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Arrangement of a focal line consistently conveys likely dangers for the patient, with significant contrasts in the sort and seriousness of entanglement, contingent upon which vein, which strategy and which gadget have been picked. Aim: The current study aimed to study the effect of nursing protocol in insertion and care of Vascular Access Devices (VAD) in oncology pediatric patients Design: A quasi experimental design was used. Setting: This study was conducted at the oncology department Unit, affiliated to Ain Shams University Hospital and police hospital at El-Agoza. Sample: A purposive example of (50) nurses were working at Ain Shams and (20) at ElAgoza. I. Predesigned Questionnaire Format, Assessment tool for the studied children , Questionnaire tool for nurses to assess nurse's knowledge, Observational checklists used to assess the nurses' practices regarding nursing protocols for care and insertion of VAD Results: there was positive correlation between knowledge of the studied nurses and their total practices and regarding vascular access devices (Port-A-Cath, Hickman, and CVC) throughout intervention with statically significant differences (p&lt;0.05). Conclusion: Implementation of the nursing protocol has statistically significant positive effect in insertion and care of VAD on oncology pediatric patients Recommendation: the nursing protocol should be applied for all nurses who deal with pediatric devices. Keywords: Nursing Protocol, Vascular Access Devices, Oncology, Pediatric Patients

The Effect of Nursing Protocol in Insertion and Care of Vascular Access Devices in Oncology Pediatric Patients