Management of the care and maintenance of vascular access devices: A challenge for nursing care

The use of vascular access devices (VADs) is highly prevalent in patients in the hospital and out-of-hospital settings. Short peripheral venous catheters (CVPCs) are the most common used devices. Use of DAVs is not without complications. The literature includes several studies on the prevalence and characteristics of VADs (location, device, fixation, etc.) in hospitalized patients, but few studies have assessed whether the status of this vascular access met the quality standard or not. Quality standards in this care can be obtained by evaluating compliance with the variables that define the adequate care and maintenance of vascular access through observation and daily monitoring of its condition and possible complications. The role of the nurse in this care is fundamental. Evaluating the management and maintenance of VADs to improve the quality of care and patient safety through training and monitoring of good practices for nursing professionals is the objective of the initiative of the nursing research group INCATIV® in the Valencian Community.

The implementation of this study has led to the evolution of the improvement of the results progressively. Ongoing training and monitoring significantly improve the quality and safety of VAD care. The success of the INCATIV® initiative in adult and paediatric populations underscores the importance of standardized practices and the critical role of nurses in the management of VADs.