Establishing a Nurse-Led Central Venous Catheter Insertion Service |
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| Authors: | Evan Alexandrou Tim Spencer Steven A. Frost Michael Parr M. Davidson Ken M. Hillman |
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| Affiliation: | 1. Department of Cardiology and Cardiovascular Epidemiology Research Unit, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass;2. Department of Epidemiology, Harvard School of Public Health, Boston, Mass;3. Department of Cardiology, Royal North Shore Hospital, Sydney, Australia;4. InfraReDx, Burlington, Mass;1. Department of Cardiothoracic and Vascular Sciences, Second Division of Internal Medicine and Thromboembolism Unit, University Hospital of Padua, 35128 Padua, Italy;1. School of Energy and Power Engineering, Beihang University, Beijing 100191, China;2. Institute of High Energy Physics, Chinese Academy of Sciences, Beijing 100049, China;3. Institute of Plasma Physics, Chinese Academy of Sciences, Hefei 230031, China;1. Division of Critical Care, University of Ottawa/The Ottawa Hospital, Ottawa, ON, Canada;2. Division of Pulmonary, Critical Care, and Sleep Medicine, Northwell Hofstra North Shore—LIJ School of Medicine, Hempstead, NY |
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| 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 feasibility 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 organizational efficiencies and provided an infrastructure for support of best practice. The support of senior management and medical practitioners was crucial to the successful implementation of this model of care. |
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