The Emergency Nurses Association (ENA), Infusion Nurses Society (INS), American Heart Association, American College of Emergency Physicians, American College of Surgeons, European Resuscitation Council, the National Association of Emergency Medical Services Physicians, American Association of Critical-Care Nurses, and many other authoritative bodies recommend intraosseous vascular access devices as an option to reduce the time to first drug and fluid administration in resuscitation situations. This joint position statement by INS and ENA updates and replaces the supported 2019 INS Position Paper, The Role of the Registered Nurse in the Insertion of Intraosseous Access Devices. [Approved December 2024]

As the result of requests from several state boards of nursing, INS convened a task force to determine if insertion of central vascular access devices by appropriately trained registered nurses (RNs) should be recommended. The task force consisted of RNs and advanced practice registered nurses with infusion therapy experience in various practice settings. The results are presented in the following INS position paper. [Approved September 2017]