The demand for services of our vascular access team has increased significantly in our 1000 bed hospital. One suggestion is that we do PICC placements separately rather than having two clinicians at the bedside.
I cannot find literature to support either option and need to present "best practice" evidence to support the direction that is taken.Â Personally, I feel that when I have to do a PICC by myself, I am a greater risk for contamination of the field.Â If I needed supplies I would have to reach into a bag or drawer and could easily contaminate the gown even though I change gloves. If I called for help, I could probably push the call button maintaining the field, but I might wait twenty minutes before someone comes to help. If the patient gets restless, the field could be easily contaminated.
However, with the economy forcing extreme care in maintaining the best quality of care possible with the money available, every decision has to be supported by evidence.Â If research is not available, we must do what the majority of other facilities are doing.
Does anyone know of research on the topic?Â If not, what is your practice regarding PICC placement?Â If there is an assistant, is it an RN or non-RN?
Thanks for your help!!