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Related Experiment Video

Updated: May 6, 2026

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit

Published on: July 13, 2019

Nurse-led PICC insertion: is it cost effective?

Graham Walker¹, Alistair Todd

¹Medical Student, University of Aberdeen.

British Journal of Nursing (Mark Allen Publishing)

|October 30, 2013

Summary

Nurses achieved higher patient satisfaction and comparable success rates for peripherally inserted central catheters (PICCs) compared to radiologists, despite higher costs and infection rates in the radiologist group. Ward-based PICC insertion without x-ray screening is likely most cost-effective.

Area of Science:

Vascular Access Devices
Healthcare Economics
Patient Safety

Background:

Peripherally inserted central catheters (PICCs) offer longer venous access than peripheral cannulas but incur higher initial costs.
Optimizing PICC insertion practices is crucial for managing patient distress, staff time, and healthcare expenditure.
Comparing insertion by nurses versus radiologists is essential for cost-effectiveness and patient outcomes.

Purpose of the Study:

To compare the insertion costs, patient satisfaction, and infection rates of PICCs placed by trained nurses and radiologists.
To evaluate the overall efficiency and safety of PICC insertion by different healthcare professionals in a district general hospital.

Main Methods:

A 4-month study (2012-13) at Raigmore Hospital involving questionnaire data and direct observation of PICC insertions.

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Data collected included insertion time, staff involved, consumables, success rates, patient satisfaction (pre- and post-insertion), longevity, infection, and failure rates from patient notes.

Main Results:

Radiologist insertions were 42% more costly (p<0.01) than nurse insertions.
Patient satisfaction with pre-insertion explanations was higher in the nurse group.
The radiologist group exhibited higher insertion success and infection rates.

Conclusions:

PICC insertion can be safely performed by nurses in a ward-based setting without x-ray screening.
Ward-based PICC insertion by nurses presents a potentially more cost-effective solution for high-volume services.
Optimizing staff roles in PICC insertion can improve patient satisfaction and potentially reduce costs.