Registered Nurses' Association of Ontario

Nursing Best Practice Guidelines

  • Vascular Access Devices (VADs) are a common and important part of clinical practice for the administration of parenteral fluids, nutrients, medications and blood products.
  • VADs provide a route to monitor the hemodynamic status of a client.
  • Over the last two decades VAD technology has advanced and new treatment regimens have emerged.
  • The desired clinical goal is positive client outcomes as evidenced by completion of therapy, absence of complications and client satisfaction with care delivery.
  • Nurses practicing vascular access care require the knowledge, skill, and judgment to manage VADs
  • If complications develop, nurses must recognize, report, and intervene appropriately for positive client outcomes.
  • Nurses with additional education and clinical expertise in infusion therapy serve as clinical champions and advocates.