Learning Center
Vascular Access Device Complications
Selection of the best vascular access option for an individual patient is based in part on the risk of complications present in their vascular health and their particular infusion needs. Every vascular access device carries some risk to patient safety. To better understand and mitigate those risks, there has been a dramatic increase in vascular access-related research. This session will review four catheter-associated complications included in the 2021 Infusion Therapy Standards of Practice: venous thrombosis, extravasation, bloodstream infection, and skin injury. For each of these complications, presenters will give a concise review of the incidence, assessment parameters, new evidence-based recommendations, and directions for future research.
Learning Objectives:
At the conclusion of the session, participants will be able to:
1. Describe at least one assessment parameter that may indicate each of the four complications reviewed.
2. Identify at least one new evidence-based recommendation for each of the four complications reviewed.
Lisa Gorski, MS, RN, HHCNS-BC, CRNI®, FAAN
Clinical Nurse Specialist/Consultant
Lisa A Gorski Consulting LLC/Compassus
Lisa Gorski, MS, RN, HHCNS-BC, CRNI®, FAAN, has worked for more than 40 years as a clinical nurse specialist (CNS) and educator for Wheaton Franciscan Home Health and Hospice, which is now Ascension at Home. As a CNS, she developed a home infusion therapy program in collaboration with the pharmacy and continues to provide infusion-related education for home care nurses as well as direct patient care.
Ms Gorski received both her bachelor’s and master’s degrees from the University of Wisconsin-Milwaukee College of Nursing. She is the author of several books and more than 70 book chapters and journal articles. She is an INS past president (2007-2008), past Chair of the Infusion Nurses Certification Corporation (INCC) Board of Directors and has served as the chair of the INS Infusion Therapy Standards of Practice Committee for the 2011, 2016, and 2021 editions, Co-Chair for the 2024 Standards, and participated in the 2027 Standards as a committee member. Ms Gorski was also the Chair for the 2017 and 2024 INS Vesicant Task Force. She was inducted as a fellow into the American Academy of Nursing in 2006, named the CRNI of the year by INCC, and named 2011 CNS of the Year by the National Association of Clinical Nurse Specialists. Ms Gorski speaks nationally and internationally on standards development, infusion therapy/vascular access, and home health care. Over the years, she has addressed the standards in multiple presentations in the United States, China, Europe, and Middle Eastern African and Latin American countries.
Barb Nickel, APRN-CNS, CCRN, CRNI®
Clinical Nurse Specialist
CommonSpirit Health
Barb Nickel, APRN-CNS, CCRN, CRNI® is a Clinical Nurse Specialist at a large health care system in the United States, responsible for staff development and process improvement to optimize outcomes in multiple areas of clinical practice, including critical care, infusion therapy, sepsis, and new graduate transition to practice. Ms Nickel has presented nationally and internationally and published in several peer-review journals on infusion-related topics. She was the chair of the 2024 INS Infusion Therapy Standards of Practice Committee, and is now chair of the 2027 Standards Committee. She also serves as Adjunct Research Fellow for Griffith University, Queensland, Australia.

