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Exam Number : VACC
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DOMAIN CATEGORY I: Clinical Knowledge and Application

A. Device Assessment and Selection

1. Central venous access devices

2. Peripheral intravenous devices

3. Dialysis, apheresis and aquapheresis catheters

4. Intraosseous devices

5. Arterial catheters

6. Pulmonary artery catheters

7. Device characteristics (e.g., single versus multi-lumen devices, optimal insertion and tip location)

B. Patient Assessment

1. Vascular pathology (e.g., impact of disease processes on vascular access)

2. Device selection (e.g., infusion therapy, alternative to IV placement, vesicants and osmolality)

3. Patient specific characteristics (e.g., compromised skin integrity, product reaction) and resources to maintain vascular access devices

4. Imaging technology (e.g., ultrasound, transillumination, fluoroscopy / venogram, chest x-ray)

C. Preparation

1. Infection prevention procedures, concepts and principles (e.g., sterile field, aseptic non-touch technique [ANTT], common pathogens)

2. Anatomy and physiology

3. Growth and development implications

DOMAIN CATEGORY I (continued): Clinical Knowledge and Application

D. Insertion

1. Vascular access device and insertion components

2. Insertion techniques (e.g., Modified Seldinger)

3. Flushing and locking solutions / procedures

4. Imaging technology (e.g., ultrasound, infra-red, transillumination)

5. Laboratory values relevant to device placement and maintenance

6. Tip location and confirmation systems

7. Engineered securement devices

8. Complications and emergency interventions (e.g., inadvertent arterial puncture, pneumothorax, catheter tip malposition, nerve injury)

E. Care and Maintenance of Vascular Access

1. Insertion / exit site exam

2. Lumen patency and catheter clearance (e.g., flushing protocol, occlusion therapy)

3. Infusion equipment and add-on supplies (e.g., needleless connector)

4. Dressing change procedure

5. Patient / caregiver education

6. Care plan throughout the healthcare continuum (e.g., catheter insertion information, care and maintenance instructions, patient restrictions)

7. Vascular access device removal (e.g., removal length of PICC, removal complications, patient tolerance of removal procedure)

F. Troubleshooting, Complications, and Interventions

1. Post-insertion risks and complications (e.g., extravasation, thrombosis, infection, catheter tip migration, occlusion, nerve damage, phlebitis)

2. Pharmacologic interventions (e.g., catheter clearance, antibiotic lock, ethanol lock, extravasation treatment)

3. Catheter repair / exchange

4. Other complications (e.g., central vein occlusion, internal fracture, compromised skin integrity)

DOMAIN CATEGORY II: Interpersonal and Communication Skills

A. Interpersonal Communication

1. Communication with patient / caregiver (e.g., risks, benefits and alternatives; device care; infection prevention)

2. Communication with patient / caregiver with additional needs (e.g., developmental/ cognitive deficit, psychosocial concerns)

3. Cultural competency (e.g., cultural and religious differences, family involvement, language barrier)

4. Collaboration with patient's care team

B. Mentoring and education

1. Educational / staff development opportunities (e.g., quality improvement, hospital committees, early test for vessel preservation)

2. Infection control measures and techniques

DOMAIN CATEGORY III: Professional Development

A. Evidence-based Practice and Continuing Education

1. Evidence-based practice guidelines (e.g., AVA, INS, MAGIC, KDOQI, ACCP, SHEA)

2. Process improvement initiatives and outcome evaluation (e.g., implementation of new techniques and / or products)

3. Professional practice and development (e.g., seminars, webinars, conferences, certification)

4. Critical analysis of published research (e.g., research methodologies)

DOMAIN CATEGORY IV: Legal and Ethical Considerations

A. Legal Considerations

1. Professional codes of conduct, professional guidelines, scope of practice and standards of care

2. Legal principles in the practice of vascular access (e.g., consent, liability, HIPAA)

3. Documentation requirements

4. Manufacturer's guidelines for product use (e.g., Instructions for Use [IFUs], expiration dates, off-label use)

B. Ethical Considerations

1. Patient advocacy (e.g., patient preferences, end of life care)

2. Reporting requirements (e.g., MAUDE database, Joint Commission [JC], state health department)

3. Fiscal responsibility (e.g., accurate recording of charges, use of supplies and equipment, use of time)



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The Vascular Access Certification Corporation (VACC) Vascular Access test is designed for professionals who specialize in vascular access procedures. This test is administered to individuals who want to become certified in vascular access procedures, and it is intended to ensure that they have the necessary knowledge and skills to provide safe and effective care.

The VACC Vascular Access test covers a range of subjects related to vascular access, including anatomy and physiology, infection control, patient assessment and monitoring, and the principles of vascular access procedures. The test is computer-based and consists of 150 multiple-choice questions. Candidates are given three and a half hours to complete the exam.

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To be eligible to take the VACC Vascular Access exam, candidates must have a minimum of two years of experience in vascular access procedures and a current, unrestricted license or certification in a healthcare-related field. They must also have completed a minimum of 1,500 clinical hours in vascular access procedures.

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To prepare for the VACC Vascular Access exam, candidates should review the test content outline and use study materials such as textbooks, online courses, and practice exams. Additionally, killexams.com study material includes online test engines and practice exams that contains genuine test questions and answers. Killexams offers PDF guide, that covers the test subjects in detail and includes practice questions. They should also seek out opportunities to gain hands-on experience in vascular access procedures and participate in continuing education courses.

On the day of the exam, candidates should arrive early and bring their admission ticket, valid photo ID, and any other required documentation. They should dress professionally and bring a calculator for the exam.

During the exam, candidates should read each question carefully and take their time. They should eliminate obviously incorrect answers and select the best answer from the remaining choices. Candidates should also pay close attention to the specific details of each question, as some questions may have multiple correct answers.

After completing the exam, candidates will receive their results within a few weeks. If they pass the exam, they will earn the Vascular Access Board Certified (VABC) credential, which demonstrates that they have the knowledge and skills necessary to provide safe and effective vascular access procedures.

Certification as a VABC can lead to a wide range of career opportunities in the field of vascular access, including working in hospitals, clinics, and other healthcare settings. It can also enhance professional credibility and provide a competitive advantage in the job market.

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VACC Vascular Access test is an important credential for professionals who specialize in vascular access procedures. By meeting the eligibility requirements, preparing thoroughly for the exam, and demonstrating their knowledge and competence on test day, candidates can earn certification as a VABC and enhance their professional credibility in the field of vascular access.


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