Regional Oncology Nursing Council of Southeastern Ontario (RONC-SEO)

 

Vascular Access Devices

Patients may require complex cancer treatments that require a variety of vascular access devices (VAD). Short term and long term VADs are available, the list includes:
peripheral intravenous catheters , subcutaneous infusion devices, midline catheters, PICCs, central venous lines (nontunneled), tunneled central venous lines catheters (CVCs), implanted ports, and apheresis/hemodialysis catheters. (ONS Access Device Guidelines, 2004)

Other indications for using a VAD are:total parenteral nutrition (TPN), blood and blood products transfusion, blood sampling, supportive therapies for e.g. fluid for hydration and medications including bisphosphanates, chemotherapy and biotherapy (bolus or continuous. (ONS Access Device Guidelines, 2004)

Reference
Oncology Nursing Society. (2004). Access Device Guidelines Recommendations for Nursing Practice and Education.Pittsburgh, ONS Publising

If you wish to know more about VADs, below is a list of additional references available:

Otto, Shirley.E. (eds), 2001. Oncology nursing, 4th edition. St. Louis:Mosby.

RNAO Best Practice Guidelines-Assessment and Device Selection for Vascular Access

Yarbro, C.H., Frogge, M.H. , Goodman, M. & Groenwald, S. L.(eds) 2000. Cancer nursing
principles and practice. 5th edition, Mass., Jones and Bartlett.