Clinical Policies & Guidelines

Evidence-based protocols for vascular access teams. Standardized procedures built on clinical research and institutional best practices.

72 articles Updated Feb 2026
Standardize for your team

Implanted Vascular Access Ports

Establishes standards for the access, maintenance, dressing, and patient education requirements for implanted vascular access ports, including noncoring needle selection, flushing protocols, power injection verification, and ongoing device surveillance.

Filtration in Vascular Access Device Management

Establishes requirements for in-line filtration of parenteral solutions, including mandatory filters for parenteral nutrition and intraspinal infusions, filter selection principles, population-specific indications, change intervals, safety precautions, and prohibited practices.

Compounding and Preparation of Parenteral Solutions and Medications

Evidence-based standards for safe compounding and preparation of parenteral solutions and medications, covering sterile technique, pharmacy-based preparation, vial and ampoule handling, labeling requirements, and competency requirements for all clinicians involved in medication preparation.

Administration of Antineoplastic Therapy

Evidence-based standards for safe preparation, handling, and administration of antineoplastic medications including prescribing authorization, occupational safety and PPE requirements, closed system drug transfer devices, spill management, vesicant administration, and adverse reaction protocols.

Vascular Access Device Occlusion: Prevention, Assessment, and Management

Standards for preventing, assessing, and managing vascular access device occlusion, including thrombotic and chemical causes, thrombolytic therapy, and catheter clearance agents.

Biologic Therapy Administration

Evidence-based standards for safe administration of biologic therapies including colony-stimulating factors, monoclonal antibodies, immunoglobulins, and gene therapies. Covers patient assessment, care setting selection, biosimilar considerations, REMS compliance, subcutaneous immunoglobulin administration, and adverse reaction management.

Umbilical Catheter Management in Neonates

Establishes standards for umbilical arterial catheter (UAC) and umbilical venous catheter (UVC) indications, antisepsis, tip positioning, imaging confirmation, securement, complication surveillance, and removal in neonatal patients.

Flushing and Locking of Vascular Access Devices

Establishes standards and requirements for flushing and locking all vascular access devices to maintain catheter patency, prevent occlusion, reduce catheter-associated bloodstream infection risk, and ensure safe medication delivery across all device types and patient populations.

Prevention, Recognition, and Management of Vascular Access Device-Related Infections

Evidence-based standards for preventing, recognizing, and managing bloodstream infections associated with peripheral and central vascular access devices, including care bundles, diagnostic criteria, and device removal decisions.

Intraosseous Vascular Access

Evidence-based standards for the clinical evaluation, insertion, management, complication monitoring, and removal of intraosseous vascular access devices across emergent and non-emergent clinical applications in adult and pediatric patients.