Interprofessional Approach Reducing Central Venous Catheters by Expanding Peripheral Access

A community hospital reduced central venous catheter (CVC) line days and central line-associated bloodstream infections (CLABSIs) through a collaborative nursing and resident physician-led vascular access initiative. This was achieved by introducing midline and extended dwell catheters to the facility, device insertion training for nurse practitioners (NP) and resident physicians, and the establishment of safe alternative vascular access eligibility criteria. This approach offers valuable insights for hospitals aiming to decrease CVC utilization, reduce CLABSIs, expand NP and resident physician skillsets, foster interdisciplinary collaboration, and optimize vascular access practices. •One hundred thirty-three midlines and extended dwell catheters were placed (1,506 device days) in 1 year.•Central venous catheter days were reduced by 22.6% (1,061 line days) in 1 year.•Central line–associated bloodstream infections were reduced by 75% (4 to 1).•Only 1 laboratory-confirmed bloodstream infection occurred during the study period.•All devices were placed by a nurse practitioner or internal medicine resident physician.