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kokotis
PICC lines infection

Need your feedback

What are you hearing in your facility on PICC lines and infections?

Are infections increasing?

Do the PICC lines get reported separately from the acute care lines?

Do your hospitals want to get rid of PICC lines?

Do your hospitals want to go back to peripheral catheters versus central lines?

What is the talk out there in general - no hospital names needed just thouhts

 

Kathy Kokotis

Bard Access Systems

momdogz
[quote=kokotis] Need your
[quote=kokotis]

Need your feedback

What are you hearing in your facility on PICC lines and infections?

the rate is low.  insertion techniques for our PICCs are excellent.         maintenance/care is acceptable in some places, fair to terrible others - hence major Quality Institute education initiative.

Are infections increasing?

no.  the clabsi we do get are all outside the 10-14 day parameter.

Do the PICC lines get reported separately from the acute care lines?

yes. 

Do your hospitals want to get rid of PICC lines?

no. 

Do your hospitals want to go back to peripheral catheters versus central lines?

        no. 

What is the talk out there in general - no hospital names needed just thouhts

       standardize care, devices, and education as much as possible in our large facility.  balance between evaluating new access technology with limiting variability and simplifying.  create vascular access team that has vascular access RNs as well as MDs.  ours is a teaching facility.  the medical director of our quality and safety committee agreed that the vat is very important for residents as well and that the team should be multidisciplinary. 

 

Kathy Kokotis

Bard Access Systems

[/quote] Mari Cordes, BS RN 
Nurse Educator IV Therapy
Fletcher Allen Health Care, Burlington VT
Educator, Bard Access Systems 

Mari Cordes, BS RNIII VA-BC
Vascular Access Department
University of Vermont Medical Center

Kevin Travis Flint
Submitted by kokotis, PICC
Submitted by kokotis, PICC Business Analyst, Bard Access Systems on Wed Jul 2 10:11:06 2008

Need your feedback

What are you hearing in your facility on PICC lines and infections? The incident may be user related, certainly doesn't appear to be from insertion.

Are infections increasing?  The concern is

Do the PICC lines get reported separately from the acute care lines? Yes

Do your hospitals want to get rid of PICC lines? They want them out sooner.

Do your hospitals want to go back to peripheral catheters versus central lines? Not an issue.

What is the talk out there in general - no hospital names needed just thouhts.  That the reporting of CLBSI from CVAD be reported the same.  We had a great quarter with one picc line infection, we are having to do a lot of education on site care and line management.

Kathy Kokotis

Bard Access Systems

clhunchusky
What are you hearing in your

What are you hearing in your facility on PICC lines and infections?

Infection rates have decreased drastically since PICC team placing exclusively. Past several months have maintained zero CRBSI's.

Are infections increasing? Nope

Do the PICC lines get reported separately from the acute care lines? No

Do your hospitals want to get rid of PICC lines? Absolutely not!

Do your hospitals want to go back to peripheral catheters versus central lines? No, however we now  place a fair amount of PIVs after assessing pt needs for appropriate vascular device vs. a PICC.

What is the talk out there in general - no hospital names needed just thouhts.

Early assessment screening tool implemented sucessfully. PICCs are now placed sooner in appropriate candidates. We are not necessarily placing  more PICCs, but are getting to them before they are recieving multiple sticks. This tool has empowered the nursing staff to determine pt needs and notify MD. This is a win-win situation all around. Patient/staff satisfaction continues to improve. PICCs are here to stay...

Kevin Travis Flint
 clhunchusky: Can you share

 clhunchusky:

Can you share your early assessment tool?

[email protected]

 

kokotis
Kathy Kokotis Bard Access

Kathy Kokotis

Bard Access Systems

Thanks for all the responses

Keep them coming as I have concerns that I am hearing in some hospitals that they want to reduce PICC line usage and to to peripheral catheters

From the four messages it seems to be a care issue 

 

Kathy Kokotis

Bard Access Systems

RAllen
Some physicians at our
Some physicians at our facility (1000 beds) were concerned that DVT rates were rising. At the highest point 600-700 PICC's were placed a month. A strict criteria was installed and the team expanded to include placing peripheral IV's (just the difficult ones). We now insert 250 PICC's and 700 IV's per month. Infection was never an issue.
Jeff Hanks
 Kathy,   Are infections

 Kathy,

  Are infections increasing? No.  Using keystone bundle checklist we have been able to have zero CRBSI 3 of the last 4 quarters.

Do the PICC lines get reported separately from the acute care lines? No, but since we know our insertion numbers and get informed of every suspected PICC infection, we know our numbers.  Also 80% of central lines in our hospital are PICC's

Do your hospitals want to get rid of PICC lines?  No.

Do your hospitals want to go back to peripheral catheters versus central lines?  No.  We use an early access program and also place PIV's and ULS guided PIV's.  The "right line at the right time" kind of philosophy.  (that's borrowed from University of Michigan's Loreli O'Donnell)

What is the talk out there in general - The only time other central lines get placed here are during a clinical crises when a pt can't wait for a PICC or for the occasional pt that is not a PICC candidate because of end-stage renal disease or a similar issue.  The Doc's here are not at all motivated to go back to getting more calls at two am when a PIV fails and the PICC team is unavailable.  That's why they go for early access.

Jeff Hanks, BSN, CRNI-Vascular Access Coordinator, Oaklawn Hospital. 

Jeff Hanks, CRNI-Vascular Access Clinical Specialist, Arrow International

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