A lone vascular access nurse is overwhelmed by excessive peripheral IV requests and repeat policy arguments, leading to physical exhaustion and compassion fatigue with no staffing relief from management.

Workarounds Described

• asks 'have you tried' repeatedly to gatekeep easy IV requests
• stopped asking nurses to attempt first and just does all IVs to save mental energy

Implied Software Gaps

• A request enforcement system that blocks IV escalations unless a floor nurse documents an attempt
• An automated policy checker that validates renal consult before allowing PICC orders

VAT Assist

A clinical workflow platform that triages vascular access requests, requiring floor nurses to document at least one attempt before escalating to the VAT nurse, and automatically checks patient records for renal consult compliance before PICC orders proceed. It balances the single VAT nurse's workload through smart prioritization and data-backed staffing advocacy.