In an article published in the May/June 2008 issue of the Journal of Infusion Nursing, Drs. Hertzog and Waybill cite that “many authors have noted that successful bedside PICC placement is extremely operator dependent and have emphasized the importance of dedicated provider training, standardization of procedures, and continuous quality improvement programs. Ongoing quality assessment and data evaluation programs have improved outcomes.”
Hertzog PR, Waybill PN. Complications and controversies associated with peripherally inserted central catheters. J Infus Nurs. 2008; 31(3):159-163.
Infusion Care Experts, Inc. QA data collected 2018
The success rate for bedside placement of EKG PICCs terminating in the SVC utilizing Ultrasound/ MST.
| Contract Services | 2018 | Findings/Analysis |
|---|---|---|
| PICC Insertions | 2734 | 98% PICC INSERTIONS PLACED |
| PICC Tip SVC/CAJ | 2612 | 95.6% SVC/CAJ PICC Placement with ECG Technology |
| Unable to Identify P-Wave | 66 | 2.4% SVC Placement Confirmed by Chest X-Ray |
| Midline Access Left | 18 | 0.6% Unable to Thread Catheter to SVC – Midline Placed for Access |
| Unable to Place PICC/Midline | 38 | 1.4% Unable to Place PICC/Midline |
| MIDLINE INSERTION | 5078 | 100% MIDLINE INSERTIONS PLACED |
| INFECTION RATE | 0 | 0% Reported Infections |
| ADHERENCE OF DOCUMENTION | 7812 | 100% Nursing of Visit |
Infusion Care Experts, Inc. Recommendations:
– ICE recommends continuous use of Sherlock 3CG Technology to assure 100% tip location in optimal position.
– ICE recommends to use of PICC/Midline pre-criteria form to ensure patients meet requirements for bedside placement.