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The IAC Standards and Guidelines Superficial Venous Evaluation and Management |
Click here for a printer-friendly PDF of the Vein
Center Standards |
2.1A Adequate space
must be provided for all operations of the facility so that patient comfort,
safety, dignity, and privacy are ensured as well as staff comfort and safety.
Procedure areas must have sufficient space, be well-maintained and clean.
2.1.1A Physical space requirements
include, but are not limited to:
2.1.1.1A reception and
patient/staff bathroom;
2.1.1.2A private patient
examination areas;
2.1.1.3A in case of
emergency, there must be adequate space for performing resuscitation;
2.1.1.4A adequate space, facility
configuration and doorways for the emergency transport of patients from patient
care areas and for the emergency exit of staff;
2.1.1.5A readily
accessible hand washing/sanitation stations for staff;
2.1.1.7A patient records,
reports and digital data storage areas.
Comment: The storage must ensure confidentiality of data and should be safe
from fire/flood.
2.1.1.8A administration
records and support areas;
2.1.1.9A equipment/supply
storage areas.
2.2A Equipment and
instrumentation used in the performance of venous interventions must be
appropriate and in good working condition and inspected per the required local,
state and/or federal regulations.
2.2.1A All equipment and
instrumentation must be routinely inspected for safety and proper functionality
and records of the inspections kept on file.
2.2.2A Equipment and
instrumentation must include at a minimum:
2.2.2.1A Emergency
equipment must be readily
available within the facility and in close proximity to where vein center procedures
are performed.
i. emergency
cart/kit
· Must be opened
and its contents inspected by the authorized personnel monthly. The monthly
inspection must be documented and include:
o the listing of
all emergency supplies and equipment;
o the name of the
medication(s), including strength, quantity, lot number and expiration date;
o the staff
member’s name who performed the inspection;
o the inspection
date.
ii. emergency drugs
(including a master list with verification of expiration date).
2.2.2.2A All emergency
equipment must be clearly labeled and be for emergency use only.
2.2.2.3A Emergency
equipment and medications must be secured with a disposable plastic lock.
i. Oxygen
· must be inspected
by authorized personnel every six months.
· defibrillator/automated
external defibrillator (AED)
· testing and
maintenance per the manufacturer’s specifications, must be documented.
2.2.3A Ultrasound
imaging equipment:
2.2.3.1A Must meet the IAC
Vascular Testing or ACR Ultrasound Standards for equipment and must include:
i. color flow Doppler;
ii. imaging
frequencies appropriate for the structures evaluated;
iii. Doppler
frequencies appropriate for the vessel evaluated;
iv. range-gated
spectral Doppler with the ability to adjust the depth and position of the range
gate within the area of interest;
v. a Doppler angle
which is measurable and adjustable;
vi. a visual display
and capability of permanent recording of the image;
vii. a visual display,
and audible output, and capability for a permanent recording of the Doppler waveform
and corresponding image which includes Doppler angle.
2.2.4A Required supplies
must include, but are not limited to:
2.2.4.1A blood pressure
cuff(s);
2.2.4.3A flashlight/extra
batteries;
2.2.4.4A bag-valve-mask
(AMBU) for resuscitation;
2.2.4.6A nasal cannula for
oxygen administration;
2.2.4.9A needles and
syringes.
2.2.5A Required minimum
medication(s):
2.2.5.1A Epinephrine
1:1000, 1 mL (2 ampules) OR Epi-Pen (pre-dosed) (2 pens);
2.2.5.2A Diphenhydramine
50 mg/mL (2 ampules);
2.2.5.3A Diphenhydramine elixir/solution
12.5 mg/5 mL (1 bottle) (optional);
2.2.5.4A Diphenhydramine
HCl 25,50 mg caps (1 bottle of each) (optional);
2.2.5.5A Methylprednisolone
125 mg (2 vials);
2.2.5.6A Aspirin (325 mg,
uncoated);
2.2.5.7A Intravenous
solutions and supplies (optional).
2.2.6A If moderate/IV sedation or greater is utilized local/state guidelines must be followed. In the
absence of such guidelines, American Society of Anesthesiologists (ASA)
guidelines are recommended. At a minimum the following monitoring equipment
must be available:
2.2.6.1A noninvasive blood
pressure;
2.2.7A Sterilization of
medical instruments:
2.2.7.1A The reuse of an
FDA-approved single use device is not permitted.
2.2.7.2A Single use
products must be used prior to expiration date.
2.2.7.3A Products approved
by the FDA for multiple use must be re-sterilized by the process approved by
the FDA or Center for Disease Control (CDC), as applicable.
2.2.7.4A If performed on
site, the facility must have a written protocol for sterilization of reusable
medical instruments.
i. The policy must
include, but is not limited to:
· comprehensive
training for all staff assigned;
· reprocessing
instructions (provided by the instrument/sterilization manufacturer);
· sterilizer
maintenance as needed with records of service;
· a system of
process monitoring;
· visual inspection
of packaging materials including heat sensitive indicators inside each package
treated with steam sterilization;
· results of
periodic biological monitoring performed at least weekly;
· retainment of
sterilization records for a time period that complies with the CDC standards
(e.g., three years), statutes of limitations and state and federal regulations;
· an established
blood borne pathogen exposure control plan in accordance with OSHA Bloodborne
Pathogens Standards and must use universal precautions.