Referring Physicians

About Our Services

Wisconsin Vascular Access Service, LLC is a mobile venous access team. We provide 24/7/365 response for customer care needs related to the insertion and maintenance of vascular access devices.

Our focus is on the patient and the need for vascular access. Healthcare providers realize that those who specialize in a procedure and focus singularly on that procedure are going to have optimal success rates, ensure greater patient safety, improve patient satisfaction in that specialty area and provide more positive patient outcomes due to the level of expertise.

We are committed to continuous quality improvement practices. Our staff participate in ongoing clinical education and team members have achieved board certification or are scheduled to sit for their exam.

We will provide consultation and provide recommendations to your policies and procedures related to venous access and infusion therapy based on INS standards of practice and current trends in vascular access.

We offer prompt quality service within 4 hours (our average turnaround time is less than 2.5 hours).

We reduce healthcare costs by performing procedures at the bedside and reduce delays in treatment by establishing the needed venous access early. Most patients in long-term care or rehabilitation settings can avoid a trip to the hospital to obtain the needed access.

We use ultrasound 100% of the time with all our venous access placements. Most of the patients experience only one access attempt. This increases patient satisfaction.

We provide education and support to the staff at the facility. This collaborative effort improves patient outcomes and nursing engagement reduces the risks that may be associated with the venous access device.

Collaborating With Our Team

Wisconsin Vascular Access is a nurse driven practice dedicated to excellence, integrity and innovation when it comes to delivering high quality vascular access. Our focus is not only to increase patient satisfaction and keep patients safe, but also bridge the gap in delayed therapy which in turn improve patient outcomes. We advocate for each patient individually, partnering with his or her physician and nurse to determine the most appropriate and least invasive device to complete the required therapy.

Vascular Access Assessment

Every patient referral received a comprehensive vascular assessment including:

  • Medical history; surgical history
  • Laboratory values including: creatinine, estimated glomerular filtration rate (eGFR), platelet count, INR
  • Review of previous ultrasounds of upper extremities
  • Review of prior Chest X-rays and CT scans
  • In patients with chronic renal failure, we collaborate with the attending nephrologist to determine vascular access plans for fistula placement prior to accessing upper arm veins.

Vein Preservation

  • We are committed to early vein preservation and assess each patient individually for the most appropriate vascular access device using the least invasive device for the patient’s need and anticipated duration of therapy.
  • Using ultrasound guided technology we are successful in accessing the optimal vein on one access of attempt >99% of the time. In doing so, we limit failed attempts that may be associated with trauma and scarring to the vein, infiltration, extravasation, hematoma, pain and discomfort.
  • In patients with chronic renal failure, we collaborate with the attending nephrologist to determine vascular access plans for fistula placement prior to accessing upper arm veins.

Chronic Kidney Disease

Guidelines for Venous Access in Patients with Chronic Kidney Disease Patients with an estimated glomerular filtration rate (eGFR) of less than 60 mL/min/1.73m2, or if an eGFR is not available, then a serum creatinine level of greater than 2.0 mg/dl, should undergo an expert vascular access assessment prior to placement of any vascular access device.

  • When suitable anatomy is present, the dorsal veins of the dominant hand are the preferred location for venipuncture and for immediate short-term use and selected non-injurious infusion therapies.
  • The forearm veins, upper arm veins and subclavian veins are of critical importance for creation of a hemodialysis fistula and these veins should not be routinely used for venous access procedures, including peripherally inserted central catheters (PICC). These veins should be used only when preferred veins are not available or if requirement for future hemodialysis vascular access is determined to be unlikely.
  • Alternative long-term venous access solutions should be identified and implemented as soon as possible, avoiding prolonged reliance on peripheral veins.
  • The internal jugular vein is the preferred vessel for central venous access. Central venous catheters inserted via the internal jugular vein that are intended for long-term use (>1 week) should be placed using a subcutaneous tunnel.
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