See answers below.
From: "DAVID LONGSETH" <[EMAIL PROTECTED]>
To: [EMAIL PROTECTED]
Subject: 2 Questions for PICC teams members
Date: Mon, 31 Jul 2006 20:47:00 -0500
1. Are any of your inserters CNS's or NP's?A. No. However, IR has now hired an NP and 2 PAs. They will eventually do all the other line placements: tunneled CVCs, ports, dialysis catheters and catheter complication diagnostic stuff.
2. What do you do when you're not actually putting in PICC's? In
other words,what are those little "miscellaneous duties as assigned" in your job description?A. The other PICC team members update the PICC schedule (always a moving target as we are now doing 12 to 13 PICCs a day Monday thru Friday), restock the PICC carts (3 of them, although we now need 4), reorder supplies, restock supplies, put together PICC packets (all the paperwork), try to get consents when the patient is unable to give informed consent, etc. But we RARELY have down time.
I, on the other hand, do all the program coordination stuff: I run the PICC Program, I'm the chair of the VAD Committee (run the meetings, write the agendas, minutes, do all the background work), I sit on the Materials Council (monthly meetings), I recently chaired an IV angio Task Force (to select a new IV angiocath), I sometimes have to attend Education Council or Practice Council meetings if new CVC/PICC related products or procedures are being introducted, I sometimes have to attend Procedure Committee meetings (PICC /CVC related procedures revisions), I teach a Basic PICC / VAD Nursing Management course through the Stanford CE Center 3-4 times a year, a basic PICC insertion course that follows a week later, and an Advanced PICC Insertion Using Ultrasound Course a week after that. Obviously there is always a need to update these courses, let alone contacting reps to support the skills labs, etc. I supervise implementation of new products and procedures (eg, PowerPICC, new connector, new Huber needle, new navigation system,etc, etc).
I also do one-on-one inservicing and skills check-off with the "Crisis Nurse" staff on updated or procedures if they are new to the role (eg, declotting, PICC removal, PICC repair, therapeutic phlebotomy, even PICC dressings if they come from an area like Life Flight where they never learned to do a PICC dressing). I deal with issues related to Pharmacy or with physicians if it relates to VADs in any way. I've done projects for Cal-NOC (when they were trying to see if hospitals could to PICC-related CRBSI surveillance), writing up blurbs for submission for Magnet Status, etc, etc....I also work with our data entry person who inputs our PICC data, our nurse manager (to keep her in the loop about all the changes, complaints, problems, scheduling issues, LOAs, new staff, etc), and our financial person who sets up the charges and keeps track of our financials and the PICC budget. There are probably a lot of other things I do too but I can't remember this late at night...It's basically what you want to make of it.
I do this one 12 hr shift per week (or the equivalent), and I insert PICCs one 12 hr shift per week. I'm lecturing and teaching around the country the rest of the time.
Nadine Nakazawa, RN
PICC Program Coordinator, Stanford Hospital
>Thanks,
>David
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