The document needs to be reviewed and applied, based on the specific needs of the organization or practice setting/environment, as well as the needs and wishes of the client. [...] Device selection is a collaborative process between the nurse, client, physician and other members of the health care team, however, the nurse has a role to educate and advocate for clients in relation to the selection of appropriate devices. [...] Assessment and Device Selection for Vascular Access The purpose of the guideline is to provide evidence-based support for nurses related to client assessment and device selection, client education and documentation. [...] Assessment and Device Selection for Vascular Access Assessment and Device Selection Recommendation • 1 All clients requiring vascular access, regardless of duration of therapy, require the use of a structured approach such as an algorithm to facilitate a comprehensive client assessment and the development of a vascular access care plan prior to the initiation of therapy. [...] Orr and Ryder (1993) indicate that chemically induced thrombosis is related to the osmolality of the infusate and rate of blood flow at the tip of the catheter.