RESUMO
Using the process of FOCUS PDSA (a quality improvement format), two clinical nurse specialists reviewed the delivery of intravenous care at a multihospital (4-hospital) system. The clinical nurse specialists formed a multi-facility nursing team to lead the assessment, develop a plan, implement changes, and evaluate the process. This process reflects the use of clinical nurse specialists as experts in using research-based data, national recommendations, and benchmark data to ultimately improve practice and reduce risks and overall costs. This process allows the clinical nurse specialist to be viewed as an innovator, a project manager, and a program developer in a major system. The clinical nurse specialists were selected to lead this process improvement based on their knowledge and competencies in the specific area of intravenous therapy.