Vascular Access
Vascular Access Materials For Healthcare Professionals

Materials to Download

Reducing Risk of Harm From Extravasation


Venous Infusion Extravasation Risk

An estimate of risk for phlebitis or local tissue injury due to extravasation from any intravenous infusion device.


Upper Limb PICC Tip Target Position

How to construct the target triangle.

Lower Limb PICC Tip Target Position

How to access the desired landing zone.


Cincinnati Pediatric Intravenous Extravasation Assessment System

Measure swelling and arm length; chart results.


TLC Poster

For IV Safety: Touch, Look and Compare (in English and Spanish)  |  Poster in Arabic

Journal Articles

About These Materials

Cincinnati Children’s has dramatically reduced harm to our patients since mid-2011 after implementing new procedures for medication use during intravenous therapy. We are sharing our processes and documents to help nurses and doctors across the world improve the care of children. 

Our tool contains a continuous scale for estimating the volume of fluid extravasated, a three-category estimation of the potential local chemical and physical toxicity of the extravasated medication or agent, and a volume measurement that can be used for estimating the size of an extravasation anywhere on the body.

Initial tests suggest that unit nurses were quickly able to learn the scale and measure percentages of extravasations similar to results obtained by vascular access team nurses. 

You may download, copy and use the documents on this page for noncommercial use, provided that the copies retain our copyright, trademark or other proprietary notice.

Advances in Vascular Access

Cincinnati Children’s is improving care for patients with fragile skin by using new technology to increase catheter dwell time, decrease CVC complications and preserve vessel health.
> Download our poster

CHA Presentation


Neil Johnson, MD, medical director of the vascular access team at Cincinnati Children’s, presented “Preventing Intravenous Extravasation Injuries,” to the Children’s Hospital Association on Feb. 21, 2013.
> Download the document

Contact Us

For more information about documents on this page or if you have feedback, contact Darcy Doellman at