Selection and implementation of a transparent dressing for central vascular access devices

The selection of new central venous access devices (CVADs), line dressing, and nursing clinical practices was guided by the Center for Advanced Nursin g Practice's Evidence-Based Practice Model. The model's evidence-triggered, evidence-supported, evidence-observed, and evidence-based phases provided structure that guided a systematic process in which best practice was incor parated into the clinical setting, based on clinician insights, evaluation of authoritative literature, and examination of three CVAD dressings as an intervention using various study methods. This article discusses study find ings, recommendations, and implications for nursing practice. CVAD dressing integrity has clinical practice applicability in multiple settings along t he care continuum.