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dagrisales
Becoming effective...
We have a PICC Team that I am part of and feel upper management does not understand what we need as clinicians. This is regarding extra hours for education and staffing purposes.  We have been able to move slowly through some issues but how does a PICC Team or person prove what needs have to be met for patient safety and nurse training. Any ideas?
lynncrni
You have to make a business

You have to make a business case for what is required. This means using the published literature, then obtaining facts and figures from your institution, and calculating costs comparisons for meeting the national standards of care. You message was very broadly worded so I am not quite sure what you are asking about specifically. 

 

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

www.hadawayassociates.com

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

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

dagrisales
The PICC Manager which
The PICC Manager which manages us without any PICC experience is re-developing the PICC Program in our hospital. The literature has been given to upper management. We have been told by other professionals that with the amount of volume for our PICC lines we need at least 4-5 FTEs total.  BARD Access has been open to evaluating our institution but then again it feels we have to move mountains to get anything done. We have 2 FTEs and 3 reliefs. The PICC Team is limited to educational time for the institution as well.  We are stretched and tired of trial and error schedules.  If we are not getting our results as clinicians, what is our next step.
lynncrni
By making a business case,

By making a business case, what I mean is converting everything to dollars and cents so that the financial people will understand it. They probably will not go through a pile of studies. 

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

www.hadawayassociates.com

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

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

musicfan_rn
I'm surprised a hospital

I'm surprised a hospital with the size and reputation of UCSF doesn't already have a much larger PICC program in place.  I work at a non-teaching medical center in the South with approximately 350 beds.  The person in this position before me lived and breathed IV Therapy.  It was her passion in life and I have a long way to go to get anywhere close to her knowledge base.  She set up our program and it pretty much still exists as it did with a few modifications.  We have four fulltime FTEs, which includes me.  We are all RNs (at one time there was a tech position which was converted to a RN.)  Even though I'm their new manager, I take an active role working out on the floor every other week.  We have coverage seven days a week, with at least two people each day.  On my "off" week, I have office days, meetings, etc.  We also have two PRN people that used to work fulltime IV Therapy and moved on to other departments in the organization.

How many PICCs does your department place in a week/month?  I know UCSF is a teaching hospital.  I'm sure the residents are learning and placing many other kinds of venous access devices.  Also how many are placed in radiology?  These figures would all be worth looking at.

Best of luck!

Sally RN 

 

Dianne Sim RN VA-BC
 Hi dagrisales, Could you

 Hi dagrisales,

Could you email me privately at [email protected] ? We are able to help you, and have done in the past. Thank you.

Dianne Sim RN

CEO & President,

IV Assist, Inc

Dianne Sim RN, VA-BC, CEO; IV Assist, Inc.

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