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Related Experiment Videos

Evaluation of a unique, nurse-inserted, peripherally inserted central catheter program.

Beth Gamulka1, Cristina Mendoza, Bairbre Connolly

  • 1Vascular Access Program, Hospital for Sick Children, Toronto, Ontario, Canada. beth.gamulka@sickkids.ca

Pediatrics
|June 3, 2005
PubMed
Summary
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A new pediatric program allows nurses to insert peripherally inserted central catheters (PICCs) safely and successfully. This initiative demonstrates a good safety profile and high success rate for nurse-inserted PICCs in children.

Area of Science:

  • Pediatric Medicine
  • Vascular Access Devices
  • Nursing Practice

Background:

  • Pediatric peripherally inserted central catheters (PICCs) were historically placed by interventional radiologists.
  • Concerns about safety and success initially limited nurse-led PICC insertion programs.
  • A collaborative program between PICC nurses and interventional radiologists was established.

Purpose of the Study:

  • To evaluate the safety and efficacy of a nurse-inserted PICC program in a pediatric setting.
  • To assess the success rates and complication profiles of nurse-placed PICCs.
  • To determine the feasibility of a collaborative model for pediatric PICC insertion.

Main Methods:

  • Three nurses underwent training for PICC insertion.
  • Patients meeting selection criteria had PICCs inserted using sterile technique on a fluoroscopy table with IR support.

Related Experiment Videos

  • Final tip position was confirmed with contrast and fluoroscopy; additional imaging was used only if needed.

    • Main Results:

    • 97 out of 99 pediatric patients had insertion attempts by nurses.
    • Nurses successfully placed 71.1% of PICCs, with 15.5% requiring minor IR assistance.
    • No insertion complications were noted; postinsertion complications occurred in 27.8% of cases.

    Conclusions:

    • The pediatric nurse-inserted PICC program demonstrated a good safety profile.
    • The program achieved a high success rate for nurse-led PICC insertions.
    • Low postprocedural complication rates support the viability of this nursing initiative.