has been restructured, and now works closely with the Critical Care Out-Reach Team to ensure the most effective use of resources. We plan to continue to support staff and patients.

Developments include a peripherally inserted central catheter and midline insertion service. These are for patients needing medium to long term intravenous therapy, or intravenous nutrition. We aim to facilitate appropriate and timely treatment to be commenced.

This service is supported by the Nurse Consultant for Critical Care and the Consultant Intensivist.

  1. Care Plan for Patients with a CVAD
  2. Changing a PICC Dressing story board
  3. Measuring a PICC
  4. CVAD Training and Resource Pack
  5. Administration of Medication Through a CVC (ward copy)
  6. Changing a Dressing (ward copy)
  7. Removal of a Central Line (ward copy)
  8. Taking a CVAD Blood Sample (ward copy)
  9. Taking Bood Cultures (ward copy)
  10. Application and order details  of IV 3000 Peripheral Dressing
  11. Application and order details of IV 3000 Central Line Dressing
  12. Guideline for unblocking a midline venous catheter
  13. Guidelines for managing patency problems with PICCs
  14. Grip-lok Catheter Securement Device

Information for staff
To locate all training and assessment documents, please follow this link- http://nww.picts.nhs.uk/PHNetLive/DesktopDefault.aspx?tabid=1731 (only available from Trust PCs)

  1. Central Venous Catheter Care Guidelines for staff
Copies of the CVAD assessment documents are also available at the back of the IV Drugs Policy.This should be available in all areas.