When to Consider a Midline Catheter

Recorded On: 08/23/2023

Over the last decade, infusion nurses have been increasingly challenged by patients presenting with difficult vascular access, which is often the result of age, comorbidities, or damage from previous failed vascular access devices. Selecting and inserting the right device to meet patients’ clinical needs has become more difficult, and has been worsened by complex organizational factors. Peripheral intravenous catheters (PIVCs) and peripherally inserted central catheters (PICC) continue to be the default devices chosen for short-to-moderate term peripherally compatible intravenous treatments. Although midline catheters (MCs) offer an alternate option, the uptake of this device has been limited due to a lack of clinical data supporting their use. This presentation will provide an overview of recent research involving MCs. It will include a summary of international guidelines and share the results from two recent randomised controlled trials (MCs vs PIVCs; MCs vs PICCs) conducted in Brisbane, Australia.

Learning Objectives: At the conclusion of this session, learners will be able to: 

  • Explain the complications associated with PIVCs, MCs, and PICCs.
  • Understand the different types of MCs available and how they meet clinical and organizational needs.
  • Describe the importance of MC surveillance.
  • Discuss the barriers faced by health care organizations introducing MCs.

Dr Nicole Marsh, PhD, MAdvPrac, BN

Dr. Nicole Marsh is the nursing and midwifery director of research at the Royal Brisbane and Women’s Hospital, the largest health service in Australia. Her program of research, which is underpinned by more than 100 publications, focuses on improving patient outcomes and decreasing complications associated with vascular access across the acute clinical care and community setting. She has recently quantified the international incidence of peripheral intravenous catheter failure and identified risk factors associated with this failure, and is currently leading a team who is investigating the clinical and economic benefit of different workforce models for vascular access device insertion to improve patient outcomes. In recognition of her expertise, Dr. Marsh was invited to advise on the development of the Australian Commission on Safety and Quality in Healthcare’s 2021 Peripheral Intravenous Catheter Clinical Care Standard, which all Australian hospitals are expected to use to support and monitor their clinical practice.

CRNI® RUs: This session has been approved for 2 CRNI® recertification units and meets the non INS Meeting criteria.

Contact Hours: This session has been approved for 1 contact hour

Expiration date for receipt of contact hours: August 23, 2026

To receive contact hours for this educational activity, you are required to attend the entire educational activity and complete the evaluation.

The Infusion Nurses Society is approved as a provider of continuing nursing education by the California Board of Registered Nursing, provider #CEP14209. The certificate must be retained by the attendee for a period of 4 years.


When to Consider a Midline Catheter
Live event: 08/23/2023 at 4:00 PM (EDT) You must register to access.
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