We are a 750 bed hospital that has developed a PICC team of 6 members and as of 1/28/07 will have 24h coverage.Â Â Whille building our team, we placed 2,136 lines for 2006.Â We also have a contract agency that places the PICCs we can't get to. I believe they placed >1,000 lines for the year.Â Of course, as our team has grown, we have had to rely on them less, which was the goal in developing our team. So for 2006, we had >3,000 totalÂ PICCs placed for our facility. Our PICC team hasÂ anÂ infection rate of 0.5% and since we have been using Sherlock and occasionally Navigator, have decreased our malposition rate from 15% to 8%.Â For now, our team focuses on PICC placements, nursing/physician education, troubleshootingÂ and 24h follow-up s/p PICC placements.
I have heard that average PICCs per bed/per year is 5-7, which would put us under the national standard.Â Where does one get this information?Â I would assume those of you that work in large/teaching university facilities would have a better grip on the norms/averages?Â Â Upper management is now telling us we need to focus on lowering our PICC numbers with a focus on having a smallÂ "PIV IV team".Â Â We currently screen our referrals for the reason for the PICC - ie... multiple sticks for PIVs, TPN, long term abx, chemo, etc.Â as well as getting orders OK'd by nephrologist if is a dialysis patient. Currently we also ask if pt has a peripheral IV and determine if this is adequate for the type of therapy they are receiving. Also, we assess if the nurse has already attempted to start a peripheral and are usually told that pt have been stuck multiple times...from staff nurse up to the supervisors attempts.I would appreciate any input you can provide or pick your brains. Cheryl Kelley-We haven't talked with you in awhile and would like your input as well.....:) Thanks, Cindy Hunchusky-Harris Fort Worth(Texas) [email protected]