The institutional review board (IRB) of the University of Southern Indiana (USI) provided the certificate of approval for the study (ref. no. 2019-005-NH, December 3, 2018, which was shared with all participating organizations. Some organizations accepted the USI IRB approval for the respective organization, whereas others required IRB approval through their respective board.

Vascular access specialists are brought into many difficult situations that stretch their ability to provide appropriate care to patients who have complicated medical and personal histories. In the following case, a hospital was challenged to provide appropriate care while remaining responsible and compassionate throughout the duration of infusate delivery.