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Needleless connectors: A small device with big consequences.

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Updated: Apr 21, 2026

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
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Needleless connectors: A small device with big consequences.

Nancy Moureau1, Lisa A Gorski

  • 1Nancy Moureau is the CEO and Vascular Access Specialist at PICC Excellence, Inc. in Hartwell, Georgia. Lisa A. Gorski is Editor-in-Chief of Home Healthcare Now , President of Lisa A. Gorski Consulting LLC, and a Clinical Education Specialist for Ascension at Home. She is located in Mequon, WI.

Nursing
|April 20, 2026
PubMed
Summary
This summary is machine-generated.

Nurses play a vital role in managing needleless connectors (NCs), which are essential for vascular access devices (VADs). Proper NC care, including disinfection and flushing, is crucial for preventing complications like infection and occlusion.

Keywords:
IVNCsVADintravenousneedleless connectorsvascular access device

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Area of Science:

  • Medical Devices
  • Nursing Practice
  • Infection Control

Background:

  • Vascular access devices (VADs) are crucial for administering fluids and medications.
  • Needleless connectors (NCs) are key components of VADs, enabling needle-free access.
  • Many nurses lack awareness of NCs' impact on VAD complications.

Purpose of the Study:

  • To review the critical role of nurses in managing needleless connectors (NCs).
  • To highlight the impact of NC care on VAD-related complications.
  • To emphasize best practices for NC maintenance.

Main Methods:

  • Literature review on needleless connector care and VAD complications.
  • Analysis of evidence-informed protocols for NC management.
  • Identification of nursing responsibilities in risk assessment and prevention.

Main Results:

  • NCs significantly influence VAD-related complications such as infection and occlusion.
  • Proper NC care, including disinfection, clamping, flushing, and replacement, is vital.
  • Nursing vigilance is essential for maintaining VAD performance.

Conclusions:

  • Nurses' adherence to best practices in NC care is critical for patient safety.
  • Evidence-informed protocols are vital for reducing VAD-related adverse events.
  • Enhanced nurse education on NCs can improve VAD management.