Does anyone have references as to an 'accepted' success rate for RN placed PICC lines?
I searched the forum, but didn't seem to find anything. I apologize in advance if this is an old topic.
If I recall correctly,Kathy K noted 98% success rates in this article:
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)
In this one,rates are 93-95%:
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)
I have other personal correspondences that cite rates that vary from 80-some to essentially 100%,with a mean of about 95%. I don't think that there is an "accepted" minimum published anywhere. With a thorough didactic course and sufficient supervised training a nurse using US and MST should be able to function at at least (IMHO) a 95% success rate. There are plenty of programs that acheive this.
This is not an annual success rate, but we had an exceptional & recording setting for the number of PICCs during the month of May 2007.
The success rates were 97%, 98%, 100%, 100%, 100%.
Sorry, I didn't mean for that to sound like bragging, but it did. I am so proud of the people that work with me that I sent that success rate, AND didn't address the question "references as to an 'accepted' success rate". However, in the internal email about the success rate to our network of hospitals, I did brag and did mention that we are from Texas, so bragging is OK.........OOPS! I am red-faced now that it sounded like bragging to you! Please forgive me.
thanks for the reply. I would brag too if I had numbers like that.
thanks to everyone for their replies. We're doing over 90% success rate, which I think is acceptable, considering a lot of these people are really sick.
Bud Lavin, RN, CEN
Manager - PICC Team
St. Mary's Hospital