The Systematic Approach to Vascular Access

We believe that complex problems require sophisticated solutions. Today, Healthcare Systems are purchasing over 347,000 peripheral IV catheters each year, yet there are only 36.2 million hospital admissions. Hospitals are averaging over six peripheral IV catheter sticks per patient visit which costs approximately $5,500 on average per bed per year. This is not only costly, but patient safety and satisfaction are compromised.

Nexus Medical has an evidence-based methodology called PIV5Rights®. This methodology has proven to provide 96% first-stick success with 89% of those peripheral IV catheter insertions lasting for the patient’s length of stay. Nexus Medical has developed a solution set that can deliver all of the PIV5Rights outcomes in a predictable and repeatable manner.

To accomplish this, Nexus takes a systematic approach to vascular access using a data-driven platform allowing infusion therapy leadership to provide  repeatable and reproducible outcomes.

Our five-phased systematic approach uses LEAN Thinking, which has proven to create value while using fewer resources by design, and decreases waste, variability, and errors. Our Systematic Approach follows an established data analytics model, DMAIC (define, measure, analyze, improve, and control), which outlines how we align with healthcare organizations to provide consistent outcomes.


Better Outcomes, Better Experience

Improved Outcomes
  • Reduce occlusions, phlebitis, infiltrates, and blood stream infections
  • Improved dwell times
  • Improved rates of IVs lasting the length of stay
  • More timely and effective medication delivery
Increased Patient Satisfaction
  • Improved first-stick success rate (Decreasing patient anxiety)
  • Decreased amount of IV restarts that lead to more needle sticks
  • A more comfortable hospital stay
Improved Nursing Satisfaction
  • Reduce the amount of time spent on IV insertions
  • Increased confidence in delivering patient care
  • More time devoted to positive patient experiences
Lowering the Cost of Care Related to Vascular Access
  • Decrease the supply utilization for vascular access insertion
  • Lower resource utilization for vascular access device placement
  • Improved length of stay with fewer complications
Streamline Vascular Access Quality Improvement Initiatives
  • Leverage data and outcomes to work across your organization to make decisions
  • Seamlessly measure the impact of initiatives taken
  • Connect Vascular Access to broader hospital wide initiatives

Proven Results

Solutions for Optimal Device Placement

  • Expand the use of ultrasound with Butterfly iQ eliminating blind sticks
  • Utilize Nexus Insights to identify the most appropriate vein & catheter
  • Effective calculation of the hemodilution ratio

Solutions for Vascular Access Data Capture

  • Efficiently capture vascular access device insertion, assessment, and discontinuation
  • Track the patient status of their vascular access devices
  • Camera capture to visualize the state of the catheter

Solutions that Analyze Outcomes

  • Extract and normalize data directly off the EMR
  • Near real time VAD tracking list by patient
  • Deep analysis on key performance outcomes 24x7x365 – dwell time, complications, 1st stick success, Number of IVs per stay and more

Solutions for Evidence-Based Insertion Practices

  • Prevahex Dressing – CHX dressing with antimicrobial protection
  • TKO – Anti-reflux needleless connector, proven to keep blood out of the catheter
  • Mastisol – Reduces the likelihood of dressing displacement and catheter dislodgement
  • Chloraprep – Antiseptic skin applicator

Expertise to Drive Results

Shifting to a systematic approach for vascular access requires commitment and focused efforts. Nexus along with their key opinion leaders in vascular access are ready to help support you in this journey. Working side by side with your team, we are ready to:

  • Craft and execute training plans around USGPIV insertions
  • Analyze the data to help create a roadmap for improved outcomes
  • Work collaboratively with Supply Chain and Value Analysis on data driven product decisions
  • Update policies to align to the new systematic approach


Right Proficiency

A skilled inserter who is trained in vascular anatomy, vascular assessment, and vascular access and demonstrates first-stick success at least 96% of the time. This person is also proficient in ultrasound-guided peripheral, midline, and PICC and central intravenous catheter site selection and placement.

Right Insertion

A skilled inserter who is trained in ultrasound technology to assess and select the right vein diameter, right blood flow velocity, right angle of insertion, avoiding venous valves and points of flexion, and is proven to achieve the right results, which is 96% first-stick-success.

Right Vein & Catheter

A Skilled inserter who is trained in vascular anatomy, vascular assessment, and ultrasound technology to select the right vein, with the right vein diameter, right vein velocity, right angle of insertion, along with the right catheter gauge and length to deliver a volumetric flow rate which provides at least a 3-to-1 blood flow to medication ratio.

Right Supplies & Technology

Evidence-based best practice performance bundle designed to deliver an insertion site which lasts for seven days. 1. Alcoholic chlorhexidine skin preparation offers up to seven days continuous antimicrobial activity, 2. CHX antimicrobial bordered securement dressing for seven-day protection against infection and dislodgement, 3. Mastisol performance adhesive to deliver seven-day dressing adhesion, and Nexus TKO Anti-reflux technology to provide automatic blood reflux protection 24/7.

Right Care & Maintenance

Routine assessment every 12-hours by proficient nurse to safeguard the patient from unwanted catheter replacement. At each assessment, confirm the dressing is clear dry and intact, disinfect needleless connector, flush, and check for blood return to confirm IV catheter patency to ensure the site will last up to seven days.