Nurse-Led Central Venous Catheter Insertion

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Recommended: Role of advanced practice nurses over time

Nurse-Led Central Venous Catheter Insertion

Central venous catheters (CVC) have various uses for patients in both the inpatient and outpatient settings. Their purposes range from administration of total parenteral nutrition, to administration of vesicant medication, to providing access to patients with poor peripheral vascularity, as well as hemodynamic monitoring (Alexandrou, Spencer, Frost, Parr, Davidson, & Hillman, 2009, p. 1485). Traditionally, insertion of CVCs have been performed by surgeons and internal radiologists. However, with the advancement of roles in nursing, there has been ongoing research supporting the pro stance on the practice of nurse-led central venous catheter insertion.

Before nurses began inserting CVCs, surgeons and internal radiologists inserted CVCs either at the patient’s bedside, in the intensive care units, or in operating theatres. Insertion of CVCs moved beyond critical care units and into community settings. Nurse-led CVC insertion was introduced in the community settings in response to medical work shortages and increasing demand during the development of advanced practice nurses (Alexandrou, Spencer, Frost, Parr, Davidson, & Hillman, 2009, p. 1485-86).

Kelly, Young, & Ellis (2013) studied the perceptions of nurses who insert central venous access devices (CVAD). Their research supported nurse-led central venous insertion by concluding that the nurses experience job satisfaction and feel that their advanced roles benefit their patients’ care in a positive manner. Patients appreciate the advanced role of nurses in CVC insertion because they have the ability to combine their knowledge and skills they have acquired from medicine and apply it at the patient’s bedside while providing psycholo...

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Kelly, L.J., Young, B., & Ellis, G. (2013). The experiences of nurses who insert central venous access devices. British Journal of Nursing, 22(2), p. S4-S11).

Pinkerton, C. (2009). New technology enhances expertise of vascular access team. Canadian Nurse, 105(2), 21-22.

Walker, G., & Todd, A. (2013). Nurse-led PICC insertion: is it cost effective? British Journal Of Nursing, 22(19 Supplemet), S9-s15.

Weld, K., & Garmon Bibb, S. (2009). Concept analysis: malpractice and modern-day nursing practice. Nursing Forum, 44(1), 2-10. doi:10.1111/j.1744-6198.2009.00121.x

Yacopetti, N., Davidson, P., Blacka, J., & Spencer, T. (2013). Preventing contamination at the time of central venous catheter insertion: a literature review and recommendations for clinical practice. Journal Of Clinical Nursing, 22(5/6), 611-620. doi:10.1111/j.1365-2702.2012.04340.x

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