Hi all, this is an important bill that all of that vascular access nursing community needs to address. I have attached it for all to read, it is on the AVA website. Basically, what it is saying is that anyone using ultrasound must have 18 months of education and training as a sonographer, the exception is MD, PA, and NP's. There for ONLY NURSES are affected. I find this very interesting given that the vascular nursing community seems to be the ONLY group that not only goes through formal education, but is required by JCAHO to be competencied. Please read the article and contact all on the list and let them know that for the use of ultrasound for PICC placement is a safe and effective means of delivery with both education and clinical competency, that our standard of care is the highest among the medical community for the specialty that we perform.