Objective: To review venous anatomy and physiology, discuss assessment parameters before vascular access device (VAD) placement, and review VAD options.
Data Sources: Journal articles, personal experience.
Conclusion: A number of VAD options are available in clinical practice. Access planning should include comprehensive assessment, with attention to patient participation in the planning and selection process. Careful consideration should be given to long-term access needs and preservation of access sites.
Implications For Nursing Practice: Oncology nurses are uniquely suited to perform a key role in VAD planning and placement. With knowledge of infusion therapy, anatomy and physiology, device options, and community resources, nurses can be key leaders in preserving vascular access and improving the safety and comfort of infusion therapy.
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