[Developing protocols and procedures in hemodialysis: professional experience]

The need to realize and apply procedures and protocols within a Dialysis Department mainly comes out to optimize the effectiveness and the efficiency of nursing care, to prevent hospital infections and mainly to guarantee an improvement in quality assurance. Making a protocol for the management of a central venous catheter (CVC) is an integration way which certifies a better service quality for the patient and allows an improvement in the quality of operative processes in which a professional doesn't works for duties but with specific technical competence, responsibility and professional autonomy.