There is a great deal of evidence surrounding dedicated vascular access teams and reduction of CLABSIs.  The CLABSI rate at UC has been difficult to decrease despite multiple efforts on several fronts.  As a teaching hospital, we have practitioners at all levels of experience performing both insertion and care of these devices and this contributes to inconsistant practice and techniques.  A vascular access team with specialized training in this area would serve as a resource for oversight of these practices.  This service would audit and identify central line placement and care issues thus, facilitating a reduction in CLABSIs.  Also, the current practice surrounding vascular access for both the adult and pediatric inpatient care areas is very inefficient and reactive in terms of placing the appropriate IV at the right time for the patients needs.   Often patents are stuck multiple times unsuccessfully (making for very unhappy patients) and resources for assistance with IV starts are frequnetly unavailable as they are practitioners with other primary responsibilites which leads to long delays in administering appropriate IV therapy.  A dedicated 24/7 vascular access service would greatly reduce the number of times patients are being stuck for IVs, subsequently reducing delays in treatment and improving patient (and staff) satisfaction.