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TopicLearning ObjectivesClinical SettingGeneralDescribe the anatomy and physiology of the arterial, venous and lymphatic systemsDescribe the changes that occur in the vascular system with ageingDemonstrate a peripheral vascular assessmentproper use of doppleridentification of assessment point for arterial and venous pulsesIdentify risk factors associated with the development of atherosclerosisDemonstrate knowledge of common vasculopathic diseases/syndromes:Buergers DiseaseMay-Thurner SyndromeRaunaudsNutcracker syndromePaget-Schroetter syndromeDemonstrate knowledge of vascular diagnostic studiesIdentify and discuss medication classes used to treat vascular disease; including nursing parameters for monitoring and key patient education pointsALower Extremity Arterial DiseaseDiscuss symptoms of PAD and diagnostic testing Describe medical management of PAD including best medical therapy, angiogenesis, walking programsDiscuss different anticoagulants used post revascularization and their specific considerations for patient teaching Identify differences in the management of acute vs chronic diseaseDIscuss assessment and verbalize clinical findings that would trigger notification of management teamDemonstrate assessment/discuss findings that would suggest development of compartment syndromeDifferentiate/discuss post-intervention care for various interventions: anticoagulationthrombolysisembolectomy thrombectomy angioplasty/stentingbypass graft/arterial reconstructionOutpatientCritical care Acute careInterventional radiologyRehabUpper Extremity Occlusive diseaseDiscuss symptoms of UE occlusive diseaseDescribe testing (duplex vs doppler)Demonstrate thorough assessmentDiscuss the role partnering with hand specialist plays in your institution Discuss different anticoagulants used post revascularization and their specific considerations for patient teaching OutpatientAcute careArterial ulcersDiscuss wound care of arterial ulcersdebridementdressingspain controlOutpatientCritical care Acute careRehabCarotid Artery DiseasePerform and document focused neuro examDiscuss role of imaging (duplex vs CTA)Describe best medical therapyDiscuss Invasive treatment optionsDemonstrate knowledge of standards of care post endarterectomy and stentingDiscuss patient /family discharge teaching following intervention including reperfusion headaches, TIA/CVA, pharmacotherapyOutpatientCritical care Acute careInterventional radiologyRehabMesenteric IschemiaDiscusses patient population at riskPerforms GI Assessment and DocumentationDiscusses abnormalities with appropriate medical teamOutpatientCritical care Acute careInterventional radiologyAneurysmal DiseaseDiscuss difference between type A and type B aortic dissectionDiscuss medical management of dissection with HR and BP control (what medications does your institution use)Discuss Surgical vs Endovascular InterventionsPostoperative considerationsBleedingSpinal Cord InjuryLumbar DrainAcute Kidney InjuryMesenteric IschemiaBlood Pressure ManagementOutpatientCritical care Acute careInterventional radiologyRehabRenovascular Disease and Ischemic NephropathyDiscuss how ischemic renal disease leads to renal insufficiencyDiscuss the relation between renal artery stenosis and HTNDiscuss management of nephropathyOutpatientCritical care Acute careInterventional radiologyRehabVascular AccessDescribe options of vascular access and the fistula first initiative Demonstrate how to assess AVF/AVGDescribe potential complications (aneurysms, stenosis)Discuss what you may learn from dialysis RN that would signal you there is an issue with the access (venous pressures, long bleeding times)Thoracic Outlet SyndromeDescribe the pathophysiology of TOSDiscuss post op considerationspain controllymphatic leakPT/OT OutpatientAcute careDeep Vein ThrombosisDiscuss risk factors and appropriate prophylaxisIdentifies risks of anticoagulation and able to discuss monitoring required for each methodProvides appropriate patient education on DVT treatment/preventionAcute careInterventional radiologyPulmonary EmbolismDescribe symptoms of PE and what testing is orderedDiscuss the management of PEConsiderations for nursing with thrombolysisAC dripsOxygenation goalsCritical care Acute careInterventional radiologyChronic Venous DiseaseDescribe venous reflux and venous insufficiencyDiscuss principles of management: compression, venogram (iliac stenting), venous pumpsOutpatientAcute careRehabStasis UlcersDiscuss wound care managementCompressionUna BootBiologic dressingsOutpatientAcute careRehabDiabetic Foot ManagementDescribe why diabetes are at risk for foot infections: specifically osteomyelitis and charcot foot.Discuss wound care optionsOutpatientAcute careRehabLymphedemaDescribe the pathophysiology of primary and secondary lymphedemaDiscuss treatment options (exercise, compression, lymphedema pumps)Demonstrate how to properly apply compression wrap to legOutpatientAcute careRehabVascular TraumaDiscuss what kind of trauma can be associated with vascular injury (fractures, crush injury, MVC, or endovascular procedure complications)Discuss complications of vascular traumablood lossthrombosis, pseudoaneurysm, fistulabruising, swelling, painAcute careRehabAmputationDescribe specific considerations to caring for patients with amputationspain controlrisk of fallsprostatitis for shield then shrinker support groupsOutpatientAcute careRehab ................
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