I know this has been discussed, but I am seeing several things. It appears, that some facilities feel that MDs only should get PICC consents signed vs the PICC RN. Also, there is a tendency to use a general form that has a few of the risks associated with Percutaneous CVC and Tunnelled CVCS on the consent with an indication to refer to a list of other risks in small print on the back of the form. It is my opinion that risks should be specific to the type of line, and visible on the page the patient signs, and following the explanation of risks, benefits, and alternatives.
Any feedback on Doctors explaining the risks, and getting these signed. Often they do not know the risks, especially if they have not inserted them or even watched a placement. As the person inserting, it concerns me about the specificity of the explanation, and the understanding that the patient has, going into this procedure. I fear that this is not protective of us, should there be an injury, ie, "no one mentioned that ....... could happen"
Also, some facilities are not using consents at all, depending on the permit to treat. How does that inform the patient of the reality of an invasive procedure.