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Karen Day
Karen Day's picture
nurse performed radiographic placement of picc tip
hello to all, does anyone know where any classes like this will be offerred or who I can get in touch with to find out about these classes.  My team would like to attend one of these classes and are unable to find out any information about this.  I know they recently had one in Cincinnatti, but we were not able to make that class.
Ann Earhart
Contact your BARD rep. 
Contact your BARD rep.  They hold classes frequently.
Jan Wesselink
Try calling Providence

Try calling Providence Hospital in Oregon.  Bard set up a class for us in Florida taught be a WONDERFUL radiologist from there.

rmcbeath
I think this is valualbe,

I think this is valualbe, however, are there states that are allowing nurses to verify tip locations? What are the legal implications? I have been wet reading my own PICC's ever since I started 15 years ago, but have to wait for the "official" word from radiology. Can be time consuming at times. Thank you

lynncrni
Each state is very different
Each state is very different in how they approach scope of practice issues. So you must learn the process for your state. Many states use a scope of practice decision tree and those states will not make these decisions at the board of nursing. So you will not find anything written about nurses assessing chest xrays, however it could be a practice that is being done in those states. GA is one in that category. Lynn

Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

Diane C Lauer
I practice in New
I practice in New Hampshire.  I am a radiology nurse.  The easiest way for me to insert PICC is to place the soft tip wire, then float cath over wire.  I phoned the BON in NH to find out if this is within my scope of practice.  The reply was that it is within the scope of practice for an RN to place a PICC, but it is not specific as to the method used.  Any information availabLe??

Celia Brown

lynncrni
My best advise would be to
My best advise would be to make doubly sure that the products you are using supports your procedure in writing. I do know of cases where a guidewire in a modified seldinger or micropuncture kit broke and embolized because someone tried to advance the catheter over this wire. The wire in these kits are usually not designed for this procedure. There are other kits that do have guidewires designed for advancing the wire over the catheter. I would also never expect or desire for my board of nursing to have a statement about all we do. If this were required our practice would never advance because there would be far too much bureaucracy. For a legal perspective, the best thing you can do is to make sure you are following the national standards of practice which includes following manufactures written instructions for use. Lynn 

Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

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