Durham

Problem: A Peripherally Inserted Central Catheter (PICC) is one of the most common forms for intravenous (IV) access. A competency-validated Registered Nurse (RN) places the PICC. A chest x-ray is taken to confirm proper placement of the PICC before beginning IV therapy. Initiation of therapy can be delayed depending on the radiologist’s availability. The vascular access specialty team (VAST) realized that action was needed to expedite PICC use. Evidence: A literature review of nurses identifying PICC line tips was conducted. Infusion Nurses Society and Association of Vascular Access workshops were attended. Networking with other hospitals resulted in knowledge of procedure with the goal being the identification and implementation of a best practice. Strategy: The information was presented to Nursing Leadership and Nurse Practice Council at Durham Regional Hospital. With the support of these groups and the radiologists, the team consulted the North Carolina Board of Nursing to determine scope of practice in which it was. Approval was then obtained from the Medical Executive Committee and Risk Management. Staff attended a six-hour workshop presented by