--- title: "2017 Practicum" description: "The Vascular Access Society of the Americas (VASA) is a multidisciplinary organization dedicated to enhancing dialysis access care through education, research, and advocacy. Join VASA for expert-led events, access the Journal of Vascular Access, and connect with professionals committed to advancing" url: "https://vasamd.org/events/practicum/2017" date: "2026-06-13T05:01:54+00:00" language: "en-GB" --- # 2017 Practicum ![](https://vasamd.org/_resources/images/practicum/2017/banner.jpg)The VASA Practicum provides a rare opportunity for healthcare professionals to have “hands-on” experience with surgical and interventional procedures for creating & maintaining vascular access for hemodialysis. **Course Objectives** This course is designed for all transplant, vascular and general surgeons, nephrologists, interventional radiologists, nurses, and dialysis technicians who are interested in the management of vascular access. At the conclusion of this seminar, attendees should be able to: - Observe and perform vascular access procedures in a live animal laboratory. - Receive expert instruction in surgical and interventional hemodialysis access procedures. - Attend didactic presentations, workshops, and one-on-one discussions led by nationally recognized faculty. - Gain experience using ultrasound for evaluation of hemodialysis fistulas and grafts. **Learning and Performance Objectives** The primary purpose of the activity is to provide current information in regards to evaluation, pre-operative, intra-operative, immediate and long-term post-operative management of patients needing vascular access. At the conclusion of the educational activity the participant should be able to: - Define the problems and risks associated with dialysis access in end stage renal disease patients - Assess and plan for an optimal dialysis access for end stage renal disease patient - Interpret the surgical and medical decision making process of access placement - Discuss various techniques available for peritoneal dialysis catheter placement - Discuss vascular access planning for end stage renal disease patient - Discuss the principles of surgical procedures used to create vascular access - Define the characteristics of a ‘mature vascular access’ - Discuss the principles and practice of physical examination to evaluate a vascular access - Describe surgical and radiological procedures used as maturation assist - Recognize long-term problems associated with vascular and discuss the various radiological and surgical methods to correct term - Identify the common vascular and endovascular techniques used in vascular access and use them to optimize patient care - Discuss the role of catheter dialysis, safe catheter placement technique, catheter complications and need for catheter reduction program - Describe new surgical and interventional approaches, new technologies available and new technologies in development **Nursing Activity Objectives** - Define the problems and risks associated with dialysis access in end stage renal disease patients - Assess and plan for an optimal dialysis access for end stage renal disease patient - Describe vein preservation strategy and techniques - Discuss the principles of surgical procedures used to create vascular access - Define the characteristics of a ‘mature vascular access’ - Discuss the principles and practice of physical examination to evaluate a vascular access - Describe the hemodialysis machine and significance of various alarms - Discuss various dialysis access cannulation techniques - Describe the buttonhole technique - Discuss the role of catheter dialysis, safe catheter placement technique, catheter complications and need for catheter reduction program - Discuss catheter care techniques - Able to communicate the access associated problem with the access care provider (interventionalist or surgeon) | THURSDAY, MAY 18, 2017 | |---| | **07:00 PM - 09:00 PM** | Registration \| Welcome Reception | | FRIDAY, MAY 19, 2017 | |---| | **06:30 AM - 07:00 AM** | Registration \| Continental Breakfast | | **07:00 AM - 07:30 AM** | Welcome & Introductions | | PHYSICIAN ACTIVITY CONCURRENTS | | **08:00 AM - 10:00 AM** SESSION I | Procedural experience This activity allows live viewing of surgical and interventional procedures related to vascular access and interact with operating surgeons and interventionalist performing them. --- Vivarium experience Attendees (surgeons and Interventionalist) spend time in the Vivarium with faculty honing and perfecting vascular access related surgical and interventional techniques. Explore the human cadaver limb and work in animal lab with hands on and image guided techniques related to AVF and AVG placement and interventions. --- Ultrasound and simulation experience Attendees (physicians and surgeons) will learn the technioques of using the Ultra Sound in the field of vascular access. This includes, but not limited to, vessel mapping, AVG and AVF maturation evaluation, access monitoring and evaluation of access complications in patient volunteers. | | ALLIED HEALTH ACTIVITY CONCURRENTS | | **08:00 AM - 10:00 AM** SESSION I | Procedural experience This activity allows live viewing of surgical and interventional procedures related to vascular access and interact with operating surgeons and interventionalist performing them. --- Access anatomy, US monitoring and Cannulation experience Hands on experience with AVF fistula cannulation with state of the art simulators. Learn different cannulation techniques including the button hole cannulation. Realtime ultrasonography and sonographic guidance for cannulation real time patient evaluation to save the vein and access monitoring. --- Dialysis clinic experience Learn to trouble shoot problems experienced in the dialysis setup and delivery. A simple one minute access check to complex issues with dialysis machines. pump speeds, pressures, access flow, cardiac output monitors, recirculation and access surveillance. Includes trouble shooting with hemodialysis machines and catheters and peritoneal dialysis. | | **10:00 AM - 10:30 AM** | Break \| Exhibits | | PHYSICIAN ACTIVITY CONCURRENTS | | **10:30 AM - 12:30 PM** SESSION II | Procedural experience This activity allows live viewing of surgical and interventional procedures related to vascular access and interact with operating surgeons and interventionalist performing them. --- Vivarium experience Attendees (surgeons and Interventionalist) spend time in the Vivarium with faculty honing and perfecting vascular access related surgical and interventional techniques. Explore the human cadaver limb and work in animal lab with hands on and image guided techniques related to AVF and AVG placement and interventions. --- Ultrasound and simulation experience Attendees (physicians and surgeons) will learn the technioques of using the Ultra Sound in the field of vascular access. This includes, but not limited to, vessel mapping, AVG and AVF maturation evaluation, access monitoring and evaluation of access complications in patient volunteers. | | ALLIED HEALTH ACTIVITY CONCURRENTS | | **10:30 AM - 12:30 PM** SESSION II | Procedural experience This activity allows live viewing of surgical and interventional procedures related to vascular access and interact with operating surgeons and interventionalist performing them. --- Access anatomy, US monitoring and Cannulation experience Hands on experience with AVF fistula cannulation with state of the art simulators. Learn different cannulation techniques including the button hole cannulation. Realtime ultrasonography and sonographic guidance for cannulation real time patient evaluation to save the vein and access monitoring. --- Dialysis clinic experience Learn to trouble shoot problems experienced in the dialysis setup and delivery. A simple one minute access check to complex issues with dialysis machines. pump speeds, pressures, access flow, cardiac output monitors, recirculation and access surveillance. Includes trouble shooting with hemodialysis machines and catheters and peritoneal dialysis. | | **12:30 PM - 01:00 PM** | Boxed Lunch | | PHYSICIAN ACTIVITY CONCURRENTS | | **01:00 PM - 03:00 PM** SESSION III | Procedural experience This activity allows live viewing of surgical and interventional procedures related to vascular access and interact with operating surgeons and interventionalist performing them. --- Vivarium experience Attendees (surgeons and Interventionalist) spend time in the Vivarium with faculty honing and perfecting vascular access related surgical and interventional techniques. Explore the human cadaver limb and work in animal lab with hands on and image guided techniques related to AVF and AVG placement and interventions. --- Ultrasound and simulation experience Attendees (physicians and surgeons) will learn the technioques of using the Ultra Sound in the field of vascular access. This includes, but not limited to, vessel mapping, AVG and AVF maturation evaluation, access monitoring and evaluation of access complications in patient volunteers. | | ALLIED HEALTH ACTIVITY CONCURRENTS | | **01:00 PM - 03:00 PM** SESSION III | Procedural experience This activity allows live viewing of surgical and interventional procedures related to vascular access and interact with operating surgeons and interventionalist performing them. --- Access anatomy, US monitoring and Cannulation experience Hands on experience with AVF fistula cannulation with state of the art simulators. Learn different cannulation techniques including the button hole cannulation. Realtime ultrasonography and sonographic guidance for cannulation real time patient evaluation to save the vein and access monitoring. --- Dialysis clinic experience Learn to trouble shoot problems experienced in the dialysis setup and delivery. A simple one minute access check to complex issues with dialysis machines. pump speeds, pressures, access flow, cardiac output monitors, recirculation and access surveillance. Includes trouble shooting with hemodialysis machines and catheters and peritoneal dialysis. | | **03:00 PM - 03:30 PM** | Refreshment Break & Exhibitis | | **03:30 PM - 04:30 PM** | Vascular Access Clinic This session will broadcast an access clinic with clinical evaluations of new and established patients, with panel discussion. | | SATURDAY, MAY 20, 2017 | |---| | **07:00 AM - 08:00 AM** | Continental Breakfast | | **07:30 AM - 08:00 AM** | Continental Breakfast | | **08:30 AM - 10:00 AM** | General Sessions I - Tailoring dialysis treatments to patient needs Speaker: Brent Miller, MD - Functional vascular access Speaker: Monnie Wasse, MD - Vascular access evaluation Speaker: John Lucas, MD - Central venography Speaker: John Aruny, MD - AVF creation – SLOT technique Speaker: Jaime Velez, MD - AV graft placement Speaker: David Leeser, MD - AVG - the ‘super Hero’ Speaker: Stephen Hohmann, MD, FACS - PD catheter placement Speaker: Ingemar Davidson, MD Moderators: Jack Work, MD; Yael Vin, MD, MPH | | **10:00 AM - 10:30 AM** | Break | | **10:30 AM - 12:00 PM** | General Sessions II - Management of deep outflow veins Speaker: Jason Wellen, MD - Surgical techniques for AV access salvage Speaker: Eric Peden, MD - Aneurysm repair Speaker: Surendra Shenoy, MD, PhD - Managing steal a flow based algorithm Speaker: William Jennings, MD - Flow reduction with banding Speaker: Yael Vin, MD, MPH - Cannulation techniques Speaker: Cheryl Cress, RN - TDC: how do they differ Speaker: Dirk Hentschel, MD - Thoracic outlet obstruction 1st rib resection Speaker: Robert Thompson, MD, FACS Moderators: Karl Illig, MD, FACS; Aris Urbanes, MD | | **12:00 PM - 01:00 PM** | Boxed Lunch | | **01:00 PM - 02:00 PM** | General Sessions III - Percutaneous AV access creation and results of NEAT trial Speaker: Charmaine Lok, MD - Sirolimus wrap for AVF technique and early clinical outcome Speaker: Sriram Iyer, MD - Human bioengineered AV grafts – what do we know Speaker: Jeff Lawson, MD, PhD - Balloon angioplasty Speaker: Jeffrey Hoggard, MD, FACP, FASN, FASDIN - Stent graft placement – Indications and technique Speaker: Dirk Hentschel, MD - Hybrid graft placement – How I do it Speaker: David Leeser, MD Moderator: Larry Scher, MD | | PHYSICIAN ACTIVITY | | **02:00 PM - 02:30 PM** | General Sessions IV - ESRD Seamless Care Organization (ESCO) what it means for vascular access Speaker: Aris Urbanes, MD - Review of major changes in HDA coding for 2017 Speaker: Gerald Beathard, MD, PhD - Health economics and early cannulation grafts Speaker: Marc Glickman, MD | | ALLIED HEALTH ACTIVITY | | **02:00 PM - 02:30 PM** | General Sessions IV - Acute Kidney Care and the vascular access challenges Speaker: Janet Holland, RN, CNN - AVF Maturing and AVG healing - FF tools Speaker: Deborah Brouwer Meir, RN, CNN - Now that you have access flow measurements from the surveillance, how do you identify the patients at risk of high cardiac output failure and how to manage? Speaker: Monnie Wasse, MD | | **02:30 PM - 03:00 PM** | Break | | PHYSICIAN ACTIVITY | | **03:00 PM - 04:30 PM** | General Sessions V - Case presentations and discussion | | ALLIED HEALTH ACTIVITY | | **03:00 PM - 04:30 PM** | General Sessions V - ESRD Network – QIP for vascular access Speaker: Sharlyn Bogner, MSN, RN, CNN, CCTC, CPHQ - ESRD Seamless Care Organization (ESCO) what it means for vascular access Speaker: Aris Urbanes, MD - Your role as a VAC- what do you need to support or advance your role - Open Discussion Speakers: Deborah Brouwer Meir, RN, CNN; Janet Holland, RN, CNN; Cheryl Cress, RN - Patient Case Review and Access Questions – Panel Discussion Speakers: Janet Holland, RN, CNN; Forest Rawls; Lisa Koester Wiedemann, NP, ANP, CNN | ## Schema ```json { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://vasamd.org" }, { "@type": "ListItem", "position": 2, "name": "Practicum", "item": "https://vasamd.org/events/practicum" }, { "@type": "ListItem", "position": 3, "name": "2017", "item": "https://vasamd.org/events/practicum/2017" } ] } ``` ```json { "@context": "https://schema.org", "@type": "Organization", "@id": "https://vasamd.org/events/practicum/2017#organization2", "name": "Vascular Access Society of the Americas", "alternateName": "Agentis", "legalName": "Agentis Management", "email": "info@vasamd.org", "url": "https://vasamd.org", "telephone": "(859) 977-7457", "foundingDate": "2004-01-01", "logo": "https://vasamd.org//images/gsd.png", "image": "https://vasamd.org//images/gsd.png", "address": { "@type": "PostalAddress", "streetAddress": "1024 Capital Center Drive, Suite 205, Frankfort, Kentucky", "postalCode": "40601" } } ``` ```json { "@context": "https://schema.org", "@type": "Article", "mainEntityOfPage": { "@type": "WebPage", "@id": "https://vasamd.org/events/practicum/2017" }, "headline": "2017 Practicum", "description": "2017 Practicum The VASA Practicum provides a rare opportunity for healthcare professionals to have “hands-on” experience with surgical and interventional procedures for creating & maintaining vascular access for hemodialysis. Course Objectives This course is designed for all transplant, vascular and general surgeons, nephrologists, interventional radiologists, nurses, and dialysis technicians who are interested in the management of vascular access. At the conclusion of this seminar, attendees should be able to: Observe and perform vascular access procedures in a live animal laboratory. Receive expert instruction in surgical and interventional hemodialysis access procedures. Attend didactic presentations, workshops, and one-on-one discussions led by nationally recognized faculty. Gain experience using ultrasound for evaluation of hemodialysis fistulas and grafts. Learning and Performance Objectives The primary purpose of the activity is to provide current information in regards to evaluation, pre-operative, intra-operative, immediate and long-term post-operative management of patients needing vascular access.At the conclusion of the educational activity the participant should be able to: Define the problems and risks associated with dialysis access in end stage renal disease patients Assess and plan for an optimal dialysis access for end stage renal disease patient Interpret the surgical and medical decision making process of access placement Discuss various techniques available for peritoneal dialysis catheter placement Discuss vascular access planning for end stage renal disease patient Discuss the principles of surgical procedures used to create vascular access Define the characteristics of a ‘mature vascular access’ Discuss the principles and practice of physical examination to evaluate a vascular access Describe surgical and radiological procedures used as maturation assist Recognize long-term problems associated with vascular and discuss the various radiological and surgical methods to correct term Identify the common vascular and endovascular techniques used in vascular access and use them to optimize patient care Discuss the role of catheter dialysis, safe catheter placement technique, catheter complications and need for catheter reduction program Describe new surgical and interventional approaches, new technologies available and new technologies in development Nursing Activity Objectives Define the problems and risks associated with dialysis access in end stage renal disease patients Assess and plan for an optimal dialysis access for end stage renal disease patient Describe vein preservation strategy and techniques Discuss the principles of surgical procedures used to create vascular access Define the characteristics of a ‘mature vascular access’ Discuss the principles and practice of physical examination to evaluate a vascular access Describe the hemodialysis machine and significance of various alarms Discuss various dialysis access cannulation techniques Describe the buttonhole technique Discuss the role of catheter dialysis, safe catheter placement technique, catheter complications and need for catheter reduction program Discuss catheter care techniques Able to communicate the access associated problem with the access care provider (interventionalist or surgeon) THURSDAY, MAY 18, 2017 07:00 PM - 09:00 PM Registration | Welcome Reception FRIDAY, MAY 19, 2017 06:30 AM - 07:00 AM Registration | Continental Breakfast 07:00 AM - 07:30 AM Welcome & Introductions PHYSICIAN ACTIVITY CONCURRENTS 08:00 AM - 10:00 AM SESSION I Procedural experience This activity allows live viewing of surgical and interventional procedures related to vascular access and interact with operating surgeons and interventionalist performing them. Vivarium experience Attendees (surgeons and Interventionalist) spend time in the Vivarium with faculty honing and perfecting vascular access related surgical and interventional techniques. Explore the human cadaver limb and work in animal lab with hands on and image guided techniques related to AVF and AVG placement and interventions. Ultrasound and simulation experience Attendees (physicians and surgeons) will learn the technioques of using the Ultra Sound in the field of vascular access. This includes, but not limited to, vessel mapping, AVG and AVF maturation evaluation, access monitoring and evaluation of access complications in patient volunteers. ALLIED HEALTH ACTIVITY CONCURRENTS 08:00 AM - 10:00 AM SESSION I Procedural experience This activity allows live viewing of surgical and interventional procedures related to vascular access and interact with operating surgeons and interventionalist performing them. Access anatomy, US monitoring and Cannulation experience Hands on experience with AVF fistula cannulation with state of the art simulators. Learn different cannulation techniques including the button hole cannulation. Realtime ultrasonography and sonographic guidance for cannulation real time patient evaluation to save the vein and access monitoring. Dialysis clinic experience Learn to trouble shoot problems experienced in the dialysis setup and delivery. A simple one minute access check to complex issues with dialysis machines. pump speeds, pressures, access flow, cardiac output monitors, recirculation and access surveillance. Includes trouble shooting with hemodialysis machines and catheters and peritoneal dialysis. 10:00 AM - 10:30 AM Break | Exhibits PHYSICIAN ACTIVITY CONCURRENTS 10:30 AM - 12:30 PM SESSION II Procedural experience This activity allows live viewing of surgical and interventional procedures related to vascular access and interact with operating surgeons and interventionalist performing them. Vivarium experience Attendees (surgeons and Interventionalist) spend time in the Vivarium with faculty honing and perfecting vascular access related surgical and interventional techniques. Explore the human cadaver limb and work in animal lab with hands on and image guided techniques related to AVF and AVG placement and interventions. Ultrasound and simulation experience Attendees (physicians and surgeons) will learn the technioques of using the Ultra Sound in the field of vascular access. This includes, but not limited to, vessel mapping, AVG and AVF maturation evaluation, access monitoring and evaluation of access complications in patient volunteers. ALLIED HEALTH ACTIVITY CONCURRENTS 10:30 AM - 12:30 PM SESSION II Procedural experience This activity allows live viewing of surgical and interventional procedures related to vascular access and interact with operating surgeons and interventionalist performing them. Access anatomy, US monitoring and Cannulation experience Hands on experience with AVF fistula cannulation with state of the art simulators. Learn different cannulation techniques including the button hole cannulation. Realtime ultrasonography and sonographic guidance for cannulation real time patient evaluation to save the vein and access monitoring. Dialysis clinic experience Learn to trouble shoot problems experienced in the dialysis setup and delivery. A simple one minute access check to complex issues with dialysis machines. pump speeds, pressures, access flow, cardiac output monitors, recirculation and access surveillance. Includes trouble shooting with hemodialysis machines and catheters and peritoneal dialysis. 12:30 PM - 01:00 PM Boxed Lunch PHYSICIAN ACTIVITY CONCURRENTS 01:00 PM - 03:00 PM SESSION III Procedural experience This activity allows live viewing of surgical and interventional procedures related to vascular access and interact with operating surgeons and interventionalist performing them. Vivarium experience Attendees (surgeons and Interventionalist) spend time in the Vivarium with faculty honing and perfecting vascular access related surgical and interventional techniques. Explore the human cadaver limb and work in animal lab with hands on and image guided techniques related to AVF and AVG placement and interventions. Ultrasound and simulation experience Attendees (physicians and surgeons) will learn the technioques of using the Ultra Sound in the field of vascular access. This includes, but not limited to, vessel mapping, AVG and AVF maturation evaluation, access monitoring and evaluation of access complications in patient volunteers. ALLIED HEALTH ACTIVITY CONCURRENTS 01:00 PM - 03:00 PM SESSION III Procedural experience This activity allows live viewing of surgical and interventional procedures related to vascular access and interact with operating surgeons and interventionalist performing them. Access anatomy, US monitoring and Cannulation experience Hands on experience with AVF fistula cannulation with state of the art simulators. Learn different cannulation techniques including the button hole cannulation. Realtime ultrasonography and sonographic guidance for cannulation real time patient evaluation to save the vein and access monitoring. Dialysis clinic experience Learn to trouble shoot problems experienced in the dialysis setup and delivery. A simple one minute access check to complex issues with dialysis machines. pump speeds, pressures, access flow, cardiac output monitors, recirculation and access surveillance. Includes trouble shooting with hemodialysis machines and catheters and peritoneal dialysis. 03:00 PM - 03:30 PM Refreshment Break & Exhibitis 03:30 PM - 04:30 PM Vascular Access Clinic This session will broadcast an access clinic with clinical evaluations of new and established patients, with panel discussion. SATURDAY, MAY 20, 2017 07:00 AM - 08:00 AM Continental Breakfast 07:30 AM - 08:00 AM Continental Breakfast 08:30 AM - 10:00 AM General Sessions I Tailoring dialysis treatments to patient needsSpeaker: Brent Miller, MD Functional vascular accessSpeaker: Monnie Wasse, MD Vascular access evaluationSpeaker: John Lucas, MD Central venographySpeaker: John Aruny, MD AVF creation – SLOT techniqueSpeaker: Jaime Velez, MD AV graft placementSpeaker: David Leeser, MD AVG - the ‘super Hero’Speaker: Stephen Hohmann, MD, FACS PD catheter placementSpeaker: Ingemar Davidson, MD Moderators: Jack Work, MD; Yael Vin, MD, MPH 10:00 AM - 10:30 AM Break 10:30 AM - 12:00 PM General Sessions II Management of deep outflow veinsSpeaker: Jason Wellen, MD Surgical techniques for AV access salvageSpeaker: Eric Peden, MD Aneurysm repairSpeaker: Surendra Shenoy, MD, PhD Managing steal a flow based algorithmSpeaker: William Jennings, MD Flow reduction with bandingSpeaker: Yael Vin, MD, MPH Cannulation techniquesSpeaker: Cheryl Cress, RN TDC: how do they differSpeaker: Dirk Hentschel, MD Thoracic outlet obstruction 1st rib resectionSpeaker: Robert Thompson, MD, FACS Moderators: Karl Illig, MD, FACS; Aris Urbanes, MD 12:00 PM - 01:00 PM Boxed Lunch 01:00 PM - 02:00 PM General Sessions III Percutaneous AV access creation and results of NEAT trialSpeaker: Charmaine Lok, MD Sirolimus wrap for AVF technique and early clinical outcomeSpeaker: Sriram Iyer, MD Human bioengineered AV grafts – what do we knowSpeaker: Jeff Lawson, MD, PhD Balloon angioplastySpeaker: Jeffrey Hoggard, MD, FACP, FASN, FASDIN Stent graft placement – Indications and techniqueSpeaker: Dirk Hentschel, MD Hybrid graft placement – How I do itSpeaker: David Leeser, MD Moderator: Larry Scher, MD PHYSICIAN ACTIVITY 02:00 PM - 02:30 PM General Sessions IV ESRD Seamless Care Organization (ESCO) what it means for vascular accessSpeaker: Aris Urbanes, MD Review of major changes in HDA coding for 2017Speaker: Gerald Beathard, MD, PhD Health economics and early cannulation graftsSpeaker: Marc Glickman, MD ALLIED HEALTH ACTIVITY 02:00 PM - 02:30 PM General Sessions IV Acute Kidney Care and the vascular access challengesSpeaker: Janet Holland, RN, CNN AVF Maturing and AVG healing - FF toolsSpeaker: Deborah Brouwer Meir, RN, CNN Now that you have access flow measurements from the surveillance, how do you identify the patients at risk of high cardiac output failure and how to manage?Speaker: Monnie Wasse, MD 02:30 PM - 03:00 PM Break PHYSICIAN ACTIVITY 03:00 PM - 04:30 PM General Sessions V Case presentations and discussion ALLIED HEALTH ACTIVITY 03:00 PM - 04:30 PM General Sessions V ESRD Network – QIP for vascular accessSpeaker: Sharlyn Bogner, MSN, RN, CNN, CCTC, CPHQ ESRD Seamless Care Organization (ESCO) what it means for vascular accessSpeaker: Aris Urbanes, MD Your role as a VAC- what do you need to support or advance your role - Open DiscussionSpeakers: Deborah Brouwer Meir, RN, CNN; Janet Holland, RN, CNN; Cheryl Cress, RN Patient Case Review and Access Questions – Panel DiscussionSpeakers: Janet Holland, RN, CNN; Forest Rawls; Lisa Koester Wiedemann, NP, ANP, CNN", "image": { "@type": "ImageObject", "url": "https://vasamd.org/" }, "publisher": { "@type": "Organization", "name": "Vascular Access Society of the Americas", "logo": { "@type": "ImageObject", "url": "https://vasamd.org//images/gsd.png" } }, "author": { "@type": "Person", "name": "Paul Scarnegie", "url": "https://vasamd.org/events/practicum/2017" }, "datePublished": "2025-06-20T21:46:40+00:00", "dateCreated": "2025-06-20T21:46:40+00:00", "dateModified": "2026-05-27T15:50:23+00:00" } ```