A dedicated team of nurses for vascular access management

A literature review





difficult vascular access, difficult venous access, nurse team, PICC team


Difficult vascular access occurs in 30% of patients requiring vascular access. It is a clinical condition that results in multiple attempts to cannulate the vein. It is managed by a dedicated team of nurses with advanced skills in peripheral venous access (PVA), PICC and Midline implantation using ultrasound technique.

To perform a literature review investigating outcomes and benefits of management of these patients by a nursing team with advanced skills in vascular access.

The PubMed, CINAHL, EMBASE, Cochrane Library, ILISI and Web of Science databases and the official websites of the INS and GAVeCeLT were consulted.

Seven studies were included. The team consisted of an average of 15 nurses and 4 medical specialists. It emerges a success rate of the procedure at the first attempt of 88-100% and a reduction of 90% and 70% of the rates of CLABSI and catheter-related infections. On average 44.1% of the devices were removed by the end of the treatment. Waiting time for a suitable device was reduced by 80%. The average satisfaction rate was 88.23% (average score recorded 8.56/10) and an average of 2.85/10 for perceived pain. Companies reported an average reduction of 261,358.27 euros/year in business expenses.

A dedicated team for difficult vascular access represents a fundamental resource for the delivery of quality care through timely management, reduction of complication rates, optimization of care timing and expenses.


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How to Cite

Cerardi, I., & Gadda , G. (2022). A dedicated team of nurses for vascular access management : A literature review. Dissertation Nursing, 1(1), 87–106. https://doi.org/10.54103/dn/17763