
Learning Center
Vascular Access Device Management and Infusion Administration
The INS Infusion Therapy Standards of Practice provides important guidance on the maintenance of vascular access devices (VADs) to promote optimal VAD function. Once the VAD is placed, evidence-based strategies assist in safe and accurate delivery of infusates and prevention of complications such as phlebitis, catheter dislodgement, occlusion, and catheter-related bloodstream infection. This session will provide an overview of four important Standards addressing VAD management: VAD and arterial catheter securement, flushing and locking, needleless connectors, and administration of medications and solutions.
Learning Objectives: At the conclusion of this session, learners will be able to:
- Describe evidence-based strategies for arterial catheter, peripheral, and central VAD securement.
- Discuss flushing and locking techniques to promote patency and reduce infection risk.
- Describe the current evidence guiding management of needleless connectors.
- Identify strategies to provide accurate dose delivery of infusion medications and solutions.

Barb Nickel, APRN-CNS, CCRN, CRNI®
Barb Nickel, APRN-CNS, CCRN, CRNI®, is a Clinical Nurse Specialist at a health care center in Nebraska. She is responsible for staff development, competency assessment, and process improvement to optimize outcomes in multiple areas of clinical practice, including critical care, infusion therapy, sepsis, and new graduate transition to practice. Ms Nickel was a co-author of the 2021 Infusion Nurses Society Infusion Therapy Standards of Practice, was Chair of the 2024 9th edition of the INS Standards of Practice Committee and is chair of the 2027 INS Standards Committee. She has authored several publications and speaks nationally on optimization of infusion therapy outcomes. She also serves as Adjunct Research Fellow for Griffith University, Queensland, Australia.

Tricia Kleidon, MNSc, RN, BNSc
Tricia Kleidon, RN, BSc (Nursing), MNSc (Nurse Prac), PhD Cand., is a Nurse Practitioner in Paediatric Vascular Assessment and Management at Queensland Children’s Hospital and Research Fellow at University of Queensland. She is part of a dynamic clinical and research team that prides itself on achieving positive outcomes for patients and minimizing vascular access-related complications. Ms Kleidon is currently enrolled in a PhD program of research entitled “Techniques and technologies to improve PIVC [peripheral intravenous catheter] first time insertion success and reduce complications and failure.”

Samantha Keogh, PhD, BSc(hon), RN, FACN, IC Cert
Samantha Keogh is a joint professor of acute and critical care nursing with the Queensland University of Technology (QUT) and Royal Brisbane and Women’s Hospital, Australia. Samantha is also a senior researcher with QUT’s Centre for Healthcare Transformation and the Alliance for Vascular Access Teaching and Research (AVATAR). Her clinical background is in intensive care (adult and pediatric), so she understands the importance of vascular access to deliver essential medication, fluids, and blood products, as well as to facilitate vital monitoring and sampling. Samantha is a fellow of the Australian College of Nursing (ACN) plus a member of several other specialty-based colleges, societies, and networks, including the Australasian Nursing and Midwifery Clinical Trials Network (ANMCTN), a network developed to support, mentor, and accelerate growth in nursing and midwifery clinical trials capability and capacity across Australia.
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