Placing an intravenous catheter is an invasive procedure that requires skill but more importantly knowledge of the possible ramifications of the procedure. Specifically, in this day of antibiotic resistance, an individual placing a catheter needs to be knowledgeable about aseptic technique and how to prevent infection. On the job training is spotty at best. An individual having gone through coaching at the practice level will not have the required knowledge and background and therefore represents a risk to the patient and public.