title: Management of Port-a-Cath devices in long-term acute care hospitals.
abstract: A reliable means of maintaining an intravascular access device (IVAD) is an important aspect of care for a patient in a long-term acute care (LTAC) setting. Overall, various authors have confirmed that complication rates are lower with use of an IVAD. The key to this success in low complication rates appears to be a team approach to catheter care and management. In our unique practice setting, LTAC, we have over 20 years of experience with IVAD care and management. In an extensive 15-year retrospective review of the IVAD care, we found very low rates of complications, including infections. This is directly related to a team approach to catheter care, protocol development, employee education, and postoperative management.
authors.affiliation: Department of Medicine, Hospital for Special Care, New Britain, CT, USA. rbonczek@hfsc.org
authors.forename: Rita
authors.initials: R
authors.lastname: Bonczek
authors.forename: Brenda A
authors.initials: BA
authors.lastname: Nurse
mesh_terms: D006760:Hospitalization; D006801:Humans; D008134:Long-Term Care / Q000379:methods*; D009741:Nursing Staff, Hospital; D016134:Organizational Policy; D019145:Rehabilitation Nursing / Q000379:methods*; D012189:Retrospective Studies; D062666:Vascular Access Devices