Training and Education

Abstract

Optimal vascular access insertion and management requires clinicians to have appropriate education and skill on the best procedural techniques or be supervised during the process of acquiring the necessary education. The second quadrant of the Vessel Health and Preservation (VHP) model requires a qualified inserter, a clinician who has undertaken a comprehensive clinical and vascular assessment and is applying the latest evidence and guidelines to select the most appropriate device for patient treatment, leading to the successful insertion of a peripheral or central VAD. Appropriate device selection and number of necessary lumens are a determination made according to lowest risk for patient insertion and potential for infection, in conjunction with the needs of the therapy. Selection of the best vascular access for the patient also requires an understanding of the most appropriate intravascular device to be used, influenced by infusate characteristics to be administered and the length of anticipated dwell, which in turn, influences the most appropriate vessel and anatomical position for device placement.

The burden of peripheral intravenous catheters in older hospital inpatients: A national cross‐sectional study part of the ONE MILLION GLOBAL PERIPHERAL INTRAVENOUS CATHETERS COLLABORATION

“…The deficits identified suggest that clinicians inserting and caring for PIVCs should be encouraged and facilitated to adopt evidence-based PIVC insertion and maintenance bundles to reduce the prevalence of PIVC complications. 21,22 The launch of the Management of Peripheral Intravenous Catheters Clinical Care Standard in May of 2021 is a promising step in the right direction. 4 It includes ten quality statements, and indicators for local monitoring, which can serve as a guide to clinicians and institutions towards improving and ensuring quality of PIVC care.…”

“…The deficits identified suggest that clinicians inserting and caring for PIVCs should be encouraged and facilitated to adopt evidence‐based PIVC insertion and maintenance bundles to reduce the prevalence of PIVC complications 21,22 4 .…”

“…Complications and difficulties associated with PIVCs among all adults are well-described. 3,21,22 In the French ADVANCED study of intravascular devices in adults within the intensive care unit, the incidence rate of complications was 60.9 per 1000 catheter days, the commonest of these being dysfunction, and this more commonly seen in PIVCs than arterial or central lines. 23 Overall failure rates of up to 50% have been described in the literature.…”