Martha: Vascular Access CNS

Martha is a vascular access clinical nurse specialist you can ask at the bedside. Built by Vascular Access & Consulting — a mobile team that places PICCs, midlines and ultrasound-guided IVs in skilled nursing, long-term care and home settings every day — Martha answers the questions nurses actually face, grounded in the published standards and cited. ASK HER ANYTHING VASCULAR • Device selection: midline vs PICC vs peripheral IV, and why • Medication compatibility: pH, osmolarity, vesicant status • Occlusions, resistance, no blood return — what to do and what never to do • CLABSI prevention, hub scrub, dressing changes, ANTT • PICC in CKD: eGFR, vein preservation, KDOQI and Fistula First • MAGIC criteria and where the evidence has moved since 2015 • Scope-of-practice questions (RN vs LPN/LVN) — and when to check your state act GROUNDED, NOT GENERIC Martha's answers draw on the INS Infusion Therapy Standards of Practice (9th ed., 2024), MAGIC, CDC CLABSI-prevention guidance, NKF KDOQI, and the contemporary midline literature — with the citation, so you can look it up and bring it to your team. BUILT FOR A NURSE WORKING ALONE Lead with the answer, then the "why." Practical steps you can act on now, clear flags when something is unsafe, and a plain "stop and call the provider" when that is the right move. PRIVATE BY DESIGN No account. No sign-in. Your questions and Martha's answers are stored only on your device. We never store chat transcripts on our servers. Do not enter patient identifiers or PHI. FREE TO TRY Ask 3 questions free. Then subscribe for unlimited access: $24.99/month or $199.99/year, billed through your Apple ID. Cancel anytime in Settings. Martha provides educational information for licensed clinicians and students. She is not a substitute for clinical judgment, a provider's orders, or your facility's policies, which always control. Terms of Use: https://vaceducation.com/martha/terms Privacy Policy: https://vaceducation.com/martha/privacy