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PICC Team or Vascular Access Department Proposal
I have been the sole PICC nurse in a 800 bed hospital for the past 6 months.  I have been placing 100-120 PICCs/month.  I need help.  I want to write a buisness proposal for a Vascular Access Department (dreaming big) or at the least a PICC team.  Does anyone have a proposal they would share.  Anything and everything would be greatly appreciated.
David Longseth,RN Trauma

David Longseth,RN

Trauma Life Support Center

University of Wisconsin Hospital


Here is a list of references you may find useful in that regard:

1. Robinson,Malcolm K. MD, Mogensen,K, Grudinskas,G, Kohler,S, Jacobs,D. Improved care and reduced costs for patients requiring peripherally inserted central catheters: the role of bedside ultrasound and a dedicated team. Journal of Parenteral and Enteral Nutrition 2005:29 (374-379)

2. David,J, Kokotis,K. A new perspective for PICC line insertions: Cost effectiveness associated with an independent PICC service. Journal of the Association of Vascular Access Vol 9,No. 2 June 2004 (93-98)


3. Ean,R, Kirsme,J, Roslien,J, Dickerson,K, Grimes,E, Lowrie,A, Woodman,K. A nurse-driven peripherally inserted catheter team exhibits excellence through teamwork. Journal of the Association of Vascular Access Vol 11,No. 3 2006 (135-143)


4. Hornsby,S,Matter,K, Beets,B, Casey,S,Kokotis,K. Cost losses associated with the "PICC,stick and run team" concept. Journal of Intravenous Nursing Vol 28(1),Jan/Feb 2005 (45-53)


5. Cardella,J MD, Cardella,K, Bacci,N, Fox,P, Post,J. Cumulative experience with 1,273 peripherally inserted central catheters at a single institution. Journal of Vascular and Interventional Radiology Vol 7(1) Jan/Feb 1996 (5-13)


6. Santolucito,J. A retrospective evaluation of the timeliness of physician-initiated PICC referrals: A continuous quality assurance/performance improvement study. Journal of Vascular Access Devices Fall 2001 6(3) (20-26)


7. Kokotis,K. Cost containment and infusion services. Journal of Infusion Nursing Vol 28,No3S May/June 2005 (S22-32)


8. Pope,BB Provide safe passage for patients. Nursing Management 2003 Vol 39(9);(41-46)


9. Soifer,NE, Borzak,S, Edlin,BR, Weinstein,RA Prevention of peripheral venous catheter complications with an intravenous therapy team: a randomized controlled trial. Archives of Internal Medicine 1998; 158(5):(473-477)


10. Orto,V, Greene,L. Beyond the ICU: Nursing's role in decreasing central venous CR-BSIs. Nursing Management Vol 37(12) Dec 2006 (28-30)


11. O'Grady NP,et al. Guidelines for the prevention of intravascular catheter-related infections. MMWR 2002;51 (RR-10):1-29


100-120 per month in an 800-bed hospital implies that PICCs are probably underused and therefore other CVC's overused. Either that or your radiologists are putting in too many PICC's which sounds like a big potential for cost savings.

Good luck to you!

Thanks for your help.  I
Thanks for your help.  I have many of the references you suggested.  My issue is with the witing of the proposal.  I am not sure of the format, organazation of topics, etc.  I have all my supporting data, I lack the writing skill.  You are right, PICCs are underused.  That is why we need to expand.
Jeff Hanks
Comments withdrawn

Comments withdrawn

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

Chris Cavanaugh
Could you email me directly,
Could you email me directly, please?  [email protected]

Chris Cavanaugh, RN, BSN, CRNI, VA-BC

Can you email me at
Can you email me at [email protected]? I have a few questions for you. Thanks! M.Brown,RN
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