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1. Choose the correct venous line for each IV medication.
2. Distinguish harmful medications that require a central line to minimize patient risk.
3. Evaluate the early signs & symptoms of an infusion gone bad to intervene properly.
4. Examine infusion scenarios and actual photos to avoid negligence lawsuits.
5. Examine ports, picc and PIVs to develop the rationale behind troubleshooting.
6. Analyze central lines for placement and life-threatening complications.

High Osmolality, Extreme pH and Cytotoxicity

• The three harbingers of potential disaster

High Risk IV Medications: How They May Result in ‘Your Day in Court’

• Pressors
• Anti-infectives
• Chemotherapeutics
• Anti-seizure
• Anti-nausea
• Nutrition
• Prevention/intervention/antidotes & treatments

Peripheral Line Complications: Your Responsibility and Therefore YOUR Fault

• Vein selection and gauge size: The keys to avoid complications
• Proven practice tips for successful IV starts
• Infiltrations/extravasations: Critical skills for early intervention
• Phlebitis: Chemical/infective/mechanical
• When to insist on a central line – to increase patient safety and decrease your liability risk
• Tricks and tips for special populations
• Anticipate venous limitations of pediatric/geriatric/renal/obese/edematous/CVA patients

Midlines – Anatomy of a Necrotic Disaster

• The line that is most commonly – and dangerously – misused
• Midline appropriate drugs
• Midline appropriate patients?

Central Venous Lines: Ports, PICCs, IJs, Tunneled Lines & the Life-Threatening Complications

• Function/assessment/maintenance/patency/positional lines
• Mal-positioned tips
• Phlebotomy from central venous lines: Risks for clots and infection
• Central line infections and sepsis: Who is responsible?
• Common preventable causes of sepsis
• Extravasations and infiltrations: Necrosis, nerve damage…legal problems
• Advocating for the appropriate venous access for your patient
• Professionalism/best practices/national standards

Amy A. Lutteur, BSN, RN, VA-BC, CRNI, owns and teaches for Home Infusion Nurse®, an educational company that teaches nurses how to perform PICC/Port and PIV care and how to manage infusions. Additionally, she is an active member of a Level 1 trauma center vascular access team. She is board certified in vascular access, as well as in infusion nursing.

Amy has worked extensively with “difficult vein” populations such as those with vascular disease, diabetes, IV drug use disorder and renal disease. Additionally, she was the go-to IV nurse while working in a long-term acute care hospital with patients whose only viable veins were in ankles, feet, knees and shoulders. She has successfully obtained IV access during seizure activity and during chest compressions! From a small community hospital to a level 1 trauma center with a dialysis center and cardiac care between, Amy has witnessed and heard about a myriad of IV complications. She continues to be amazed at how many nurses have not been offered the education they need and deserve for this invasive and high-risk skill.

Amy’s sense of humor will keep you engaged as she eagerly shares her time-proven tricks and tips for IV care. Whether you are a new nurse, or a nurse who has practiced for decades, this course will dramatically decrease your risk of legal action and impact your practice like no other course you have taken!

Speaker Disclosures:

Financial: Amy Lutteur is sole proprietorship of Home Infusion Nurse. She has an employment relationship with Dartmouth-Hitchcock Medical Center. Ms. Lutteur receives a speaking honorarium from PESI, Inc.

Non-financial: Amy Lutteur has no relevant non-financial relationship to disclose.

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CE Information Coming Soon
Continuing education credit information is coming soon for this non-interactive self-study package.

CEs may be available for select professions, as listed in the target audience. Hours will be dependent on the actual recording time. Please check with your state licensing board or organization for specific requirements.

There may be an additional fee for CE certificates. Please contact our Customer Service at 1-800-844-8260 for more details.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

• Nurses
• Nurse Practitioners
• Clinical Nurse Specialists