CNE report on rise-rationale of infusion standards for excellence

Vijayakumari. D1*, Shalini H S2

1Nurse Educator, Kauvery Hospital, Electronic city, Bengaluru

2CNO, Kauvery Hospital, Electronic city, Bengaluru

*Correspondence

Introduction

The RISE (Rationale of Infusion Standards for Excellence) workshop was conducted with the objective of strengthening nursing competency and promoting excellence in infusion therapy through evidence-based clinical practices. Vascular access management is an essential component of patient care, requiring sound clinical knowledge, technical proficiency, strict adherence to aseptic principles, and continuous assessment to prevent complications. The workshop focused on enhancing nurses understanding of peripheral and central vascular access device insertion, maintenance, and care with particular emphasis on infection prevention, patient safety, standardization of clinical practices, and improved patient outcomes. The program also highlighted the importance of translating theoretical knowledge into safe and effective bedside practice.

Workshop proceedings and topics covered

The workshop commenced with an overview of infusion therapy standards and their significance in delivering safe, effective, and quality patient care. The sessions emphasized that appropriate vascular access selection, proper insertion technique, meticulous maintenance, and timely identification of complications are fundamental to preventing avoidable harm and ensuring optimal therapeutic outcomes. Participants were encouraged to follow evidence-based guidelines and institutional protocols consistently while maintaining patient comfort, dignity, and safety throughout the infusion process.

Peripheral intravenous (IV) line insertion

The session on peripheral intravenous (IV) line insertion covered the indications for vascular access, patient assessment, appropriate site and catheter selection, patient preparation, hand hygiene, skin antisepsis, and aseptic non-touch technique. Emphasis was placed on maintaining asepsis throughout the procedure, ensuring appropriate catheter stabilization, securing the insertion site, and documenting the procedure accurately. The importance of selecting the most appropriate vascular access device based on the prescribed therapy, expected duration of treatment, and individual patient needs was highlighted to minimize insertion-related complications and improve patient experience.

Peripheral IV-line maintenance and care

The session on peripheral IV line maintenance and care focused on the importance of regular assessment and ongoing monitoring of the insertion site and the patient’s response to infusion therapy. Participants reviewed the early identification of complications such as phlebitis, infiltration, extravasation, catheter occlusion, and local infection. Proper dressing management, disinfection of access points, appropriate flushing according to institutional protocols, securement of the catheter, and timely removal of unnecessary or malfunctioning devices were emphasized. The session reinforced that peripheral IV care is not limited to insertion but requires continuous vigilance, sound clinical judgment, and prompt intervention to prevent complications and ensure uninterrupted, safe treatment.

Central venous access device (CVAD) insertion

The session on Central Venous Access Device (CVAD) insertion provided an overview of the indications, types, and clinical applications of central lines. Key aspects included patient preparation, appropriate site selection, maximal sterile barrier precautions, skin antisepsis, maintenance of aseptic technique, and confirmation of catheter tip position in accordance with the device type and institutional protocol before use. The discussion highlighted the importance of adhering to standardized insertion practices and using appropriate safety measures to minimize mechanical complications and reduce the risk of Central Line-Associated Bloodstream Infections (CLABSI). The role of trained healthcare professionals, standardized insertion protocols, and accurate documentation in ensuring safe central line placement was also emphasized.

Central line maintenance and care

The session on central line maintenance and care highlighted the critical role of nursing professionals in preventing catheter-related bloodstream infections and maintaining device patency. Participants reviewed essential practices, including hand hygiene before and after line handling, aseptic access, appropriate dressing care, disinfection of needleless connectors before each access, and flushing and locking according to device-specific protocols. Regular assessment of the insertion site, catheter function, and signs of infection or other complications was reinforced. The importance of reviewing the ongoing need for central venous access daily and ensuring timely removal when the device is no longer clinically indicated was also discussed. These practices were emphasized as essential components of an effective infection prevention strategy and a strong patient safety culture.

The hands-on training session provided an opportunity for participants to reinforce their learning through demonstrations and practical engagement at the peripheral and central line workstations. The session focused on the correct handling of vascular access devices, application of aseptic techniques, insertion-related precautions, maintenance procedures, and prevention of common complications. Practical demonstrations helped connect theoretical concepts with clinical responsibilities and reinforced the importance of consistency, precision, and accountability in everyday nursing practice.

Outcomes of the workshop

The RISE workshop strengthened participant’s awareness of the importance of standardized, evidence-based practices in infusion therapy and vascular access management. Participants enhanced their understanding of the principles of peripheral IV and central line insertion, appropriate site and device selection, aseptic non-touch technique, catheter securement, dressing management, and ongoing assessment of vascular access devices. The sessions reinforced the importance of early identification of complications, including phlebitis, infiltration, extravasation, catheter occlusion, and catheter-related bloodstream infections, along with timely intervention and accurate documentation. The hands-on demonstrations further supported the translation of theoretical knowledge into practical clinical application. The workshop also emphasized adherence to institutional protocols, accountability in nursing practice, and the importance of continuous competency development. Overall, the program reinforced a culture of patient safety, infection prevention, clinical excellence, and quality improvement, with the ultimate goal of reducing preventable complications and improving patient outcomes through safe and effective infusion therapy.

Conclusion

The RISE workshop served as a valuable learning initiative to strengthen nursing practice in peripheral and central vascular access management. By combining clinical discussions with hands-on demonstrations, the program reinforced the importance of safe insertion, meticulous maintenance, infection prevention, and early recognition of complications. The knowledge and skills emphasized during the workshop can support the consistent application of evidence-based infusion standards, reduce the risk of catheter-related complications, and enhance the overall quality of patient care. Ultimately, the workshop reaffirmed that excellence in infusion therapy is achieved not merely by performing a procedure correctly, but by maintaining vigilance, preventing harm, and placing patient safety at the centre of every clinical decision

Workshop Details

Date: 16 September 2026

Time: 10:00 AM – 04:00 PM

Venue: 5th Floor Training Hall, Kauvery Hospital

Organized by: Nursing Education Department, Kauvery Hospital Workshop Theme: Advancing Infusion Practice, Elevating Standards

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