Abstract: Objective: To investigate the current status of intravenous vascular access use and management in emergency departments of tertiary grade A hospitals in Beijing, analyze existing problems, and provide evidence for promoting professional and standardized management of intravenous therapy. Methods: Using a convenience sampling method, a questionnaire survey was conducted among nursing administrators or leaders of intravenous therapy teams in the emergency departments of 31 tertiary hospitals in Beijing in November 2024. A self-designed questionnaire was used, which included general information about the emergency department, the use, evaluation, and selection of vascular access, routine maintenance, and quality management. Results: All 31 emergency departments used peripheral venous indwelling needles, 14 emergency departments still used infusion steel needles, and 19 emergency departments adopted visualization technology for venous access placement; 25 emergency departments assessed patients' preferences for infusion tool selection, and 16 emergency departments chose venous indwelling needles when infusing vasoactive drugs; 24 emergency departments had IV therapy quality evaluation standards, and 4 emergency departments had IV therapy information management systems. Conclusion: Emergency departments have a variety of IV therapy tools and relatively comprehensive venous access assessment, but the standardization of IV therapy for vasoactive drug infusion needs to be strengthened.

Key words: emergency department; intravenous vascular access; quality management; cross-sectional study