Establishing Vascular Access in a Difficult Intravenous Access Patient

Learning Objectives

1. Learner understands indications for midline line placement.
a. The learner will have to identify the appropriate vascular access device to use for insertion based on the clinical scenario provided (e.g., PICC vs. midline vs. PIV).
2. Learner demonstrates appropriate anatomical site selection for midline placement.
a. The learner scans anatomical sites on the upper arm with ultrasound to identify appropriate veins (basilic, brachial, or cephalic veins).
3. Learner performs complete vascular access assessment.
4. Learner demonstrates correct sequence for inserting midline.
a. The learner will have to systematically insert the midline per recommended skills checklist.
5. Learner documents the completion of the vascular access procedure.
a. The learner will need to indicate that documentation has been completed.