Nurse-Managed Central Venous Catheter InsertionCentral venous catheters (CVCs) have various uses for patients in both inpatient and outpatient settings. Their purposes range from the administration of total parenteral nutrition, to the administration of vesicant drugs, to providing access to patients with poor peripheral vascularity, as well as to hemodynamic monitoring (Alexandrou, Spencer, Frost, Parr, Davidson, & Hillman, 2009, p. 1485) . Traditionally, CVC insertion was performed by internal surgeons and radiologists. However, as nursing roles advance, there is ongoing research to support the practice of nurse-led central venous catheter insertion. Before nurses began inserting CVCs, internal surgeons and radiologists inserted CVCs at the bedside, in intensive care units, or in operating rooms. The insertion of CVCs has moved beyond intensive care units and into community settings. The incorporation of nurse-led CVC was introduced in community settings in response to shortages of medical work and increasing demand during the development of advanced practice nurses (Alexandrou, Spencer, Frost, Parr, Davidson, & Hillman, 2009, p. 1485-86). Kelly, Young, and Ellis (2013) studied the perceptions of nurses who insert central venous access devices (CVADs). Their research supported nurse-led central venous insertion by concluding that nurses experience job satisfaction and believe their advanced roles benefit their patient care in a positive way. Patients appreciate the advanced role of nurses in CVC insertion because they have the ability to combine the knowledge and skills gained from medicine and apply them at the patient's bedside while providing psychological support. .7.Kelly, L.J., Young, B., & Ellis, G. (2013). The experiences of nurses inserting central venous access devices. British Journal of Nursing, 22(2), p. S4-S11).Pinkerton, C. (2009). New technology enhances vascular access team skills. Canadian Nursing, 105(2), 21-22. Walker, G., & Todd, A. (2013). Nurse-managed PICC insertion: is it convenient? British Journal Of Nursing, 22(19 Supplemet), S9-s15.Weld, K. and Garmon Bibb, S. (2009). Concept analysis: malpractice and modern nursing practice. Nursing Forum, 44(1), 2-10. doi:10.1111/j.1744-6198.2009.00121.xYacopetti, N., Davidson, P., Blacka, J., & Spencer, T. (2013). Preventing contamination at the time of central venous catheter insertion: a review of the literature and recommendations for clinical practice. Journal of Clinical Nursing, 22(5/6), 611-620. doi:10.1111/j.1365-2702.2012.04340.x