Objective: Describe the clinical, financial, and professional gains of transforming a traditional IV Team into a Vascular Resource Team that mentors staff nurses in performing high-quality, evidence-based vascular access care.
Methods: The IV team nurse position description was revised to reflect the changing role; from IV inserter to vascular access educator. The Vascular Resource Team staffing was reallocated leading to a workforce reduction of two fulltime equivalents (FTE). Bedside nurses were educated by the vascular educators in peripheral IV insertion and central line maintenance techniques and supported with regular bedside feedback of outcome / audit data.
Results: Before restructuring the IV team, CLABSI rates in the medical-surgical units exceeded 6 per 1,000 line days. Since the inception of the Vascular Resource Team model, CLABSI rates have remained consistently under 2 per 1,000 line days. The overall hospital rate (critical care and medical surgical units combined) was greater than 4 per 1,000 line days; reduced to less than 2 per 1,000 line days. In addition, compliance with central line dressing changes rose from 68% to more than 90%. Conclusions: Transforming the IV team into a Vascular Resource Team that specializes in vascular education has reduced infection rates and cut cost. The redesign has increased job satisfaction for the Vascular Resource Team and the bedside nurses. This transformation is truly a best practice in vascular access care.