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    Establishing a Nurse-Led Central Venous Catheter Insertion Service

    152768_19915_Establishing a Nurse-Led Central Venous Catheter Insertion Service.pdf (537.9Kb)
    Access Status
    Open access
    Authors
    Alexandrou, Evan
    Spencer, T.
    Frost, S.
    Parr, M.
    Davidson, Patricia
    Hillman, K.
    Date
    2010
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Alexandrou, Evan and Spencer, Tim and Frost, Steven A. and Parr, Michael and Davidson, Patricia M. and Hillman, Ken M. 2010. Establishing a Nurse-Led Central Venous Catheter Insertion Service. The Journal of the Association for Vascular Access. 15 (1): pp. 21-27.
    Source Title
    The Journal of the Association for Vascular Access
    DOI
    10.2309/java.15-1-5
    ISSN
    15528855
    School
    Centre for Cardiovascular and Chronic Care
    URI
    http://hdl.handle.net/20.500.11937/6899
    Collection
    • Curtin Research Publications
    Abstract

    Background: Health care systems promote care models that deliver both safety and quality. Nurse-led vascular access teams show promise as a model to achieve hospital efficiencies and improve patient outcomes. Objectives: The aim of this paper is to discuss the process of establishing a nurse-led central venous catheter (CVC) insertion service in a university affiliated hospital using a process evaluation method. Method: Archival information, including reports, communications and minutes of departmental meetings were reviewed. Key stakeholders involved in establishing this nurse-led service at the time were interviewed. Results: A nurse-led CVC insertion service was first established in 1996 and has increased in service provision over 13 years. Initially there was scepticism from some medical practitioners about the feasilibility of a nurse performing a traditional medical procedure. The service currently provides central venous access across the hospital including critical care areas. The service places up to 500 catheters per annum. Conclusions: Establishing a nurse-led CVC insertion service has increased organisation efficiencies and provided an infrastructure for support of best practice. The support of senior management and medical practitioners was crucial to the successful implementtion of this model of care.

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