Working to Shift the Paradigm of Vascular Access Education and Training

Education on vascular access and the insertion of PIVC is typically not provided in formal clinical training (e.g., nursing school). Recent surveys revealed that 57% of nurses reported not being taught in nursing school, 71% reported receiving on-the-job training, and 11% were taught using the “see one, do one” approach. Infusion
— Nurses Society Position Paper. 2013.

As a veteran ED nurse, I too, had plenty of years of experience before earning the distinction as “the one to call for a tough stick”.  Even then, I advocated for more practice so others would also be comfortable with the tough sticks - the patients with a known history of difficult IV starts, a disease process, illness or injury compromising their vasculature or hemodynamics, a history of IV drug abuse or ESRD (end stage renal disease) on hemodialysis or obesity.

More proficient PIVC insertion skills have been shown to result in fewer complications and improved patient outcomes.
—  Palefski, SS, et al (2001).

Most patients admitted to a hospital come through the emergency department so their IV is already started when they arrive to the floor. Peripheral IVs are primarily used for infusion of fluids, medications, administration of blood products, and the withdrawal of blood.

Administration of fluids using a peripheral intravenous catheter (PIVC) is an extremely common occurrence in hospitals across the nation. Between 60-90% of all patients in the hospital receive a PIVC during their stay. Peripheral intravenous (IV) catheter insertion, a procedure performed on 60-90% of all patients in hospitals worldwide, is associated with a variety of complications and an unacceptably high overall failure rate of 35% to 50% in even the best of hands. Catheter failure is costly to patients, caregivers, and the health care system.
— Helm, et al (2015, 2019).
photo courtesy Advance for Nurses

photo courtesy Advance for Nurses

Bruising from going through the vein, nerve or muscle injury from improper needle placement, tissue death from infiltrates, air embolism from unprimed line, infection from improper prep - these complications can be minimized with a shift in the paradigm of vascular access education and training.


BGEI/ReaLifeSim and VeinTrain are fully committed to help with this change providing provide affordable, scalable training globally.

This new strategic partnership brings best practices to vascular access simulation resulting in increased competency, increased patient safety, and decreased costs overall!

Contact me for more information! We’re eager to assist you!



Wearable ReaLifeSim IV Training SImulator

Wearable ReaLifeSim IV Training SImulator