RE: questions for collogues

[Lynn Hadaway]

Title: RE: questions for collogues

There is no "certification" in a procedure such as PICC insertion. Certification should refer only to a national certification such as CRNI or ONC. Your employer must establish the requirements for competency assessment which is the term used by JCAHO. The only exception could be if your state board has some established rules about this, but most do not.

Competency assessment for PICC insertion includes 4 components

1. establishing the amount of experience or skill required to begin learning PICC insertion, usually a specific success rate with venipuncture or years of experience in managing CVCs.

2. obtaining the knowledge from either a traditional classroom seminar, an online course or a self-directed study process.

3. a period of supervised clinical experience with a qualified preceptor. Your employer must decide the number of successful insertions required under supervision.

4. ongoing competency assessment program which should be changed periodically and be linked to clinical outcomes with the catheter toward the goal of improving those outcomes.

Lynn

At 8:16 AM -0500 8/9/06, Venz, Shirley wrote:

Does anyone know of any PICC insertion classes for nurses wanting to become PICC inserters scheduled for Wisconsin?

 

It is my understanding that to become certified, you need 8 hours of instruction and 3 successful observed insertions.

Once you become a certified PICC inserter, what are the requirements for maintaining certification?

 

Thanks, Shirley

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Lynn Hadaway
Sent: Tuesday, August 08, 2006 3:46 PM
To: Galloway, Margy; [EMAIL PROTECTED]
Subject: Re: questions for collogues

The one and only way that stopcocks might be used, in my opinion, on any catheter may be for drawing blood samples **only** if it is attached for the procedure and then removed and discarded immediately. I have heard some peds people talk about their success with using stopcocks to attach a heparinized syringe to one side for drawing the initial "discard", never detaching this syringe, then after drawing the sample into a syringe attached to the opposite site, the blood in the heparinized syringe is then reinfused. There is some evidence that reinfusing any blood is also reinfusing clots. I have never seen anything about the use of stopcocks decreasing infection, but there is some evidence that they increase infection because they are frequently left open and uncovered. Lynn

At 2:22 PM -0500 8/8/06, Galloway, Margy wrote:

Any opinions with the vascular access list experts?

 

 

 

Margy, We have a practice question. Some of the H/O units are using a stopcock to draw labs. Their rationale is that it decreases the number of time they access the line- thus hopefully decreasing infection risk. Have you ever heard of this?

 

 

Thanks for your help.

Margy

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Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861

-- 

Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10

Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861