Nse 22 nursing practice ii: acute and chronic care. Central line management: define and describe central vascular access devices (cvad) Central vascular access device: a flexible catheter inserted into a large central vein with the tip in the superior or inferior vena cava (svc or ivc) to administer any medication. Short term access devices: can be placed in a short period of time if urgently needed. Inserted at the bedside by the physician: used in hospital, not generally in the community. Cvads are more prone to infections compared to picc lines. Threaded through the subclavian vein or internal jugular into the svc (superior vena cava) Long-term access device: cvad is placed by physicians in the radiology department, or (cid:271)y spe(cid:272)ially prepared (cid:374)urses at the patie(cid:374)t"s bedside. Inserted into the basilic, median cubital or cephalic veins, (antecubital veins) and advanced to svc: single or double lumen, used in the hospital & community.