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Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education a Publications Manager Guest: Barb Nickel, APRN-CNS, CCRN, CRNI® Abstract: Nurses must be competent to recognize signs and symptoms of vascular access device (VAD)-related complications at any juncture in the life of the device and be prepared to intervene during insertion, management, and removal. All vascular access devices are subject to complications that may cause patient harm, impair patients’ quality of life, or increase morbidity and mortality. Listen as Barb Nickel explains several VAD complications and discusses the role of the nurse in assessment and intervention.  Resources: Gorski LA, Hadaway L, Hagle ME, et al. Infusion therapy standards of practice. J Infus Nurs. 2021;44(suppl 1):S1-S224. doi:10.1097/NAN.0000000000000396 Ray-Barruel G, Xu H, Marsh N, Cooke M, Rickard CM. Effectiveness of insertion and maintenance bundles in preventing peripheral intravenous catheter-related complications and bloodstream infection in hospital patients: a systematic review. Infect Dis Health. 2019;24(3):152-168. doi:10.1016/j.idh.2019.03.001 Helm RE, Klausner JD, Klemperer JD, Flint LM, Huang E. Accepted but unacceptable: peripheral iv catheter failure. J Infus Nurs. 2015;38(3):189-203. doi:10.1097/NAN.0000000000000100 Nickel B. Hiding in plain sight: the burden of peripheral intravenous catheter infections. Crit Care Nurse. 2020;40(5):57-66. doi:10.4037/ccn2020439 Nickel B. Peripheral intravenous administration of high-risk infusions in critical care: a risk-benefit analysis. Crit Care Nurse. 2019;39(6):16-28. doi:10.4037/ccn2019443 Berndt, D. a Steinheiser, M. (2019b). Central vascular access device complications: The nurse's role at each point of care. American Nurse Today,14(10), 6-13. myamericannurse.com Berndt, D. a Steinheiser, M. (2019a). Short peripheral and midline catheter complications: The nurse's role at each point of care. American Nurse Today,14(9), 5-10. www.myamericannurse.com