Infusion Nursing Foreword S1 About the Standards of Practice Committee S3 Preface S5 A Message from BD Medical S6 Acknowledgments S7 Methodology for Developing the Standards of Practice S8 Strength of the Body of Evidence S10 STANDARDS OF PRACTICE SECTION ONE: INFUSION THERAPY PRACTICE 1. Patient Care S11 2. Special Patient Populations S11 3. Scope of Practice S13 4. Infusion Team S17 5. Competency Assessment and Validation S18 6. Quality Improvement S21 7. Evidence-Based Practice and Research S24 8. Patient Education S25 9. Informed Consent S26 10. Documentation in the Medical Record S28 SECTION TWO: PATIENT AND CLINICIAN SAFETY 11. Adverse and Serious Adverse Events S31 12. Product Evaluation, Integrity, and Defect Reporting S32 13. Medication Verification S34 14. Latex Sensitivity or Allergy S35 15. Hazardous Drugs and Waste S36 SECTION THREE: INFECTION PREVENTION AND CONTROL 16. Hand Hygiene S38 17. Compounding and Preparation of Parenteral Solutions and Medications S39 18. Medical Waste and Sharps Safety S40 19. Standard Precautions S41 20. Transmission-Based Precautions S42 21. Disinfection of Durable Medical Equipment S43 SECTION FOUR: INFUSION EQUIPMENT 22. Vascular Visualization S44 23. Central Vascular Access Device (CVAD) Tip Location S46 24. Flow-Control Devices S48 25. Blood and Fluid Warming S49 SECTION FIVE: VASCULAR ACCESS DEVICE (VAD) SELECTION AND PLACEMENT 26. Vascular Access Device (VAD) Planning S51 I. Short Peripheral Catheters S51 II. Midline Catheters S52 III. Central Vascular Access Devices (CVADs) (Nontunneled, Tunneled, Implanted Ports) S52 IV. Arterial Catheters S53 27. Site Selection S54 I. Peripheral Venous Access via Short Peripheral Catheters S54 II. Peripheral Venous Access via Midline Catheters S54 III. Central Venous Access via Peripherally Inserted Central Catheters S55 IV. Central Venous Access via Nontunneled Central Vascular Access Devices (CVADs) S55 V. Central Venous Access via Tunneled Central Vascular Access Devices (CVADs) and Implanted Ports S55 VI. Peripheral Arterial Access S55 VII. External Jugular Vein Access S56 28. Implanted Vascular Access Ports S58 29. Hemodialysis Vascular Access Devices (VADs) S59 30. Umbilical Catheters S60 31. Apheresis Catheters S62 32. Local Anesthesia for Vascular Access Device (VAD) Placement and Access S63 33. Vascular Access Site Preparation and Device Placement S64 I. General S64 II. Short Peripheral and Midline Catheters S64 III. Central Vascular Access Device (CVAD) S65 IV. Arterial Catheters S66 SECTION SIX: VASCULAR ACCESS DEVICE (VAD) MANAGEMENT 34. Needleless Connectors S68 35. Filtration S70 36. Add-on Devices S71 37. Vascular Access Device (VAD) Stabilization S72 38. Joint Stabilization S74 39. Site Protection S75 Note: The “S” in page numbers denotes supplement issue and does not refer to a specifi c standard. Contents Journal of Infusion Nursing Infusion Nursing JIN-D-15-00057.indd 4 JIN-D-15-00057.indd 4 05/01/16 11:30 PM 05/01/16 11:30 PM