Background: Vascular access is a rapidly evolving field in modern healthcare that presents challenges across diverse clinical settings. Recent data indicate shortcomings in peripheral vascular access care for patients and nurses in Portugal.Objective: Given the ongoing challenges faced by Portuguese nurses in providing quality care to patients requiring peripheral intravenous access, we aim to identify and discuss potential ways forward in this field.Main Topics Under Analysis: The advancement of the field in Portugal involves the development of a clinical standard of care for peripheral intravenous catheterization in pediatric and adult patients, as well as the formal recognition of vascular access as an enhanced nursing competency. Additionally, a long-term focus on institutional initiatives to establish permanent Vascular Access Specialist Teams in Portuguese primary and tertiary care settings is recommended. Conclusion: The proposed pathways are consistent with the current evidence-based, patient-centered nursing care paradigm, as well as with international calls to action on fostering efficient, sustainable, and safe patient care.