I have been doing picc exchanges for 2 years. They are far & few between. After updating our P & P on picc exchanges, my competency is being questioned. Meaning who said I was competent? I'm the only nurse currently doing exchanges outside Angio dept. I did an exchange with Angio dept observing hoping this would be enough. We are having a meeting next week to discuss this. For picc placement, we need 3 successful per year. Do any of you have any requirements for exchanges? How do you maintain or obtain you competency?