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05:04
Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound
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Multidisciplinary Advanced Practice Nursing-Led Vascular Access Care Pathway in Patients with Cystic Fibrosis: A
Ana María Montserrat Gala1, José Fernández-Sáez2,3,4, Raquel Ayuso-Margañón5,6
1Department of Medicine, Universitat Autònoma de Barcelona (UAB), 08193 Barcelona, Spain.
Healthcare (Basel, Switzerland)
|August 13, 2026
Summary
This study introduces a new nursing-led care pathway for cystic fibrosis patients needing long-term IV antibiotics. The pathway successfully preserved venous access and improved patient outcomes with home-based therapy.
Area of Science:
- Vascular Access Management
- Cystic Fibrosis Care
- Advanced Practice Nursing
Background:
- Cystic fibrosis patients often need repeated IV antibiotic therapy, leading to vascular damage and difficult access.
- Structured vascular access planning is crucial for managing venous capital and ensuring care continuity.
Purpose of the Study:
- To develop and implement an Advanced Practice Nursing-led multidisciplinary vascular access care pathway.
- To improve long-term vascular access management for cystic fibrosis patients requiring prolonged IV therapy.
Main Methods:
- A descriptive analysis of a multidisciplinary pathway integrating ultrasound vascular assessment and clinical decision-making.
- Coordinated care across multiple hospital departments and a Hospital-at-Home Programme.
- An illustrative patient case study to demonstrate pathway implementation.
Main Results:
- Pathway implementation showed feasibility of ultrasound-guided assessment and midline catheter insertion by an Advanced Practice Nurse.
- Successful first-attempt cannulation with no immediate complications.
- A patient completed four weeks of home IV therapy without complications, reporting satisfaction and ability to maintain daily activities.
Conclusions:
- An Advanced Practice Nurse-led multidisciplinary vascular access pathway is feasible for cystic fibrosis patients.
- The pathway demonstrated effective integration of ultrasound guidance, device selection, and home-based therapy.
- Further multicenter studies are needed to confirm effectiveness, safety, and reproducibility.
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