Skip to main content
  • Book
  • Open Access
  • © 2019

Vessel Health and Preservation: The Right Approach for Vascular Access

  • Presents the first comprehensive intentional process for vascular access selection, insertion, management and evaluation

  • Discusses the design, application of evidence and guidelines to provide greater safety for patients

  • Offers a useful guide for nurses, educators, administrators, manufacturers and patients

Buying options

Softcover Book USD 59.99
Price excludes VAT (USA)

Table of contents (23 chapters)

  1. Front Matter

    Pages i-xvii
  2. Vessel Health and Preservation (VHP)

    1. Front Matter

      Pages 1-1
    2. The VHP Model

      • Nancy L. Moureau
      Pages 3-8Open Access
    3. Right Assessment and Vein Selection

      • Evan Alexandrou
      Pages 9-22Open Access
    4. Device Selection

      • Nancy L. Moureau, Evan Alexandrou
      Pages 23-41Open Access
  3. Right Education

    1. Front Matter

      Pages 43-43
    2. Training and Education

      • Evan Alexandrou, Nicholas Mifflin, Peter J. Carr
      Pages 45-58Open Access
    3. Specialized Vascular Access Teams

      • Peter J. Carr, Nancy L. Moureau
      Pages 59-65Open Access
  4. Right Insertion

    1. Front Matter

      Pages 67-67
    2. Insertion

      • Steve Hill
      Pages 69-80Open Access
    3. Tip Position

      • Steve Hill, Nancy L. Moureau
      Pages 81-105Open Access
    4. Avoiding Complications During Insertion

      • Steve Hill
      Pages 107-115Open Access
    5. Right Securement, Dressing, and Management

      • Steve Hill, Nancy L. Moureau
      Pages 117-130Open Access
  5. Right Infection Prevention

    1. Front Matter

      Pages 131-131
    2. Right Asepsis with ANTTĀ® for Infection Prevention

      • Stephen Rowley, Simon Clare
      Pages 147-162Open Access
    3. CLABSI: Definition and Diagnosis

      • Michelle DeVries
      Pages 163-168Open Access
  6. Right Pediatric Vessel Health and Preservation

    1. Front Matter

      Pages 169-169
    2. Developmental Stages and Clinical Conditions for Vascular Access in Pediatrics

      • Amanda Ullman, Tricia Kleidon
      Pages 171-179Open Access
    3. Right Device Assessment and Selection in Pediatrics

      • Tricia Kleidon, Amanda Ullman
      Pages 181-195Open Access

About this book

This Open access book offers updated and revised information on vessel health and preservation (VHP), a model concept first published in poster form in 2008 and in JVA in 2012, which has received a great deal of attention, especially in the US, UK and Australia. 

The book presents a model and a new way of thinking applied to vascular access and administration of intravenous treatment, and shows how establishing and maintaining a route of access to the bloodstream is essential for patients in acute care today. Until now, little thought has been given to an intentional process to guide selection, insertion and management of vascular access devices (VADs) and by default actions are based on crisis management when a quickly selected VAD fails. The book details how VHP establishes a framework or pathway model for each step of the patient experience, intentionally guiding, improving and eliminating risk when possible. The evidence points to the fact that reducing fragmentation, establishing a pathway, and teaching the process to all stakeholders reduces complications with intravenous therapy, improves efficiency and diminishes cost. As such this book appeals to bedside nurses, physicians and other health professionals.


  • Open Access
  • Vessel health
  • Vascular access device selection
  • Vein assessment
  • Ultrasound
  • PICC peripherally inserted central catheter
  • CVAD central venous access device
  • Insertion
  • Training
  • Education
  • Midline

Editors and Affiliations

  • Griffith University, Nathan, Australia

    Nancy L. Moureau

About the editor

Nancy Moureau, RN, PhD, BSN, CRNI, CPUI, VA-BC  is an internationally recognized speaker and expert in the field of vascular access, infusion therapy and specifically peripherally inserted central catheters. A nurse for more than 35 years, Nancy continues her clinical work as staff member on the PICC/IV team at Greenville Memorial Hospital  SC, USA. As the owner and CEO of PICC Excellence, Nancy creates online educational programs and works with companies to provide education to clinicians. She is constantly involved with research and literature analysis, now working in conjunction with Griffith University, Brisbane, Australia where she earned her PhD in 2017 and the AVATAR group Alliance for Vascular Access Teaching and Research as an adjunct associate professor. Nancy takes on many projects and most recently chaired the International Consensus Forum for the World Congress of Vascular Access (WoCoVA) to establish Standard Minimal Education Requirements for Central Venous Access Devices. She has established the only registered PICC Certification process, Certified PICC Ultrasound Inserter, where those who meet and maintain qualifications gain the credentials CPUI. The author of more than 50 publications, recipient of the Herbst Award for lifetime achievement and key opinion leader on vascular access.

Bibliographic Information

  • Book Title: Vessel Health and Preservation: The Right Approach for Vascular Access

  • Editors: Nancy L. Moureau

  • DOI:

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: The Editor(s) (if applicable) and The Author(s) 2019

  • License: CC BY

  • Softcover ISBN: 978-3-030-03148-0Published: 24 June 2019

  • eBook ISBN: 978-3-030-03149-7Published: 10 June 2019

  • Edition Number: 1

  • Number of Pages: XVII, 303

  • Number of Illustrations: 27 b/w illustrations, 97 illustrations in colour

  • Topics: Nursing, Intensive Care Medicine, Pediatrics

Buying options

Softcover Book USD 59.99
Price excludes VAT (USA)