25 Mar 2026

Building Confidence in Difficult Venous Access: DIVA Workshop in Orange

On Monday 23 March 2026, cancer nurses and clinicians from across regional New South Wales came together at the Central West Cancer Care Centre in Orange for a highly practical and impactful Difficult Intravenous Access (DIVA) Workshop, led by Clinical Associate Professor Evan Alexandrou.

This hands-on workshop, part of CNSA’s expanding education program, focused on strengthening clinicians’ skills in assessment, device selection, and ultrasound-guided cannulation for patients with difficult venous access. With a blended learning model combining pre-learning modules and face-to-face simulation, the day delivered both foundational knowledge and real-world application.

Participants consistently highlighted the strength of the course design, particularly the seamless integration of theory with hands-on learning. The use of ultrasound technology and simulation phantoms enabled clinicians to translate knowledge into practice in a safe and supportive environment. Feedback reinforced that this was far from a passive learning experience.

Measurable Impact on Confidence and Capability

Evaluation results demonstrated a clear shift in both knowledge and confidence. Prior to the workshop, most participants reported low to moderate understanding of DIVA management. Following completion, the majority reported a high level of understanding, with the remainder reporting moderate confidence.

Participants particularly valued learning how to:

  • Assess vessels effectively prior to device selection
  • Use ultrasound to guide cannulation
  • Interpret ultrasound images in real time
  • Apply measurement techniques to select appropriate vascular access devices

This growth in capability is critical, particularly in cancer care settings where patients often present with complex vascular access challenges.

Clinically Relevant, Immediately Applicable

The workshop was consistently described as highly relevant to everyday practice. Participants noted that the skills gained would directly influence their ability to manage DIVA patients more effectively, improving both patient experience and clinical outcomes.

Importantly, the course also sparked interest in further learning, with several participants expressing a desire for advanced training in midlines, PICCs, and more complex vascular access techniques. There was also strong feedback supporting ongoing and refresher training opportunities to consolidate skills.

Delivering this workshop in Orange reflects CNSA’s commitment to strengthening cancer nursing capability in regional and rural settings. By bringing advanced, practical education closer to where nurses work, we are supporting equitable access to skill development and improving care for patients across Australia.

With overwhelmingly positive feedback and demonstrated impact, the DIVA Workshop continues to play an important role in building confidence, capability, and clinical excellence in vascular access.

CNSA looks forward to continuing to deliver these workshops across the country in 2026, supporting nurses to practice at the top of their scope and deliver safer, more effective care.


We would like to thank Medline, BD, B. Braun and Solventum for their ongoing support of the 2026 DIVA Workshop series.

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