HOw to order vap services

Follow Steps Below

1. If you have an order, or anticipate needing a PICC, Midline, or other vascular access device, please call 1-855-742-2827 opt 1 for the nurse on call. We have phone coverage and service available 24/7 to help with any vascular access related questions or concerns.

2. Download, complete and fax 
ORDER SET and CONSENT FORM

 
to Vascular Access Plus at
1-402-298-5044.
We will also accept a faxed copy of
the physician order from the paper
chart or EMR. 

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Due to the range of travel for our nurses we will require that the consent is being completed

prior to arrival to avoid cancellations.  The Patient or POA are required to give consent.  If

neither can provide consent Emergent Consent can be provided per facility policy by the

ordering or on duty physician or provider at the facility. Our nurses are more than willing to

discuss the procedure with the patient and family on arrival or if needed via phone call prior to

arrival if there are significant concerns.   Consent is only required for new PICC line placements.