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Updated: Dec 14, 2025

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
Reflections on setting up a nurse-led paediatric peripherally inserted central catheter service
1Intravascular Nurse Practitioner, Variety Children's Hospital, King's College Hospital NHS Foundation Trust, London.
This study details the successful establishment of a nurse-led paediatric peripherally inserted central catheter (PICC) service. The service demonstrated significant growth, inserting 55 lines during its trial and 301 lines in the interim phase.
Area of Science:
- Pediatric healthcare
- Vascular access devices
- Nursing practice
Background:
- Establishing specialized services in pediatrics is crucial for improving patient care.
- Peripherally inserted central catheters (PICCs) are essential for long-term vascular access in children.
- Nurse-led services can enhance efficiency and patient outcomes.
Purpose of the Study:
- To describe the implementation and experience of a new pediatric peripherally inserted central catheter (PICC) service.
- To evaluate the initial phases of a nurse-led PICC insertion service in a pediatric setting.
Main Methods:
- Review of service data from October 2014 to December 2019.
- Analysis of PICC line insertions during a trial phase (Oct 2014 - Dec 2016) and an interim service phase (Jan 2017 - Dec 2019).
Main Results:
- The trial phase saw 55 PICC lines inserted.
- The interim service phase resulted in 301 PICC lines inserted.
- The service demonstrated progressive growth and capacity.
Conclusions:
- A nurse-led pediatric PICC service can be successfully established and scaled.
- The implementation highlights the feasibility and growth potential of specialized nursing services for vascular access in children.
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