I am trying to research how other facilities use IV teams if they have one. What specifically are the roles of those nurses? Do they round on all patients to check the lines daily, insert PIV, insert PICCs, and also what departments within the organization are they covering? What are the hours of coverage? What kind of leadership and educators do they have? And how many beds in the facility?
Any information would be greatly appreciated!
Thank you,
Rebecca Wahlstrom RN
Adult Vascular Access Coordinator
Tacoma General Hospital
Tacoma, WA
I hope you receive some information from others on this site. Just to let you know, INS has formed a task force to assess these and other questions. I am chairing this group. Previously, there has never been a definition of these teams making it virtually impossible to have any meaningful data. Our work is far from finished and we are actually just getting started. There is a large workbook available now from INS that contains numerous formulas and worksheets to help you calculate these answers for your speciifc hospital. Go to www.ins1.org and look for the Implementing Infusion Teams workbook. 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
Hi Rebecca,
I am the Program Coordinator of an IV/PICC team in a 160 bed acute care hospital. We have both an IV Team and a PICC team that does bedside insertions. We are very fortunate to still have a traditional IV team that is responsible for all IV restarts and daily rounding. My PICC Team is involved with PICC inserts as well as the care and maintainance of all vascular access devices which includes daily Central Line rounds.
We do all the education related to these devices , provide PIV's to all areas in the hospital except the critical care areas and ED unless they are extremely difficult. I have 10 staff members including pool and weekend staff. For IV Team we cover 7a-11p Mon-Fri. and 7-7 on weekends. PICC Team is available 7a -4p Mon-Fri, 10-2 on Saturday and on call Sunday for emergent PICC insertions.
If I can help in any way, please let me know.
Lorraine Erieg RN
lme PICC Team Clinical Leader
Is anyone having trouble with the Microclave?
Lorraine, I am very interested in why you have 2 teams. Was this by design or simply evolved for some reason? This is very strange to me and I am trying to learn how these structures occur. 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
Lorraine
I am curious on how many picc lines your faciltiy is doing
Lorraine,
I am curious on how many picc lines you insert in a month or day by day basis.
Our IV team covers several different areas: acute care, infusion center, home infusion, PICC line placement, apheresis. We are available for IV placement, troubleshooting, maintanence issues 24/7. We start, on average 12,000 IV's a year. The majority of our nurses are able to place PICC lines. We don't have concrete hours for placement, it tends to go on a case by case basis. However, our staffing tends to only allow us to place until 1800 on weekdays and 1600 on weekends. In an average year, we place anywhere from 400-500 PICC's. Our IV nurses also operate the infusion center, open 0800-2000, 365 days of the year. We also do apheresis and manage the home infusion segment of the department, teaching patients and families on home-going infusion administration and pumps.
We are a 336 bed hospital within a larger hospital system. In the system we are the only hospital with an IV team. At our hospital we have 8 nurses during the day. 1 RN covers all the PIV starts for a pre-surgical department (as many as 20 starts daily), 1 RN covers outpatient day-surgery and GI lab accross the street, the remaining 6 cover all IV starts in CT and the inpatient units, round on all IV sites to ensure they are not having any complications, do re-starts when needed, round on all PICC's and CVC's, perform all PICC dressing changes as well as CVC dressing changes if ICU RNs are too busy, place all PICCs unless need to be sent to IR. On evenings we have 3 RN's on to continue with rounds and PIV starts. We then have 1 RN on night shift. We are expiramenting with having one of the day shift nurses work 1100-1930 to provide extra PICC coverage into the evenings. We place all of our PICCs as a 2 RN team and on average place maybe 90-120 PICC's per month. Oh, and we always use lidocaine with each insertion unless pt declines or have very difficult veins.