Care and management issues regarding central venous access devices in the home and long-term care setting

Experience and comfort with central venous access devices (CVADs) has increased dramatically during the past 2 decades. However, coordination of care remains a challenge as patients with long-term catheters move between levels of care with multiple healthcare providers. Standardizing CVAD maintenance and the teaching of patients and caregivers across the care continuum can be beneficial for patients and professionals. Effective communication among all care providers enhances teamwork and improves efficiency. The consistent collection and evaluation of data regarding CVAD complications and outcomes is important for assessing quality and determining best practices.