I was reading a forum topic on the time out procedure. One of the posts discussed the SHEA practice recommendations to prevent CLABSI in Acute Care Hospitals. The recommendation states - CVC insertion is oberved by a nurse, physcian or other healthcare personnel who has received appropriate education, to ensure that aseptic technique is maintained. I place PICC lines alone and am the only PICC trained RN in my setting. I follow INS guidelines in my practice. Does anyone know how important it is to follow every practice recommendation created? Any thoughts on this topic?