we dont place a lot of piccs with sedation but we do lots of other procedures with "procedural sedation" the docs use propofol and fentanyl or versed and fentanyl and its done in a picu bed and the patient is recovered in the picu. the physician doing the sedation is responsible for nothing but the sedation a different doc does the procedure.
>>> "Toshi Holland" <[EMAIL PROTECTED]> 04/14/06 7:18 PM >>> We are small (about 200 beds) pediatric hospital. We used to do conscious sedation on the ward but becuase of JCAHO regulations and staffing needs, all PICCs requiring sedation are done in OR under general anesthesia except ICU and NICU. Currently we are entertaining an idea of creating a procedure room where we can do PICCs. I have a few questions for the group: Do you have a procedure room for PICC placement? If so, who orders and administers conscious sedation? Do you have nursing support for conscious sedation including recovery period? What service can you bill to patient? How many PICCs do you perform per month? Thank you, Toshi Holland Vascular Access Coordinator Children's Hospital Oakland, CA
