Vascular access in adult patients (Guidelines)

Warning

Audience

  • All NHSH
  • Secondary care only
  • Adults only

Vascular access is the most common procedure for patients in secondary care and, with recent improvement and advances in technology, the choice of devices and insertion techniques have evolved. It is the responsibility of any healthcare professional looking after a patient to consider the most appropriate means of vascular access depending on the situation and treatment plan. Important considerations in determining the appropriate vascular access device are:

  • Expected dwell time / duration of intravenous therapy
  • Type of infusate to be given (e.g. intravenous antibiotics, total parenteral nutrition, fluids)
  • Frequency of blood draws required
  • Patient preference

NHS Highland Peripheral Vascular Access group have reviewed evidence pertaining to the insertion of vascular access devices and have developed guidance in this area to support clinicians when making decisions relating to patient care and choice of device.

 

 

 

 

 

Abbreviation Meaning
ANP Advanced Nurse Practitioner
AWI Adults With Incapacity
CHG Chlorhexidine Gluconate
CT Computed Tomography
DIVA Difficult Intra-Venous Access
ID Identification
IV Intravenous
NaCl Sodium Chloride
OPAT Outpatient Parenteral Antibiotic Therapy
PICC Peripherally Inserted Central Catheter
PSI  Pounds per square inch
PVC Peripheral Vascular Cannula
TIVAD Total Implantable Venous Access Device
TPN Total Parenteral Nutrition
TKO To keep open



Editorial Information

Last reviewed: 27/02/2025

Next review date: 29/02/2028

Author(s): ANP Services.

Version: 1

Approved By: TAM Subgroup of the ADTC

Reviewer name(s): M Smith, ANP Lead, L Blaikie, CF Nurse Specialist, L Allan, Physician Associate in Respiratory Medicine.

Document Id: TAM663