Learning Center
VAD Planning and Site Selection to Reduce Extravasation Risk
Optimal vascular access device (VAD) planning and site selection are critical aspects of extravasation risk reduction. The push to reduce central vascular access device (CVAD) utilization rates and related serious complications has resulted in an increased use of peripheral administration of medications that have historically been reserved for CVADs. Unfortunately, this shift increases extravasation risk due to the limitations of peripheral VADs. It is critical that the clinician tailor VAD planning and site selection to the specific patient and infusate risks in a given clinical setting. This presentation will compare and contrast extravasation risks with central versus peripheral delivery, describe risk reduction strategies in peripheral VAD placement and management, and explore the risks specific to the midline peripheral catheter.
Learning Objectives: At the conclusion of this session, learners will be able to:
· Describe characteristics of peripherally compatible solutions.
· Discuss strategies to reduce extravasation risk with central versus peripheral VADs.
· Discuss extravasation risk reduction with the midline peripheral catheter.
Barb Nickel, APRN-CNS, CCRN, CRNI®
Barb Nickel, APRN-CNS, CCRN, CRNI®, is a Clinical Nurse Specialist, specializing in critical care and vascular access. Her role includes staff development, quality improvement, and clinical consultation. She has presented nationally and published on infusion therapy. She was chair of the 2024 INS Standards of Practice Committee and is chair of the newly forming 2027 Standards of Practice Committee.
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