P R E S I D E N T ’ S M E S S A G E
Nadine Nakazawa, RN, BS, OCN
hose of us who are intimately involved in vascular ac- We are developing a schedule of webinars on topics that ad-
cess know and appreciate the complexities of this spe- dress a variety of timely issues, as well as post presentations
cialty. Outside of our specialty world, however, vas- that can be downloaded and accessed at a later time. We plan to
cular access remains a “task” or a “device” and not a specialty have these programs available to you in the next few months.
with its own science, melded with ever evolving technology We have established the Vascular Access Certiﬁcation Board
and knowledge base. which will begin to create processes for pursuing certiﬁcation
Vascular access has ﬁnally achieved some national attention for AVAʼs diverse membership. Updates will be forthcoming
through Institute for Healthcare Improvement (IHI), The Joint via E-VAN (AVAʼs electronic newsletter). Our goal is to pro-
Commission, and Center for Medicare and Medicaid Services vide a generalist exam based on what AVA has determined that
(CMS) focus on eliminating Central Line Associated Blood- anyone working in the vascular access arena, or any clinician
stream Infections (CLABSIs). CMS has also focused on elimi- who uses central venous access devices (CVAD) should know.
nating Air Embolism as a hospital acquired error. Hospitals and Eventually, an advanced exam and curriculum will be devel-
other healthcare organizations are scrambling to ﬁnd “ﬁxes” for oped for clinicians who insert CVADs. The goal is to provide
these medical conditions that up until recently, were considered evidence-based knowledge that can be disseminated across the
unavoidable conditions that are an unfortunate part of “taking disciplines for a uniform baseline.
care of business” of very sick, chronically ill, complex patients. The analogy is Basic Life Support (BLS). All healthcare
In light of the national focus on these issues as well as na- workers in a given healthcare organization must take BLS on
tional attention on developing comprehensive healthcare re- a biennial basis to maintain knowledge and proﬁciency across
form, there is a silver lining for the Association for Vascular all settings. That knowledge base is controlled by the Ameri-
Access and our members. We are continuing to move forward can Heart Association, and updated over time as “evidence”
in developing the tools and products that will help improve