A review of the nursing role in central venous cannulation: implications for practice policy and research

Abstract

Central vein cannulation is potentially an emerging practice area with important considerations for policy practice and research. Training specialist nurses to provide such a service may facilitate standardising of practice and improving surveillance of lines, and possibly improve the training and accreditation process for CVC insertions for junior medical officers. For this to occur, there is a need to undertake well-conducted clinical studies to clearly document the value and efficacy of this advanced practice nursing role.

Central Venous Catheter Placement by Advanced Practice Nurses Demonstrates Low Procedural Complication and Infection Rates—A Report From 13 Years of Service*

“…In particular, nurse-led CVC placement has shown improvement in organizational efficiency through earlier catheter placement and patient follow-up along with regular surveillance and consultation to clinicians on appropriateness of device selection, maintenance, and removal (19)(20)(21). In particular, nurse-led CVC placement has shown improvement in organizational efficiency through earlier catheter placement and patient follow-up along with regular surveillance and consultation to clinicians on appropriateness of device selection, maintenance, and removal (19)(20)(21).…”

Preventing contamination at the time of central venous catheter insertion: a literature review and recommendations for clinical practice

“…, Alexandrou et al . ,b). Involving senior hospital executives and ensuring clinical managers are aware of what is expected of clinicians, so monitoring of compliance is effective can help ensure these goals are achieved.…”

“…Standards for inserting central venous catheters (CVCs) are constantly evolving as new strategies and evidence about risk reduction emerge (Alexandrou et al . ,b, O'Grady et al . ).…”

Training and Education

“…Technically advanced vascular access such as central venous catheter (CVC) placement was the domain of the medical practitioner. However, clinical practice is continuously evolving; patient complexity, technology and hospital workload demands have spurred new clinical subspecialties that are changing the boundaries of traditional clinical work, where the medical practitioner is not necessarily at the centre of all clinical procedures (Dowling et al 1995;Williams et al 1997;Alexandrou et al 2010).…”