Table I.

Scope document for surgical workforce access team

Scope

Surgical SWATs will be responsible, 24/7, for responding to all university requests for arterial or venous access, with the exception of the ED; page-to-puncture will be initiated within 60 minutes of pager activation of the SWAT

Resources

Catheter cart with all necessary materials to place arterial catheters, triple lumen central catheters, sheath introducer (Cordis) central catheters, temporary dialysis catheters

Duplex ultrasound machine

Personal PPE

Pager

Personnel

Each SWAT will consist of a SWAT leader (senior vascular surgery resident or attending) and a SWAT junior (junior vascular surgery resident or advanced practice provider), with on-call vascular attending providing back up

Program will be initiated with one team with a commitment to increase the number of teams as necessary; each additional team will require duplication of all resources

Algorithm

Preferred location for central intravenous access in order of priority

Left internal jugular vein

Right internal jugular vein

Left subclavian vein

Right subclavian vein

Femoral artery

Preferred location for temporary hemodialysis access in order of priority

Right internal jugular vein (16-cm long, curved)

Left internal jugular vein (20-cm long, curved)

Left subclavian vein (16- or 20-cm long, straight)

Right subclavian vein (16- or 20-cm long, straight)

Femoral artery (20- or 24-cm long, straight)

Preferred location for arterial line access in order of priority

Radial artery

Brachial artery

Femoral artery

Removal of uncomplicated catheter by the primary team

ED, Emergency department; PPE, personal protective equipment; SWAT, surgical workforce access team.