Registed Nurses' Association of Ontario

Vascular Access, Second Edition

Type of Guideline: 
Clinical
Publication date: 
2021
Status: 
Published
About this Guideline:

This best practice guideline (BPG) Vascular Access: Second Edition replaces the RNAO BPGs Assessment and Device Selection for Vascular Access and Care and Maintenance to Reduce Vascular Access Complications, which were released in 2004 and 2005 respectively. The purpose of this BPG is to provide nurses (nurse practitioners, registered nurses, registered practical nurses and nursing students) and the interprofessional team with evidence-based recommendations and resources related to the insertion, assessment and maintenance of vascular access devices (VADs) in the infant (0–1 year), pediatric (1–18 years) and adult populations (18 years and older). This BPG recognizes that persons with a VAD and their families are experts in their health and decision-making. Collaboration among the interprofessional team, the person receiving care and their families is therefore essential for achieving improved health outcomes. 

This BPG is applicable to all practice settings where care is provided for persons with VADs (such as, but not limited to, primary care, rehabilitation, long-term care, acute care and community care), and it is to be used for all health providers who insert, assess and/or maintain VADs (e.g., registered nurses, nurse practitioners, registered practical nurses, nursing students, physicians, medical laboratory technologists, respiratory therapists, physician assistants, paramedics and child life specialists). The recommendations focus on a variety of topics including education, vascular access specialists, peripheral VAD management, ultrasound-guided insertion, blood draws and pain management. 

Related Fact Sheets: