Vascular Access Specialist Training, Experience, and Practice in the United States: Results From the National PICC1 Survey

J Infus Nurs. 2017 Jan/Feb;40(1):15-25. doi: 10.1097/NAN.0000000000000203.


Vascular access specialists are increasingly responsible for insertion and care of peripherally inserted central catheters in the United States. Despite proliferation of the specialty, little is known about the training, practice patterns, and experiences of these clinicians. In partnership with a vascular access and an infusion nursing organization, a Web-based survey of 1698 clinicians was conducted. Substantial variation in practices related to insertion, use of technology, dressing and flushing, and management of complications was observed. Some reported practices were inconsistent with available evidence-based recommendations. Therefore, opportunities to improve patient care and further explore reasons driving such variation exist and should be explored.

MeSH terms

  • Catheterization, Peripheral / methods*
  • Clinical Competence
  • Humans
  • Inservice Training*
  • Nurse Clinicians*
  • Patient Safety
  • United States