The process of establishing vascular access involves several steps:
1. Assessment: Nurses must assess the patient's condition, vein quality, and the type of therapy required. 2. Preparation: Gather necessary equipment, maintain aseptic technique, and inform the patient about the procedure. 3. Insertion: Depending on the type of VAD, the insertion technique may vary. For peripheral IVs, identify a suitable vein, and for CVCs or PICCs, ultrasound guidance may be used. 4. Confirmation: Ensure proper placement, often confirmed by blood return or imaging techniques like X-ray.