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nanache
maintaing PICC placement comtpetency
I am looking for wriiten documentation for maintaining PICC line "certification". I have heard that to remain competent, a PICC nurse needs to place ~50 PICCs per year, but I can't find it to print it out. My facility is planning on having Nurse Practitioners place PICCs while the PICC Team is off duty. Our concerns are that they may not use appropriate assessment skills to determine IF the pt is a PICC candidate before placing them - they will probably just put it in because they can. Our other concern is that there will 2 people who need to be trained, so will they be able to remain competent if they cannot meet minimum requirements to maintain competency? Again, I need written documentation to present to my department director.
lynncrni
I don't think you will find

I don't think you will find such a number recommended by a professional organization much less supported by research. There is no PICC insertion "certification". You must follow the recommendations from Joint Commission on competency, but there are no magic number of insertions to obtain competency nor to maintain competency. Your clinical outcomes should guide the periodic changes in your competency assessment program. Lynn

 

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

www.hadawayassociates.com

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

kokotis
Kathy Kokotis Bard Access

Kathy Kokotis

Bard Access Systems

Hornsby published in JIN 2005 stated 50 PICC lines is the learning curve

That is all I can offer

kathy 

 

Kathy Kokotis

Bard Access Systems

Dawn1
picc exchange competency

I have been doing picc exchanges for 2 years. They are far & few between. After updating our P & P on picc exchanges, my competency is being questioned. Meaning who said I was competent? I'm the only nurse currently doing exchanges outside Angio dept. I did an exchange with Angio dept observing hoping this would be enough. We are having a meeting next week to discuss this. For picc placement, we need 3 successful per year. Do any of you have any requirements for exchanges? How do you maintain or obtain you competency?

Thanks,

Dawn

kathykokotis
Hospitalist

do you work in a hospital with hospitalists.  They may be able to check you off on exchanges

If not is there a NP in the ICU that places acute care CVC's that is employed by the hospital as they may be able to check you off for exchange each year

Check for employed MD's and employed NP's or PA's

Kathy

 

msiegelrn
There is no such thing

There is no such thing as having a "certification" as a PICC nurse. You can of course obtain a certificate as the result of attending a class on PICC line insertions  but that is far different than a certification. Each institution or company has to establish their own policies and procedures for nurses to perform various duties, among them inserting PICC lines or peripheral lines. They should be in accordance to community standards and follow INS standards of course. The only nationally accepted standards on infusion therapy are those put out by the INS but they will not cover what you seek. What you need to do is work with your facilyt to develop your own P&P's and determine how you assess competency and what educational components a nurse needs to meet as part of that.

 

Marvin Siegel RN CRNI

Director of Clinical Services

Town Total Health

NY, NY

lynncrni
Marvin is totally correct on

Marvin is totally correct on this issue of "certification" (mastering a complete body of knowledge within a given specialty) from a "certificate of completion or attendance" or any program that provides a certificate of any kind. There is no certification on PICC insertion. Each organization must document the competency of all staff including those that insert PICCs. There is no evidence to support a national standard on a specific number of any given procedure that is required to attain or maintain competency. 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

msiegelrn
Certification

Thanks for the voice of support Lynn.

Marvin Siegel RN CRNI

Director of Clinical Services

Town Total Health

NY, NY

SusanBrown
You also should check with

You also should check with your State Board of Nursing. The State of Wyoming mandated how many PICCs you need to do a year to maintain "competancy". See if there is something in your states nursing practice.

bnosal
CPUI

IS Nancy Moreau's CPUI not a certification?

lynncrni
It is not a certification. It

It is not a certification. It is a certificate program. 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

bnosal
Thanks Lynn

Thanks Lynn for the clarification.

pik_em
NPs to assist with PICC coverage

Hi Nanache,

I know this is a really old post but wondering how it worked out for your hospital having the NPs inserting PICCs while off duty.

I'm running into the same scenario at my hospital.  The NPs for the intensivist group (contracted-outside company) agreed to place PICCs/Midlines when I'm not available which is routinely, 3 days a week. (Had a partner that quit recently and my hospital doesn't want to hire another PICC RN.) So I'm being asked to train at least 2 NPs for now to kick this off.  It concerns me that the ICU NP that will be covering me, will also have to respond to codes, see consults, and do PICCs/Midlines.  I feel vascular access is an area of specialty that is being underestimated and would be better off as a dedicated team.  

I've been a long time reader of this forum and first time posting. 

Lynn, I appreciate everything you do for this vascular access community.  I've learned so much from you.  

 

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