A vasculature access device may include a needle, a dilator, an introducer sheath, a hub, and manipulators in a single, integrated device. The vasculature access device may also optionally include one or both of a guidewire and one or more features for facilitating restraint of the hub and the introducer sheath relative to a patient. By integrating the needle, dilator, introducer sheath, hub, and manipulators in a single device, exchanges of these components (e.g., removing one component from the vasculature and introducing a different component into the vasculature), which is done in access kits where at least some of these components are separate, are reduced.