Nurse-Led Central Venous Catheter InsertionCentral venous catheters (CVCs) have a variety of uses for patients in both inpatient and outpatient settings. Their objectives range from the administration of total parenteral nutrition to the administration of vesicant drugs, including access to patients with poor peripheral vascularization, as well as hemodynamic monitoring (Alexandrou, Spencer, Frost, Parr, Davidson and Hillman, 2009, p. 1485). ). Traditionally, CVC insertion was performed by in-house surgeons and radiologists. However, with the advancement of nursing roles, ongoing research supports the pro stance on nurse-led practice of central venous catheter insertion. Before nurses began inserting CVCs, surgeons and in-house radiologists inserted CVCs either at the bedside, intensive care units, or in operating rooms. CVC insertion has expanded beyond intensive care units and into community settings. Nurse-led CVC insertion was introduced to community settings in response to medical labor shortages and increasing demand during advanced practice nurse development (Alexandrou, Spencer, Frost, Parr, Davidson, & Hillman, 2009 , pp. 1485-86). Kelly, Young, and Ellis (2013) studied the perceptions of nurses inserting central venous access devices (CVADs). Their research supported nurse-led central venous insertion by finding that nurses experience job satisfaction and believe their advanced roles benefit their patients' care in a positive way. Patients appreciate the advanced role of nurses in CVC insertion because they have the ability to combine their knowledge and skills acquired in medicine and apply them at the bedside while providing psychological services...... middle of paper ..... .7.Kelly, L.J., Young, B., & Ellis, G. (2013). The experiences of nurses inserting central venous access devices. British Journal of Nursing, 22(2), p. S4-S11).Pinkerton, C. (2009). New technology enhances the expertise of the vascular access team. Canadian Nurse, 105(2), 21-22. Walker, G. and Todd, A. (2013). Nurse-led PICC insertion: is it cost-effective? British Journal Of Nursing, 22 (19 Supplemet), S9-s15. Weld, K. and Garmon Bibb, S. (2009). Analysis of concepts: professional misconduct and modern nursing practice. Nursing Forum, 44(1), 2-10. doi:10.1111/j.1744-6198.2009.00121.xYacopetti, N., Davidson, P., Blacka, J., & Spencer, T. (2013). Preventing contamination at the time of central venous catheter insertion: a review of the literature and recommendations for clinical practice. Journal of Clinical Nursing, 22(5/6), 611-620. doi:10.1111/j.1365-2702.2012.04340.x