Central Vascular Access Drvice Insertion

The State of Queensland (Queensland Health), 2011. Permission to reproduce should be sought from (Affix identification label here). URN: Family name: Central Vascular Access Device Given name(s): Insertion Address: Date of birth: Sex: M F I. Facility: A. Interpreter / cultural needs The device may become blocked and need medications to unblock or may need to be An Interpreter Service is required? Yes No removed. If Yes, is a qualified Interpreter present? Yes No (Tunnelled and Non-tunnelled catheters only) The A Cultural Support Person is required? Yes No device may be accidentally removed if pulled or If Yes, is a Cultural Support Person present? Yes No tugged on. Failure of local anaesthetic which may require a B.

Blood clot blocking the vein, may require medication to treat. An allergy to injected drugs, requiring further treatment. The procedure may not be possible due to medical and/or technical reasons. Rare risks and complications include: Injected medications may leak outside of the vein under the skin and into tissue, this may require

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  Access, Central, Vascular, Blocking, Central vascular access

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