Goodfriend Lori, Kennedy Sherrie, Hein Angela, Baker Rachel
TriHealth, Cincinnati, Ohio.
Lori Goodfriend, BSN, RN, VA-BC, has been a member of the vascular access team (VAT) at TriHealth in Cincinnati, Ohio, for the past 11 years. Before this position she worked as a medical-surgical float nurse for 20 years and worked in a free-standing endoscopy unit and office.
J Infus Nurs. 2020 Jul/Aug;43(4):193-199. doi: 10.1097/NAN.0000000000000373.
Vascular access team (VAT) nurses receive many consults to place short peripheral catheters (SPCs), a portion of which do not require skilled insertion by a VAT member. VAT nurses at a health care organization in the Midwestern United States developed a program to train direct care nurses as unit-based vascular access champions to increase and improve SPC placement, care, and maintenance. Twenty-one nurses from 6 units were selected to train as vascular access champions; knowledge and confidence around SPC placement were assessed before, immediately after, and 6 months after the training. The training sessions resulted in increased knowledge of SPC insertion, as well as care and maintenance by vascular access champions and other direct care nurses on the units. The percentage of unwarranted VAT referrals for SPC placement decreased on the participating hospital units.
血管通路团队（VAT）护士会收到许多关于放置短外周导管（SPC）的咨询，其中一部分不需要VAT成员进行技术娴熟的插入操作。美国中西部一家医疗机构的VAT护士制定了一个项目，培训直接护理护士成为科室血管通路能手，以增加并改善SPC的放置、护理及维护。从6个科室挑选了21名护士培训成为血管通路能手；在培训前、培训刚结束后以及培训6个月后，对她们关于SPC放置的知识和信心进行了评估。培训课程提高了血管通路能手以及科室其他直接护理护士对SPC插入、护理及维护的知识水平。参与项目的医院科室中，不必要的VAT关于SPC放置的转诊比例有所下降。
