Is there a benchmark for the success rates for pediatric PICC insertions that is available for us to reference?
If you are a pedi PICC nurse, could you provide some help with what your expected success rate is for a competent PICC RN (meaning, not in training)?
Success Rate:
Sedation used:Â Yes or no
Ultrasound used? If yes, are all patients sedated?
Thanks for any help.
Gwen Irwin
Austin, Texas
Gwen,
Our success rate in our pedi practice has increased each year since we started in 2004...now currently about 96%. We use ultrasound on all over about 3 kg, and sedate about 5-10% based on several factors such as age, developmental issues, & previous access history. In general sedation candidates are between about 1 and 5 years although it is a case by case decision, and we have sedated older and younger. We also try to coordinate PICC placement, when possible, with other procedures in which the patient will receive anesthesia. We use child life frequently and oral versed in those patients which are anxious but perhaps don't need the full sedation protocol. Our practice also includes the NICU, by the way, which most PICC teams do not do.
Holly
Wow, Holly, your program sounds awesome. Congratulations!
YOu should write it up and publish it, we'd love to hear how your journey was.
Cheryl Kelley RN BSN, VA-BC
Holly,
What is the % for under general? what is the average age for the sedation group vs. po versed group? thanks.
Did you mean what % is done under anesthesia or what is the success % under anesthesia?
We automatically consider sedation (full sedation done by critical care sedation team )on ages 1-5...under 1 they can usually be successfully restrained and are not likely to remember much, over 5 we can usually distract with child life and persuade them to hold still, although as I said, we have done older and younger. I am paraphrasing Darcy Doellman from Cinn. Children's, who sedate very few, when she says that a good PICC "holder" is worth their weight in meds!