This scholarly article review with post-test is designed to enhance nurses’ ability to identify adult patients with difficult intravenous access (DIVA), improve their use of evidence‑based assessment instruments, and enhance their application of validated clinical practice guidelines and escalation pathways. By strengthening competency in DIVA recognition, decision‑making, and escalation strategies, the activity aims to reduce multiple failed PIVC attempts, decrease patient harm and discomfort, and improve first‑attempt success and overall vascular access outcomes.

Please note that due to copyright issues, this is only available to Texas Health employees. You will need an access code to proceed.

If you are interested in completing this activity, please email [email protected] using your Texas Health email address.