No, this does not come down to XX number of insertions per month. Competency should be tied to outcomes. Look at the outcomes of your insertions and maintenance procedures. That will direct your attention to what needs to be improved and that will guide you to determine your competency assessment program. This program should change periodically based on those outcomes. To have a nurse demonstrate placing a PICC on an anatomical model before an instructor at a certain frequency is pointless and a waste of time.
Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
Office Phone 770-358-7861
A successful vein entry does not mean a successful catheter placement. So tracking that would also provide information about the reasons for unsuccessful catheter tip location. Also I would be tracking the clinical outcome with the catheter - infection, thrombus, lumen occlusion, etc. For these you may find that the competency to be documented is not related to the actual insertion but is related to the nursing care given to the patient and device.
Bard Access Systems
No, there is no standard out there to benchmark against. It is defined by your institution
Catherine Amero MSN/Ed,RN,CRNI®, Nurse Educator, Infusion Nurses Society recently sent me the following statement. Section B might be helpful to answer your question. Personally I think it would be a nice practice to have a quality assurance program to periodically watch each other on your team insert PICCs. Not for criticism, but for an accountability check...to make sure we aren't getting sloppy with our technique. That could be used as a yearly competency evaluation.
From INS Nurse Educator:
Clinicians caring for, inserting, and providing course instruction on PICCs should have specific education for these practices. The Infusion Nurses Society makes the following recommendations:
A. Clinicians Caring for PICCs
Areas in which clinicians caring for PICCs should be knowledgeable
2. Complications associated with the chosen vascular access device (VAD) and the recommended methods to manage those complications