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Capra Garrison

Capra Garrison, Registered Nurse, has more than 33 years of experience in infusion therapy and the instruction of licensed nurses in infusion therapy continuing education. Her experience comes from multiple infusion settings: acute care, ambulatory infusion centers, home infusion, long term care continuing education provider, and long term care pharmacy quality assurance consultant.

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Class Accreditation
All states (with the exception of Hawaii) recognize our courses for accredited continuing nursing education, CNE, contact hours.
This course is accredited by the following boards:
Provider approved by the California Board of Registered Nursing, Provider # CEP 15467.
Provider approved by the Arkansas, District of Columbia, Florida, Georgia , South Carolina Boards of Nursing through CE Broker, CE Provider #: 50-13256.  
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Peripheral and Central Venous Access Device Review

Contact Hours: 7.5
Cost: $75.00
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Peripheral and Central Venous Access Device Review
For a complete list of accreditations for this course, please see the accreditation information box below the author’s bio.  All states (with the exception of Hawaii) recognize our courses for accredited continuing nursing education, CNE, contact hours.

This online continuing education course is for nurses, medical health care professionals, and other interested individuals. 

This course has been designed to provide basic conceptual and operational knowledge to nurses, and other healthcare providers who have had previous “IV Certification” or infusion courses and would like to review the current infusion therapy standards. As the science of infusion therapy advances and technology expands, it is imperative that all healthcare clinicians and nurses practicing infusion therapy remain current in their knowledge of infusion therapies, principles, techniques, equipment and the latest in infusion evidence based practices. 

In early 2016, the Infusion Nurses Society (INS), recognized as the global authority in infusion therapy, released the updated Infusion Therapy Standards of Practice. The INS sets the accepted standards for infusion therapy practice for all healthcare settings. This course is based on the current best practices as defined by the Infusion Nursing Society and other governing agencies such as the CDC, and FDA.

Pedagogy has developed skills competency checklists for all infusion related procedures and these are available in the course, for print out and completion with a preceptor.


Upon completion of this course, the participant will be able to:
  1. State the agencies that govern infusion therapy practice 
  2. Demonstrate the correct calculation of an IV flow rate
  3. State the appropriate venous access device for the therapy ordered
  4. Identify complications of IV therapy; cause, prevention and treatment
  5. Identify the various types of central lines and proper procedure steps in the care of these devices


Chapter 1: Legal Issues
Regulatory agencies and governing bodies 
Components of a complete order 
Chapter 2: Fluid Regulation
Methods of fluid regulation
Patient considerations in fluid regulation
External factors that affect the rate of flow 
Calculation of I.V. flow rates
Chapter 3 Infection Prevention and Safety Compliance
Hand hygiene
Sharps management
Medical waste disposal
Durable medical equipment disinfection
Standard precautions
Transmission-based precautions
Chapter 4 Vascular Visualization
Trans-illuminator technology
Near infrared technology
Chapter 5: Site Selection and Device Placement
Criteria for peripheral access devices
3 types of peripheral access and criteria for placement
Special considerations of the specific age groups
General considerations of short peripheral access 
Veins to avoid
Chapter 6:  Peripheral Access Device Management
Add-on devices
VAD stabilization
Joint stabilization
Site protection
Flushing and locking
Assessment, care, and dressing changes
Chapter 7: Procedures Guides and Videos
Pre-insertion procedures
Peripheral iv insertion
Primary and secondary administration set-up
I.V. push administration
Catheter discontinuation
Chapter 8: Central Line Review
Definition of a central line
Reasons for use of a central line
Advantages of a central line
Overview of central venous access devices
Non‐valve and valved catheters
Non‐tunneled catheters
Tunneled catheters
Implanted ports
PICC or peripherally inserted central catheter
Chapter 9: Anatomy
Veins used for placement of central venous access devices
Catheter tip placement
Chapter 10: Central Line Management
Needleless connectors
Add-on devices
CVAD stabilization
Site protection
Flushing and locking
Assessment, care, and dressing changes
Administration set changes
Blood sampling from a CVAD
Chapter 11: Procedure Guides and Videos
Central venous catheter dressing change
Needleless access device change
Central venous catheter flushing
Blood sampling from a CVAD
Chapter 12: Peripheral and Central Line Complications
Catheter related complications
Systemic complications
Insertion related complications
Chapter 13: Discontinuation of Therapy
Removal of devices
Central venous access device removal procedure
Chapter 14: Resources
Skill competency checklists:
Medication administration
Large volume electronic infusion device
Peripheral I.V. catheter insertion
I.V. push
Administration of infusate via an ambulatory infusion pump
Accessing a port
Blood specimen collection from a CVAD
Deaccessing an implanted port
Midline or central line dressing change
Needleless connector device change

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