Table of Contents

Infusion Therapy Standards of Practice

• BD Nexia™ Closed IV Catheter System. BD Medical 2
• Front Matter 3
• Methodology for Developing the Standards of Practice 15
• Strength of the Body of Evidence 17
• Section One: Infusion Therapy Practice 18 buy
• • Standard 1. Patient Care 18
  • Standard 2. Special Patient Populations 18
  • Standard 3. Scope of Practice 20
  • Standard 4. Infusion Team 24
  • Standard 5. Competency Assessment and Validation 25
  • Standard 7. Evidence-Based Practice and Research 31
  • Standard 8. Patient Education 32
  • Standard 9. Informed Consent 33
  • Standard 10. Documentation in the Medical Record 35
• Section Two: Patient and Clinician Safety 38 buy
• • Standard 11. Adverse and Serious Adverse Events 38
  • Standard 12. Product Evaluation, Integrity, and Defect Reporting 39
  • Standard 13. Medication Verification 41
  • Standard 14. Latex Sensitivity or Allergy 42
  • Standard 15. Hazardous Drugs and Waste 43
• Section Three: Infection Prevention and Control 45 buy
• • Standard 16. Hand Hygiene 45
  • Standard 17. Compounding and Preparation of Parenteral Solutions and Medications 46
  • Standard 18. Medical Waste and Sharps Safety 47
  • Standard 19. Standard Precautions 48
  • Standard 20. Transmission-Based Precautions 49
  • Standard 21. Disinfection of Duyrable Medical Equipment 50
• Section Four: Infusion Equipment 51 buy
• • Standard 22. Vascular Visualization 51
  • Standard 23. Central Vascular Access Device (CVAD) Tip Location 53
  • Standard 24. Flow-Control Devices 55
  • Standard 25. Blood and Fluid Warming 56
• Section Five: Vascular Access Device (VAD) Selection and Placement 58 buy
• • Standard 26. Vascular Access Device (VAD) Planning 58
  • Standard 27. Site Selection 61
  • Standard 28. Implanted Vascular Access Ports 65
  • Standard 29. Hemodialysis Vascular Access Devices (VADs) 66
  • Standard 30. Umbilical Catheters 67
  • Standard 31. Apheresis Catheters 69
  • Standard 32. Local Anesthesia for Vascular Access Device (VAD) Placement and Access 70
  • Standard 33. Vascular Access Site Preparation and Device Placement 71
• Section Six: Vascular Access Device (VAD) Management 75 buy
• • Standard 34. Needleless Connectors 75
  • Standard 35. Filtration 77
  • Standard 37. Vascular Access Device (VAD) Stabilization 79
  • Standard 38. Joint Stabilization 81
  • Standard 39. Site Protection 82
  • Standard 40. Flushing and Locking 84
  • Standard 41. Vascular Access Device (VAD) Assessment, Care, and Dressing Changes 88
  • Standard 42. Administration Set Change 91
  • Standard 43. Phlebotomy 92
  • Standard 44. Vascular Access Device (VAD) Removal 98
• Section Seven: Vascular Access Device (VAD)-Related Complications 102 buy
• • Standard 45. Phlebitis 102
  • Standard 46. Infiltration and Extravasation 105
  • Standard 48. Central Vascular Access Device (CVAD) Occlusion 111
  • Standard 49. Infection 113
  • Standard 50. Air Embolism 115
  • Standard 51. Catheter Damage (Embolism, Repair, Exchange) 116
  • Standard 52. Central Vascular Access Device (CVAD)-Associated Venous Thrombosis 119
  • Standard 53. Central Vascular Access Device (CVAD) Malposition 121
• Section Eight: Other Infusion Devices 125 buy
• • Standard 54. Intraspinal Access 125
  • Standard 55. Intraosseous (IO) Access Devices 127
  • Standard 56. Continuous Subcutaneous Infusion and Access Devices 129
• Section Nine: Infusion Therapies 132 buy
• • Standard 57. Parenteral Medication and Solution Administration 132
  • Standard 58. Antineoplastic Therapy 134
  • Standard 59. Biologic Therapy 136
  • Standard 60. Patient-Controlled Analgesia 138
  • Standard 61. Parenteral Nutrition 140
  • Standard 62. Transfusion Therapy 142
  • Standard 63. Moderate Sedation/Analgesia Using Intravenous Infusion 144
  • Standard 64. Therapeutic Phlebotomy 145
• Appendix A. Infusion Team Definition 147
• Appendix B. Illustrations 148
• Glossary 153
• Index 163
• BD Nexia™ Diffusics™ Closed IV Catheter System BD Medical 167