February 2006, Volume 36 Number 2 , p 26 - 27
FALKOWSKI, ALEXANDRA RN, BSN
NURSES IN OUR FULL-TIME vascular access nursing service (VANS) began to place peripherally inserted central catheters (PICCs) in 1992, using traditional methods. Difficult PICC insertions were referred to the interventional radiology department.
In 2001, we reviewed PICC insertion data. We found that out of 1,739 PICCs inserted that year, VANS placed 804 (46%) and interventional radiology placed 935 (54%). Clinicians in interventional radiology thought that performing PICC insertions had become a burden, straining our relationship with this department.
To improve the ability of the VANS team to place PICCs, we created a multidisciplinary task force to identify and address problems. Members included staff from interventional radiology, case management, and VANS and the director of medical services. Here's what we learned.
Task force sets goals
We identified obstacles related to PICC insertion, looked ...