Implementation of a vascular access team to reduce central line usage and prevent central line-associated bloodstream infections
Abstract
Central line-associated bloodstream infections (CLABSIs) account for one-third of all hospital-acquired infections and can cost the health care system between $21,000 and $100,000 per infection. A dedicated vascular access team (VAT) can help develop, implement, and standardize policies and procedures for central line usage that address insertion, maintenance, and removal as well as educate nursing staff and physicians. This article presents how 1 hospital developed a VAT and implemented evidence-based guidelines. Central line utilization decreased by 45.2%, and CLABSI incidence decreased by 90%. The results of the study demonstrated that a reduced utilization of central lines minimized the risk of patients developing a CLABSI.
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The establishment of a vascular access monitoring team is an effective measure to reduce vascular access-related complications.
“The establishment of a vascular access monitoring team is an effective measure to reduce vascular access-related complications.”
From Construction of nursing-sensitive quality indicators for hemodialysis vascular access: a Delphi study (2026) · cites this paper as [32]
The team is mainly composed of specialized vascular access nurses, whose core responsibilities include vascular access assessment, operation quality supervision, early identification of complications, and specialized training for nursing staff.
“The team is mainly composed of specialized vascular access nurses, whose core responsibilities include vascular access assessment, operation quality supervision, early identification of complications, and specialized training for nursing staff (32).”
From Construction of nursing-sensitive quality indicators for hemodialysis vascular access: a Delphi study (2026) · cites this paper as [32]
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Zhang, Y., He, L., Tang, S., Gao, Y., Chen, H., Shi, M., & Chen, L. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1858484
“The team is mainly composed of specialized vascular access nurses, whose core responsibilities include vascular access assessment, operation quality supervision, early identification of complications, and specialized training for nursing staff (32).”
- Authors
- Savage, T. J., Lynch, A. D., & Oddera, S. E.
- Affiliations
- Baptist Health Paducah (US)
- Venue
- Journal of Infusion Nursing
- Published
- 2019-07
- Volume
- 42
- Issue
- 4
- Pages
- 193-196
- ISSN
- 1533-1458 (ISSN-L)
- OpenAlex
- W2959314894
- Cited by
- 41
- References
- 0
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 11 · 2023: 5 · 2022: 6 · 2021: 5 · 2020: 3
- FWCI
- 5.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Infusion Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Emergency Medical Services › Central Venous Catheters and Hemodialysis
- Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Nosocomial Infections in ICU
- Keywords
- vascular access team, central line-associated bloodstream infection, evidence-based recommendations, nosocomial infections, infection control, nursing staff education
- MeSH terms
- Catheterization, Central Venous, Humans, Patient Care Team, Retrospective Studies, Bacteremia, Infection Control, Guideline Adherence, Catheter-Related Infections
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