INS position papers are developed in response to issues that affect the infusion community. Each paper is written by a team of clinicians with an expertise in the subject matter and approved by the INS Board of Directors.
This document highlights the notable revisions of the 2016 Infusion Therapy Standards of Practice to the current 2021 Infusion Therapy Standards of Practice. Clinicians are strongly encouraged to review the entire publication to help ensure infusion practices follow the most current evidenced-based data.
The Infusion Nurses Society asserts that a comprehensive organizational approach to vascular access device (VAD) care and management is imperative to ensure safe and efficacious patient care. It is essential that each organization (1) develops policies and procedures to align VAD care and management with recognized standards of practice; (2) integrates unique aspects of organization-selected VAD care products into policies and procedures and establishes expectations for adherence to these organizational directives; (3) develops a framework for gathering and analyzing clinical data related to patient outcomes for VAD care and management; (4) utilizes quality outcome data to facilitate evidence-based best practices within the organization; and (5) evaluates and facilitates educational programming to validate clinician competency.
In the last decade, endorsements for the use of intraosseous (IO) vascular access devices in the emergency care setting have grown. The American Heart Association (AHA), the International Committee on Resuscitation, the European Resuscitation Council, the Infusion Nurses Society (INS), the National Association of EMS Physicians, and the American Association of Critical-Care Nurses are examples of international organizations that support the insertion of IO vascular access devices to reduce the time to first drug and fluid administration during resuscitation. While peripheral venous structures remain the preferred route for vascular access, updated clinical practice recommendations and advances in available vascular access devices have supported the skill evolution for the registered nurse to include the insertion of IO vascular access devices. This joint position statement by Infusion Nurses Society and Emergency Nurses Association updates and replaces the supported 2009 INS Position Paper, The Role of the Registered Nurse in the Insertion of Intraosseous (IO) Access Devices.
As the result of requests from several state boards of nursing, INS convened a task force to determine if insertion of central vascular access devices by appropriately trained registered nurses (RNs) should be recommended. The task force consisted of RNs and advanced practice registered nurses with infusion therapy experience in various practice settings. The results are presented in the following INS position paper. (09/14/2017)
INS convened a task force of infusion therapy experts from various practice settings to review and update INS’ position on the use of unlicensed assistive personnel (UAP) in the provision of infusion therapy.
Currently, some hospitals enjoy the financial and clinical benefits of infusion nurse specialists working on infusion teams. The goal for this paper is to educate infusion nurse leaders about the process needed to make the business case for infusion teams. This information will educate nurses about how to convert the care they provide and the outcomes they produce into financial terms, a skill that is critical to enhance communication with executive officers and other decision makers within the hospital.
Infusion Teams in Acute Care Hospitals: Call for a Business Approach: An Infusion Nurses Society White Paper
The need to provide quality infusion nursing care with skilled, knowledgeable, and competent nurses is strategic and necessary for the health care organization. By minimizing liability, infusion care delivery will be enhanced through the use of infusion nurse experts. As a result, INS has developed a white paper on the use of infusion teams in acute care hospitals.
As many organizations choose to follow the Infusion Nurses Society (INS) recommendations for peripheral intravenous (IV) site rotation based on clinical indications rather than a specific time frame, INS recognizes the critical importance of site assessment to identify any signs of complications.
The Role of the Registered Nurse in Determining Distal Tip Placement of Peripherally Inserted Central Catheters by Chest Radiograph
As a leader in infusion therapy, the Infusion Nurses Society (INS) recognizes the expanding scope of practice of the licensed registered nurse in the field of infusion therapy. It is the position of INS that a qualified registered nurse may determine the distal tip placement of peripherally inserted central catheters by chest radiograph.
The Infusion Nurses Society (INS) and the Infusion Nurses Certification Corporation (INCC) developed a joint Position Paper on the Value of Certification in Infusion Nursing.
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