Clinical Practice

Latex Allergy and Sensitivity Management

Establishes standards for minimizing latex exposure, identifying at-risk patients and healthcare workers, managing allergic reactions, and ensuring latex-free care environments for latex-sensitive and latex-allergic individuals.

Service Delivery Models and Operational Scope

Establishes the organizational model for vascular access service delivery, defining the core service components, operational coverage requirements, consultative approach, and technology integration necessary for a comprehensive, holistic infusion therapy program across inpatient and outpatient settings.

Patient Education in Infusion Therapy

Mandates comprehensive, health-literacy-appropriate patient and caregiver education for all vascular access and infusion therapy encounters, defines the required educational content, and establishes the teach-back and return demonstration standards for verification of learning.

Informed Consent for Vascular Access Procedures

Establishes the legal, ethical, and procedural requirements for obtaining, documenting, and maintaining informed consent for vascular access procedures, including the components of the consent discussion, requirements for emergency situations, and provisions for patients who lack decision-making capacity.

Foundations of Clinical Practice and Specialized Population Management

Establishes the foundational principles governing the administration of infusion therapy and the management of vascular access devices across all specialized patient populations, including pediatric, neonatal, obstetric, and geriatric cohorts.

Evidence-Based Selection and Clinical Monitoring Standards

Mandates that all vascular access device selection, antiseptic agent selection, and infusion technology decisions be rooted in demonstrated clinical evidence and patient outcomes, and establishes the systematic clinical monitoring requirements for all vascular access devices.

Documentation in the Health Record for Vascular Access

Establishes the standards, requirements, and minimum data elements for clinical documentation of all vascular access events—from insertion through removal—in the electronic health record, including insertion documentation, ongoing assessment, medication administration, and the integration of EHR clinical decision support tools.

Vascular Access Device Insertion

Establishes standards for the safe insertion of all vascular access devices, including peripheral intravenous catheters, central venous access devices, and arterial catheters, with requirements for aseptic technique, ultrasound guidance, and complication management.

Healthcare is a Slow Moving Carcass

A candid critique of healthcare's resistance to innovation: why vascular access and clinical practice remain stuck in outdated patterns while real problems like CLABSIs persist.

Vascular Access Device Post-Insertion Care

Establishes standards for post-insertion care of all vascular access devices, including systematic assessment protocols, dressing selection and change intervals, skin antisepsis, site protection, infection prevention strategies, documentation requirements, and population-specific considerations.

Site Protection and Joint Stabilization for Vascular Access Devices

Establishes standards for protecting vascular access device insertion sites from dislodgement, patient manipulation, and environmental contamination, including joint stabilization practices and the judicious and restrained use of physical immobilization methods.

Infusion Medication and Solution Administration

Evidence-based standards for safe administration of infusion medications and solutions, covering verification requirements, clinical appropriateness review, technology integration including barcode scanning and smart pump use, vascular access patency assessment, first-dose protocols, and adverse event reporting.

Vascular Access Device Securement

Establishes requirements for the securement of all vascular access devices to prevent complications associated with dislodgement and movement at the insertion site, including acceptable securement methods, device-specific guidance, and assessment standards.

Vascular Access Device Selection and Insertion Planning

Establishes evidence-based criteria for the selection and planning of vascular access devices across all device types and patient populations, from short peripheral catheters through central venous access devices and arterial catheters.