We thank Dr. Biffi and colleagues for recognizing the robust methodology used to inform the Infusion Therapy Standards of Practice (the Standards).1 Biffi et al. critiqued the use of Committee Consensus (Table 1) to inform a clinical practice with significant influence on patient safety. The Committee Consensus rating provides expert opinion to guide practices of concern where higher levels of evidence are lacking. The foundation of the Standards is vascular preservation, irrespective of patient care settings, and sustained through careful evaluation and management of optimal vascular access by competent clinicians.