We are reviewing our guidelines for Picc placement in our pediatric population. Our team currently feels that our success rate for pediatric Picc is not good. Ok, pitiful. In conjunction with our Pediatric Intensivists doing the moderate sedation, we are supposed to place Piccs in any child old enough to be out of NICU. We use a Site Rite 3 and do not have the Sherlock type technology to do vein measurements. At this point we are not sure if the problem is us and lack of training or the patient population.
What do other vascular access teams do?
Who is placing your pediatric piccs on children less than 18mo-2yrs of age?
What is your cutoff for attempts? ie: how many pokes per nurse?
Any information or tips you could share would be fantastic.