Vol. 3 No. 2 (2024): evolution of vascular access
Articles

Advancing Vascular Access Services through Education, Consensus, and Clear Role Definitions

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  • Timothy R. Spencer
Timothy R. Spencer
President of World Congress on Vascular Access (WoCoVA), United States of America
Bio
DOI: https://doi.org/10.36253/if-2783

Published 2024-06-01

Keywords

  • Education,
  • Training,
  • Competency,
  • Vascular Access Team,
  • Outcomes,
  • Healthcare
    • ...More
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Copyright (c) 2024 Timothy R. Spencer

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Vascular Access is a critical component of modern healthcare, underpinning a myriad of medical procedures from administering intravenous medications and fluids to enabling hemodialysis, nutritional support and other complex parenteral therapies. Despite its significance, the realm of vascular access suffers from a lack of standardized educational programs and ambiguous role definitions, leading to suboptimal patient outcomes and increased healthcare costs. This brief editorial explores the pressing need for official educational programs in vascular access and advocates for clearer role definitions and accountabilities while fostering a collaborative interdisciplinary environment.

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References

  1. Nickel B, Gorski L, Kleidon T, Kyes A, DeVries M, Keogh S, et al. Infusion therapy standards of practice. J Infus Nurs. 2024; S1-285.
  2. Spencer TR, Bardin-Spencer A. Central venous access device insertion by qualified vascular access specialists or other applicable healthcare clinicians. Journal of the Association for Vascular Access. 2020 Mar; 25:52-5.
  3. Morrow S, DeBoer E, Potter C, Gala S, Alsbrooks K. Vascular access teams: a global outlook on challenges, benefits, opportunities, and future perspectives. Journal of the Association for Vascular Access. 27:8-18.
  4. Carr PJ, Moureau NL. Specialized vascular access teams. Vessel health and preservation: the right approach for vascular access. 2019:59-65.
  5. Quinn M, Horowitz JK, Krein SL, Gaston A, Ullman A, Chopra V. The role of hospital‐based vascular access teams and implications for patient safety: A multi‐methods study. J Hosp Med. 2024; 19:13-23.
  6. Cortes Rey N, Pinelli F, van Loon FH, Caguioa J, Munoz Mozas G, Piriou V, Teichgräber U, Lepelletier D, Mussa B. The state of vascular access teams: results of a European survey. Int J Clin Pract Suppl. 2021; 75:e14849.
  7. Raynak A, Wood B. The Clinical Nurse Specialist Role and its Relevance to Vascular Access: A Canadian Perspective. Journal of the Association for Vascular Access. 2021; 26:25-30.
  8. Lamperti M, Pittiruti M. Organization of a hospital-based vascular access team. In Vascular Access in Neonates and Children. 2022; (pp. 367-373). Cham: Springer International Publishing.
  9. Mussa B, Pinelli F, Cortés Rey N, Caguioa J, Van Loon FH, Munoz Mozas G, et al. Qualitative interviews and supporting evidence to identify the positive impacts of multidisciplinary vascular access teams. Hosp Pract. 2021; 49:141-50.
  10. Spencer TR, Bardin-Spencer AJ. Pre-and post-review of a standardized ultrasound-guided central venous catheterization curriculum evaluating procedural skills acquisition and clinician confidence. The Journal of Vascular Access. 2020; 440-8.
  11. Helm RE, Klausner JD, Klemperer JD, Flint LM, Huang E. Accepted but unacceptable: peripheral IV catheter failure. Journal of Infusion Nursing. 2019; 42:151-64.
  12. Alexandrou E, Spencer TR, Frost SA, Mifflin N, Davidson PM, Hillman KM. Central venous catheter placement by advanced practice nurses demonstrates low procedural complication and infection rates—a report from 13 years of service. Crit Care Med. 2014; 42:536-43.
  13. Krein SL, Harrod M, Weston LE, Garlick BR, Quinn M, Fletcher KE, Chopra V. Comparing peripherally inserted central catheter-related practices across hospitals with different insertion models: a multisite qualitative study. BMJ Qual Saf. 2021; 30:628-38.
  14. Santos-Costa P, Paiva-Santos F, Sousa LB, Bernardes RA, Ventura F, Salgueiro-Oliveira A, Parreira P, Vieira M, Graveto J. Nursing Practices and Sensitive Outcomes Related to Peripheral Intravenous Catheterization in Portugal: A Scoping Review. J Infus Nurs. 2023; 46:162-76.
  15. Heath M, Bernstein SJ, Paje D, McLaughlin E, Horowitz JK, McKenzie A, et al. Improving Appropriate Use of Peripherally Inserted Central Catheters Through a Statewide Collaborative Hospital Initiative: A Cost-Effectiveness Analysis. Jt Comm J Qual Patient Saf. 2024 Apr 10:S1553-7250(24)00102-8.
  16. Bardin-Spencer AJ. A causal-comparative examination of CLABSI, vascular access teams and hospital types (Doctoral dissertation, Grand Canyon University), 2021.