<![CDATA[Introduction: Maintaining vascular access is a complex process that involves various clinical factors, the competence of healthcare staff—particularly nurses—and the products used in treatment. Administering drug and fluid therapy through the intravenous route is intricate and carries significant risks of complications. Therefore, the Vessel Health and Preservation (VHP) model approach is crucial for administering effective therapy. To date, no studies have been conducted on comprehensive vascular access management in Indonesia. This study aimed to describe vascular access management in inpatient care using the VHP Model.Methods: Using an accidental sampling technique, the study employed a descriptive design, with 224 nurses from two private hospitals in Indonesia serving as respondents. The instrument was an observation sheet, and data collection was conducted on 224 vascular access installations in patients, based on observations made in March 2024. The data were analyzed using descriptive statistics.Results: Vascular access management, including the four quadrants in the VHP model, is critical to apply because phlebitis complications still occurred in 17 (7.59%) of 224 cases, and only 181 (80.80%) of intravenous access insertions were successful on the first puncture.Conclusion: These results indicate the need for ongoing nurse education and training in vascular access management. The complexity of administering drug and fluid therapy through the intravenous route, with a reasonably high risk of complications, requires an approach model that can be used in administering therapy through the intravenous route.]]>
