Central Venous Catheterization – Subclavian for Medical Professionals

Medical Professional - Clinical

Central venous catheterization is a common procedure carried out in a hospital setting and is used for a variety of reasons including intravenous administration of specific drugs, parenteral nutrition, hemodialysis, and to aid in the diagnosis of cardiac failure. This module teaches you how to safely prepare for and insert a central venous catheter into the subclavian vein. Including both Learn and Test modes, the online simulator offers a clinical scenario that tests your ability to perform a central venous catheterization of the subclavian vein. Practice the steps of the procedures online as often as you want, until you feel confident.

If you are not a medical student or physician, you may prefer the other version of this module, which includes all the procedural information needed by professionals in other roles: /shop/clinical/medicinenursing/vascular-procedures/central-venous-catheterization-subclavian

You’ll learn

pre-procedure considerations related to central venous catheterization
to visualize the anatomy of the rib cage, underlying pleura, and underlying great vessels, and the subclavian vein in relation to surrounding structures
to practice and perfect your skills in inserting a central line into the subclavian vein, while maintaining an aseptic technique
how to perform the modified Seldinger technique
how to secure the cannula
much more (see “content details” for more specific information)

Step 1 - Preparation

Step 1.1 - Tray preparation

Step 1.2 - Patient preparation

Step 1.3 - Operator preparation

Step 2 - Cleanse the skin and infiltrate local anesthetic

Step 3 - Insert the needle into the subclavian vein

Step 4 - Advance the guidewire through the syringe and needle

Step 5 - Incise the skin at the puncture site

Step 6 - Advance the dilator over the guidewire

Step 7 - Advance the catheter over the guidewire

Step 8 - Remove the guidewire

Step 9 - Flush the catheter

Step 10 - Secure the catheter

Describe pre-procedural considerations for a subclavian central venous catheter placement.
Describe and demonstrate the preparation for a subclavian central venous catheter placement.
Identify and demonstrate the proper positioning and technique for a subclavian central venous catheter placement.
Identify the anatomical landmarks used for insertion.
Describe and demonstrate the approaches for cannulation and how to secure the cannula.
Describe and demonstrate proper hand hygiene and skin preparation.
Describe and demonstrate the proper procedure for cleansing the site and infiltrating local anesthetic.
Identify and demonstrate the proper performance of the modified Seldinger technique.
Describe and demonstrate the correct post-procedure considerations.
Define and demonstrate correct recording and reporting procedures.
Define and use related medical terminology.
Understand Occupational Safety and Health Administration (OSHA) guidelines.
Understand correct post-procedure considerations.
Explain the Patient Privacy Rule (HIPAA), Patient Safety Act, and Patients' Bill of Rights.

The SIMTICS modules are all easy to use and web-based. This means they are available at any time as long as the learner has an internet connection. No special hardware or other equipment is required, other than a computer mouse for use in the simulations. Each of the SIMTICS modules covers one specific procedure or topic in detail. Each module contains:

an online simulation (available in Learn and Test modes)
descriptive text, which explains exactly how to perform that particular procedure including key terms and hyperlinks to references
2D images and a 3D model of applied anatomy for that particular topic
a step by step video demonstration by an expert
a quiz
a personal logbook that keeps track of all the modules the learner has studied and how long

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