I am a PICC nurse in a community hospital without a vascular access team. We have 6 RN's trained and certified to insert PICCs and we are doing about 200 per year. We are using Bard Solo PowerPiccs and Sherlock. For the 1st year and a half we had almost no PICC related thrombus. Now, we have had 5 in the last month and our physicians are expressing concern. Anyone else have a sudden increase like this? What could be the problem? Is the law of averages just catching up to us?
Since we don't have a "team" our data collection is not the greatest, however there seems to be no commonality to these cases.Each line was placed by a different nurse.
3 of 5 were not on DVT prophylaxis, 2 were on Lovenox.
4 were 5 fr. DL, 1 was a 6 fr. TL.
4 of the 5 were in the ICU at one time or another.
4 had dwell times of 2 weeks or more. 1 had dwelled only 3 days.
Thanks for any input.