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"The use of venous access devices (VADs) is central to the care that nurses provide to patients with cancer. Oncology nurses must base their practice on evidence-based research when available, but a lack of evidence has been a professional challenge for decades. With limited research to guide practice, ongoing controversies remain regarding optimal device management. Since 1989, the Oncology Nursing Society (ONS) has provided guidelines to establish a foundation for access device management. With this new text, ONS has identified practice standards, developed from a synthesis of evidence, critical review, and analysis of aspects of access device management for which nursing is accountable. Access Device Standards of Practice for Oncology Nursing reviews the controversies in access device care, explores the range of devices currently available, details the advantages and disadvantages of each device to ensure optimal selection based on patient needs, and discusses the key legal ramifications concerning access devices and their management. With access device technology becoming more complex, this text is an essential resource for nurses practicing in a wide range of settings to ensure safe, effective care of patients with VADs."--Publisher's description.
More than forty years ago, healthcare professionals were limited to administering IV drugs through short-term peripheral or subclavian access devices. The practice of administering drugs to other areas of the body such as the epidural or peritoneal spaces existed in theory only. Flash forward forty years, and youll see how the healthcare landscape has changed. Today, you have at your disposal, a variety of both short-term and long-term access devices with new devices and improvements being continuously added to the mix. Healthcare professionals can now develop complex plans of treatment, and the quality of life and safety of patients has also improved. Although procedures for managing both the routine care and the complications that can arise in patients are common for most access devices, maintaining extensive knowledge on each device can be a challenge. The latest edition of Access Device Guidelines: Recommendations for Nursing Practice and Education will help you develop the expertise you need in this climate of perpetual change. For this third edition, an extensive literature search was conducted for each type of access device available. Youll also explore the latest technologies, management procedures, and the controversies that still exist in the field. With little evidence-based knowledge to guide nursing practice in the use of access devices, these guidelines have instead focused information culled from the available literature on such procedures as strict hand washing, strict aseptic technique, and a consistent approach to maintenance care. Developed to provide recommendations for application of access device technology within nursing practice, these guidelines provide the foundation for evidence-based practice and a means to evaluate your own procedures and practices.
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.
NEW! Updated content throughout reflects the 2022 OCN® Examination blueprint, along with the latest national and international guidelines and the most current research evidence. NEW! A Myelofibrosis chapter is added to address this important cancer type, and a Social Determinants of Health and Financial Toxicity chapter addresses the cost of cancer treatment and financial burden of cancer treatment on patients and families. NEW! COVID-19–related content reflects the impact of the ongoing pandemic, including differential diagnoses for pulmonary symptoms and the impact of delayed cancer diagnosis and treatment. NEW! Updated emphases mirror those of the American Association of Colleges of Nursing 2021 Essentials as well as the recommendations of the 2020-2030 Future of Nursing report.