Improved Care for Patients with Quick Response Assessment for Picc Line
Improved Care for Patients with Quick Response Assessment for PICC Line Doing Better; Spending Less
Candace Darling
Sierra Vista Regional Heath Center
September 3, 2009
Improved Care for Patients with Quick Response Assessment for PICC Line A peripherally inserted central catheter (PICC) is a long, slender, small, flexible tube that is inserted into a peripheral vein, typically in the upper arm, and advanced until the catheter tip terminates in a large vein in the chest near the heart to obtain intravenous access. It is similar to other central lines as it terminates into a large vessel near the heart. However, unlike other central lines, its point of entry is from the periphery of the body thus enabling PICC certified nurses the power to insert a line. A PICC line provides the best of both worlds concerning venous access. A PICC differ from peripheral IV access but similar to central lines in that a PICC’s termination point is centrally located in the body allowing for treatment that could not be obtained from standard periphery IV access. A PICC is much less invasive than a central line and is done at bedside. In addition, PICC insertions have decreased complication risk associated with them, and remain for a much longer duration than other central or periphery access devices (PICC line placement, n.d.). A study conducted at Penn State Milton S. Hershey (PA) Medical Center found PICC Lines inserted at bedside are the cost-effective method of providing reliable, ongoing venous access to patients requiring frequent IV therapy such as IV fluids, nutrition, medications, blood products and blood withdrawals. The study further concluded that PICC lines reduce the risk of infection and related complications (Major & Crow, 2000). The goal of this summary is to implement an assessment in the care plan upon admission to a unit that will generate a PICC line consult at Sierra Vista Regional Health Center (SVRHC).
Purpose
The purpose of this
Candace Darling
Sierra Vista Regional Heath Center
September 3, 2009
Improved Care for Patients with Quick Response Assessment for PICC Line A peripherally inserted central catheter (PICC) is a long, slender, small, flexible tube that is inserted into a peripheral vein, typically in the upper arm, and advanced until the catheter tip terminates in a large vein in the chest near the heart to obtain intravenous access. It is similar to other central lines as it terminates into a large vessel near the heart. However, unlike other central lines, its point of entry is from the periphery of the body thus enabling PICC certified nurses the power to insert a line. A PICC line provides the best of both worlds concerning venous access. A PICC differ from peripheral IV access but similar to central lines in that a PICC’s termination point is centrally located in the body allowing for treatment that could not be obtained from standard periphery IV access. A PICC is much less invasive than a central line and is done at bedside. In addition, PICC insertions have decreased complication risk associated with them, and remain for a much longer duration than other central or periphery access devices (PICC line placement, n.d.). A study conducted at Penn State Milton S. Hershey (PA) Medical Center found PICC Lines inserted at bedside are the cost-effective method of providing reliable, ongoing venous access to patients requiring frequent IV therapy such as IV fluids, nutrition, medications, blood products and blood withdrawals. The study further concluded that PICC lines reduce the risk of infection and related complications (Major & Crow, 2000). The goal of this summary is to implement an assessment in the care plan upon admission to a unit that will generate a PICC line consult at Sierra Vista Regional Health Center (SVRHC).
Purpose
The purpose of this
References: Institute for Healthcare Improvement (IHI), (2002). Reducing hospital-acquired infections in acute care hospital. Retrieved August 9, 2009, from http://www.ihi.org/IHI/Topics/CriticalCare/IntensiveCare/Measures/CatheterRelatedBloodstreamInfectionRate.htm Major, B.M., & Crow, M.M. (2000). Peripherally inserted central catheters in the patient with cardiomyopathy: The most cost-effective venous access. Journal of Intravenous Nursing, 23(6), 366-370. Retrieved August 24, 2009 from http://nursing.advanceweb.co/Editorial/Content/Editorial.aspx?CC=134508 PICC line nursing: Vascular access management (n.d.). Retrieved September 1, 2009 from http://picclinenursing.com/