I can reply in CAPITALS.... Anne Marie >>> "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? WE STARTED OUT THIS WAY, WITH A PROCEDURE ROOM IN OUR SEDATION CENTER, NOW WE DO OUR PICCS IN IR, EXCEPT FOR KIDS IN INTENSIVE CARE UNITS, WE DO THOSE AT BEDSIDE If so, who orders and administers conscious sedation? THE IR DOCS OR NPs Do you have nursing support for conscious sedation including recovery period? YES, KIDS GO BACK TO THE SEDATION CENTER OR ARE RECOVERED ON THE UNIT IF INTENSIVE CARE What service can you bill to patient? NONE SO FAR...THEY ARE EXPLORING THIS OPTION How many PICCs do you perform per month? 80-120 Thank you, Toshi Holland Vascular Access Coordinator Children's Hospital Oakland, CA
