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In Florida, in the last three months several hospitals have cut back IV Teams (traditional plaicng PIV's and PICC's), and an independent contractor has eliminated a dedicated full time PICC service.  you have seen the posts from these hospitals here already.

It is time to do a review of:

What your program brings to the institution.

Time and motion needs

Cost savings your service provides to the hospital

Performance improvement indicators

Infection rate of central lines you place as a service:  I assume you are all making the Infection Control Department separate your rates out as that is a outcome of your dedicated service quality versus another service.  If your rates are not separate I suggest you work with Infection Control.

I would hope that this year INS and AVA focus some of their meetings on this topic as the 1990's when the last onslaught occurred is back.