| Sumario: | Significance & Background: Intravenous chemotherapy and immunotherapy are standard treatments for oncology patients, but these medications possess irritant and vesicant properties that can cause physical and emotional harm. Establishing reliable venous access is crucial for preventing adverse events and enhancing patient satisfaction and outcomes. Purpose: This initiative aims to standardize venous access assessment by implementing evidence-based guidelines and best practices to minimize risks for patients receiving chemotherapy and immunotherapy. A systematic approach ensures healthcare teams evaluate and discuss optimal peripheral IV versus central venous catheter placement based on individual patient conditions and treatment requirements before initiating therapy. Interventions: The evidence-based standardized venous access assessment intervention establishes a systematic, consistent approach to evaluating peripheral venous access prior to treatment, determining the most appropriate intravenous administration method. The team developed a standardized assessment plan to avoid unnecessary IV attempts by placing central lines when clinically indicated. Implementation involved collaboration with clinic nurses, advanced practice providers (APPs), and the informatics director to optimize EPIC-EHR documentation. This enhanced visibility for the entire healthcare team and ensured meaningful clinical decisions based on comprehensive documentation. Clear, comprehensive guidelines were developed outlining criteria for selecting appropriate central venous access devices and documentation processes. Training was provided through in-person sessions and online education modules for nurses and licensed practitioners on assessment tool utilization. Results: Knowledge assessment occurs through pre- and post-testing integrated into online learning modules. Results are tracked via EPIC reporting systems to monitor implementation effectiveness and adherence to protocols. Discussion: Protocol-based care consistently improves healthcare outcomes. Success requires periodic review and updates to the standardized assessment protocol based on emerging evidence, evolving best practices, and healthcare professional feedback. Implementing standardized venous access assessment enhances patient safety, streamlines procedures, reduces complications, and improves the overall treatment experience for patients receiving intravenous chemotherapy. This systematic approach represents a significant advancement in oncology care delivery, prioritizing patient safety while optimizing clinical efficiency.
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