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Dennis G. Maki, MD; Susan M. Stolz, MS; Susan Wheeler, RN, MSN; and Leonard A. Mermel, DO, ScM. 15 August 1997. 127:257-266. Annals of Internal Medicine "Prevention of Central Venous Catheter-Related Bloodstream Infection by Use of an Antiseptic-Impregnated Catheter." Retrieved from the World Wide Web March 20, 2001 from the World Wide Web:"Bloodstream infection related to short-term use of noncuffed central venous catheters is a common and serious problem. Technologic innovations to reduce the risk for these infections are needed." http://www.annals.org/content/127/4/257.full ****************************************************** Central Venous Catheters, Arrow International:"Arrow offers the broadest range of central venous access catheters in the industry. Pioneering innovations like ARROWg+ard® antimicrobial infection protection, Sharps Safety components, Arrow Raulerson® Syringe and Blue FlexTip® are just a few of the features that make Arrow the most trusted name in venous access. Single Lumen, Double Lumen, Triple Lumen, Quad Lumen, Five Lumen, Peripherally Inserted Central Catheter." Corporate Headquarters Post Office Box: PO Box 12888 Reading, PA 19612 USA Product orders (and Neo?Care® hotline): 800-523-8446 USA 610-655-8522 International Product orders by FAX: 800-343-2935 USA 610-655-8566 International http://www.arrowintl.com/products/critical_care/prod_info/critcarecvc.asp?ID=7 ****************************************************** Acute/Intermediate Care Catheters, Bard Access Systems:"Bard Access Systems offers a variety of acute care and intermediate-term catheters to meet your access needs. Where immediate access is required, this product group is ideal for those who need short-term to intermediate-term therapy. Due to its silicone construction, Bard's popular Hohn® central venous catheter provides the benefits of excellent biocompatibility and safety in a short-term, non-chronic catheter. Hohn catheters are packaged in procedure-specific trays containing all catheter components, making them easy to place or exchange at any time, in any location. As a result, the Hohn catheter is the catheter of choice for short-term and intermediate-term access. The Hohn catheter is available in single- and dual-lumen configurations." Corporate Headquarters C. R. Bard, Inc. 730 Central Avenue Murray Hill, New Jersey 07974 USA Phone: (908) 277-8000 Fax: (908) 277-8240 http://www.bardaccess.com ****************************************************** Groshong, Bard Access Systems:"The Groshong line of central venous catheters offers the latest in technology. Unlike traditional open-ended catheters, the Groshong catheter has a rounded, closed tip and features the patented Groshong valve. The Groshong valve opens inward for blood aspiration and outward for infusion but remains closed when not in use. Because the valve remains closed when not in use, it literally seals the fluid inside the catheter and prevents it from coming in contact with the patient's blood. Thus, weekly flushing with saline is all that is required to keep the catheter patent. The valve also eliminates the need for routine clamping of the catheter. The Groshong catheter increases patient safety, reduces maintenance and provides the patient with an overall better quality of life." Corporate Headquarters C. R. Bard, Inc. 730 Central Avenue Murray Hill, New Jersey 07974 USA Phone: (908) 277-8000 Fax: (908) 277-8240 http://www.bardaccess.com/picc-grosh-cath.php ****************************************************** Hickman®, Broviac® and Leonard® Catheters, Bard Access Systems:"Hickman®, Broviac® and Leonard® Catheters. The Hickman, Broviac and Leonard lines of chronic, tunneled central venous catheters offer the time-tested standard for proven performance and reliability. These catheters are designed for both pediatric and adult use. To best fit each patient's physical and medical needs, these catheters have been developed in an extensive variety of French sizes. Bard Access Systems also offers single-, dual- and triple-lumen catheter configurations." Corporate Headquarters C. R. Bard, Inc. 730 Central Avenue Murray Hill, New Jersey 07974 USA Phone: (908) 277-8000 Fax: (908) 277-8240 http://www.bardaccess.com/picc-hick-brov-leon.php ****************************************************** Midlines, Bard Access Systems:"New color-coded hubs mean greater safety and less confusion. When you need a midline catheter for intermediate-term therapies, Bard Access Systems is making a noticeable difference. And that difference is in the hubs. A unique system of color-coding Groshong and Per-Q-Cath midlines readily identifies the type of catheter before, during and after use. This innovation, while simple, differentiates our midlines from PICC's, which in turn helps eliminate confusion and promotes patient safety." Corporate Headquarters C. R. Bard, Inc. 730 Central Avenue Murray Hill, New Jersey 07974 USA Phone: (908) 277-8000 Fax: (908) 277-8240 http://www.bardaccess.com/nurse-grosh-perq-mid.php ****************************************************** PICC, Bard Access Systems:"Peripherally Inserted Central Catheters (PICCs) are designed for the administration of IV fluids, blood products, medications and parenteral nutrition solutions, as well as blood withdrawal. The catheter is placed into one of the large antecubital veins and is threaded into the superior vena cava above the right atrium. Bard Access Systems offers the Per-Q-Cath® line of open-ended PICCs as well as the popular Groshong® PICC in a variety of French sizes, including single- and dual-lumen configurations. Bard also offers a variety of tray configurations, including the full procedural tray, making PICC placement easy and convenient." Corporate Headquarters C. R. Bard, Inc. 730 Central Avenue Murray Hill, New Jersey 07974 USA Phone: (908) 277-8000 Fax: (908) 277-8240 http://www.bardaccess.com/nurse-perqplus-picc.php ****************************************************** Central Venous Catheter Complications Video, Food & Drug Administration:"This three part educational video can now be ordered from the National Technical Information Service (NTIS). A five minute preview is available as a streaming video presentation. The preview features Dr. Walter Scott of FDA discussing catheter tip location. This program follows "a day in the life" of two residents as they deal with the complications associated with the use of central venous catheters (CVCs). Surgical landmarks and underlying anatomy for CVC placement are reviewed. While assessing specific patient needs, they discuss catheter selection; patient preparation and positioning; vein vs. artery differentiation; and EKG monitoring. Radiology and pathology case reviews are presented. The importance of infection control and peripherally inserted central catheter (PICC) use is presented, with a final note on home care." National Technical Information Services National Audiovisual Center 5285 Port Royal Roadv Springfield, VA 22161 Tel: 703-605-6000 http://www.fda.gov/cdrh/ohip/dupsa/cvcvideo.html ****************************************************** Catheter, central venous, Medicinenet.com: A catheter (tube) that is passed through a vein to end up in the thoracic (chest) portion of the vena cava (the large vein returning blood to the heart) or in the right atrium of the heart. Central venous catheters have a number of different uses. A central venous catheter allows concentrated solutions to be infused with less risk of complications. It permits monitoring of special blood pressures including the central venous pressure, the pulmonary artery pressure, and the pulmonary capillary wedge pressures. A central venous catheter can be used for the estimation of cardiac output and vascular resistance. The near end of the catheter may also be connected to a chamber for injections given over periods of months. A central venous catheter saves having to have frequent small injections or "drips" placed." Medicinenet.com MedicineNet, Inc. 903 Calle Amanecer, Suite 300 San Clemente, CA 92673 Phone: 949.940.6500 Fax: 949.940.1094 webmaster@medicinenet.com http://www.medterms.com/script/main/art.asp?articlekey=19698 ****************************************************** Rita Wickham, MS, RN; Sandra Purl, MS, RN; and Diane Welker, MS, RN. August 1996. Medithesis. "Long-Term Central Venous Catheters: Issues for Care." Retrieved from the World Wide Web March 20, 2001 from the World Wide Web:"Infection is a well-recognized complication of all types of catheters.26,39-41 Infections are potentially life-threatening, particularly in patients with neutrophil counts of less than 500 cells/mm, in those with rapidly declining neutropenia, or those with protracted neutropenia.42 Local infections, including exit site and port pocket, and tunnel infections can occur, as well as systemic infections from colonized thrombi or fibrin sleeves or from intraluminal or extraluminal catheter colonization." http://www.meditheses.com/997-962.htm ****************************************************** Central Venous Catheters, What is a central venous catheter? Webmd.com:"A central venous catheter, or vascular access device (VAD), is a long, thin, flexible tube used to give medications, fluids, nutrients, or blood products over a long period of time, usually several weeks or more. The catheter is inserted through the skin into a vein often in the neck or chest. It is threaded through the vein until it reaches a large vein near the heart called the superior vena cava." http://www.webmd.com/a-to-z-guides/Central-Venous-Catheters-Topic-Overview ****************************************************** ****************************************************** Commercial Providers: Arrow International:"Arrow International combines technology and product innovation to extend the use of catheterization for the diagnosis and treatment of critically ill patients. Arrow disposable critical care catheterization products are used principally to access the central vascular system for administration of fluids, drugs and blood products. These products are also used for patient monitoring, diagnosis and pain management. Market studies indicate that Arrow is a leading supplier of central vascular access catheterization products worldwide. The Company's cardiac care products are used for the diagnosis and treatment of patients with acute and chronic heart disease." Corporate Headquarters Post Office Box: PO Box 12888 Reading, PA 19612 USA Product orders (and Neo?Care® hotline): 800-523-8446 USA 610-655-8522 International Product orders by FAX: 800-343-2935 USA 610-655-8566 International http://www.arrowintl.com ****************************************************** C. R. Bard, Inc.:"C. R. Bard, Inc. is a leading multinational developer, manufacturer, and marketer of innovative, life-enhancing medical technologies in the fields of Vascular, Urology, Oncology, and Surgical Specialty products. Bard markets its products and services worldwide to hospitals, individual health care professionals, extended care facilities, and alternate site facilities. Bard pioneered the development of single-patient-use medical products for hospital procedures; today Bard is dedicated to pursuing technological innovations that offer superior clinical benefits while helping to reduce overall costs." Corporate Headquarters C. R. Bard, Inc. 730 Central Avenue Murray Hill, New Jersey 07974 USA Phone: (908) 277-8000 Fax: (908) 277-8240 http://www.crbard.com ****************************************************** ****************************************************** Custom Search ****************************************************** Nursing Topics, A to Z: A, B, C, D, E, F, G, H, I, K L, M, N, O, P, R, S, T, U, V, W, X, Y, Z If your website is not listed here, we encourage you to submit it: Add Your Website/URL. See also: Nursing Degrees, LPN-RN, RN-BSN, RN-MSN, Online/Offline College, University and more!:"Higher income. Career mobility. 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With over 5 million items for sale every day, you'll find the nursing supplies you're looking for at the world's online marketplace - eBay!" http://www.nursefriendly.com/ebay/ Nurses' Station:"The idea for the Nurses' Station Catalog was conceived in 1989. After searching the marketplace in response to customer inquiries, it became obvious that there were no catalogs of this type serving the nursing profession. To be sure, there were several catalogs offering nurse's uniforms and a smattering of professional items. But there weren't any catalogs at the time offering a range of gifts, clothing, professional items, name badges, shoes and scrubs for nurses. It took two years of hard work to gather samples and put a together a catalog of the most unique and high-quality items for nurses." Nurses Station P.O. Box 388 Centerbrook, CT 06409-03881 http://www.nursefriendly.com/station/ Nursing In The Media, truthaboutnursing.org ER:"Media products under your influence, particularly the NBC/Warner drama "ER," are harming the profession of 2.7 million American nurses by giving the public an inaccurate and inadequate account of what nurses really do to save and improve lives. Research suggests that "ER" strongly and negatively influences the way children view nursing. These products contribute to the nursing shortage, a public health crisis that threatens millions worldwide." http://www.truthaboutnursing.org/letters/er/ House, MD:"The main patient in tonight's episode of Fox's House was a nurse who believed that a cat tended to sit with those who were about to die--including, recently, the nurse herself. That may not sound like a promising vehicle for House to improve its abysmal portrayal of nursing. But the show actually presents the nurse as someone with health knowledge. And her search for meaning in faith, for some reason in tragic events, is a real counterpoint to House's cold rationality. Indeed, despite the obvious potential for mockery in the cat angle, the mighty House treats the nurse with considerable respect--he seems to care what she thinks, or at least to find her views unnerving. Of course, the nurse plays no real clinical role in the episode, and no other nurses do either. So the episode suggests, as usual, that physicians provide all important care in hospital settings, including all meaningful psychosocial and physical care. Still, any suggestion that intelligent life resides in a nurse is a welcome departure for House (and for the episode's writer Peter Blake, who also penned a November 2005 House episode that was notable for its physician glorification and its casual contempt for other health professions). Tonight's episode, "Here Kitty," drew 13.1 million U.S. viewers. more... see the relevant film clips... and please join our letter writing campaign!" http://www.truthaboutnursing.org/letters/house/ Private Practice:"ABC's Private Practice, whose season ends tomorrow, April 30, may be the only broadcast network show with a major nurse character to return next season. In the February 5 episode (Mike Ostrowski's "Acceptance," 13 million U.S. viewers), lone nurse character Dell Parker, who is studying to be a midwife, shows some tentative clinical aptitude and knowledge to go with his boyish eagerness. Under the close supervision of OB/GYN Addison Montgomery, Dell ably performs a vacuum-assisted delivery. Later he haltingly guides the baby's parents toward breastfeeding. Dell also performs an assured solo ultrasound of pregnant psychiatrist Violet Turner, calming her panic attack and eliciting her agreement to his own suggestion that, though he's "not a doctor," he will likely become a "pretty good midwife." The show still condescends to Dell, who is also the office manager/receptionist at the LA clinic where the show is set. In the March 26 episode (Craig Turk's "Do the Right Thing," 10.1 million U.S. viewers)," http://www.truthaboutnursing.org/letters/pp/ "Scrubs" defines nursing:""Scrubs" defines nursing: it's all about shutting up and following physician "orders. " Tonight's episode of NBC's "Scrubs," which purports to teach nurse Carla Espinosa that nursing is all about doing what physicians tell you, is one of the most virulently anti-nurse prime time television episodes the Center has ever seen. more..." http://www.truthaboutnursing.org/news/2009/may/06_scrubs.html To subscribe to our: Nurse Friendly Notes Newsletter: Send a blank e-mail to: nursefriendlynotes-subscribe@topica.com http://www.nursefriendly.com Nursing Jokes, Medical Humor, Jokes to make you laugh and smile all day. 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This page was created on Friday, March 16, 2001

Last updated by Andrew Lopez, RN on Monday, September 7, 2009

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