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Central lines inserted by clinical nurse specialists

H Hamilton, M O'Byrne, L Nicholai

Nursing Times

|April 2, 1995

Summary

A clinical nurse specialist now performs central venous tunnelled line insertions, previously done by senior doctors. This expansion provides a dedicated central line insertion service (LIS) for patients needing total parenteral nutrition, chemotherapy, or antibiotics.

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Area of Science:

Medical procedures
Vascular access
Nursing specialization

Background:

Central venous tunnelled lines are crucial for long-term therapies like total parenteral nutrition (TPN), chemotherapy, and antibiotics.
Traditionally, insertion was performed by senior medical officers under general anesthesia in operating theaters.

Purpose of the Study:

To describe the expansion of central line insertion services.
To highlight the role of a clinical nurse specialist (CNS) in performing these procedures.

Main Methods:

A clinical nurse specialist (CNS) underwent extensive training for central line insertion.
The CNS established and expanded a central line insertion service (LIS) across Oxfordshire starting February 1991.

Main Results:

Central venous tunnelled line insertions are now performed by a trained clinical nurse specialist.
The service has been expanded to cover the entire Oxfordshire district.

Conclusions:

Clinical nurse specialists can be effectively trained to perform central venous tunnelled line insertions.
The establishment of a dedicated LIS by a CNS improves access to essential vascular access procedures.

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