Forum topic

1. Does your hospital provide 7 day a week vascular/picc team coverage?

We offer 7 day a week coverage.  M-F 7a to 6p, weekends 9-5, No holidays

2. Does your PICC team provide 24 hour a day coverage?

We offer 7 day a week coverage.  M-F 7a to 6p, weekends 9-5, No holidays

3. Does your facility consider PICC lines to be an emergent or stat procedure?

No we do not consider PICC placement to be emergent.  There are situations where the patients history and condition complel us to place an emergent line - these are very infrequent.

4. Does your Vascular/PICC team place non tunnelled CVC's in either the Interal or external jugular ?

Yes, we place non-tunneled CVC's via the IJ, subclavian/axillary, and femoral veins (arterial lines as well).

5. Does anyone know of or have a Vascular team who places tunnelled CVC's?

I have heard of someone in Northern California.  I am currently working on getting this approved in my facility.

6. Please indicate the name & size of your facility & whether or not it is a trauma center.

Kaiser Permanente

San Diego Medical Center

Approx 380 beds

Not a trauma center

I can't recommend this advancement of practice highly enough.  Though, placing centrally placed catheters is not for everyone.  Exceptional training and mentoring is paramount to the success and safety of this program.

Responded to your questions to your e-mail listed

Sent to you e-mail account....Please share results

 Mon-Fri 730am-530pm then call till11pm

Sat and Sun call from7am to 11pm

Yes to emergent

We have one RN who places CVCs in internal jugular

No to tunneled

90 bed non teaching facility

1. Does your hospital provide 7 day a week vascular/picc team coverage?   Yes 365

2. Does your PICC team provide 24 hour a day coverage?  No    6:30am - 11:00pm

3. Does your facility consider PICC lines to be an emergent or stat procedure?  Yes,  we place in the ED and ICUs regularly.

4. Does your Vascular/PICC team place non tunnelled CVC's in either the Interal or external jugular ?  Not yet.

5. Does anyone know of or have a Vascular team who places tunnelled CVC's? No

6. Please indicate the name & size of your facility & whether or not it is a trauma center. Not a trauma center.

Mercy General Hospital Sacramento CA

250 beds

Darilyn Cole, RN CRNI VA-BC

1. No, they work Monday thru Friday

2. No, we cover 0880-1800

3. No emergent, some urgent. With the delay in tip confirmation, there is no such thing as an emergency PICC. As for urgent, they are almost all urgent and placed the day we get the order.

4. No we have not begun placing any other type of central line.

5. No, and I am not sure it is even within our scope of practice in the state of Maryland.

6. We are a community facility - 255 beds, Level II Trauma center.

1. Monday - Friday, no hospital holidays.

2. Approximately 7 am - 7:30 pm

3. Sometimes urgent if we can.

4. Not yet.

5. No

6. SSM St Joseph Health Center St Charles, MO  approx 250 beds, Trauma II center

hours of operation:

Vascular Access Team: PIV Monday thru Friday: 7 AM to midnight

                                      Saturday and Sunday 9 AM to 9 PM

                                PICC Monday thru Friday: 7 AM to 7 PM

All MDs consider their patient to be urgent.

    We triage, check labs and appropriate location for placement 2/2 pediatrics. Sedation is often needed to maintain sterile field either thru the sedation unit or OR.

We are comfortable placing EJ, " assist " with IJ and Femoral but not cuffed PICCs. IR places cuffed PICCs

I do not know of other hospitals RN PICC teams that place tunnelled, cuffed PICCs

240 bed pediatric trauma center

Moira