I also place picc lines and we do about 75-100 per year in our first 2 years(2 person team). we currently place our picc lines without u.s. but want to start using u.s. as our I.R. while supportive are not overly excited about placing picc lines. I need more information about the FACT the modified seldinger technique is beneficial to the patient, is becoming one of the normal/standards of practice, and beneficial to the hospital. States have different nurse practice acts and accountability. I would greatly appreciate any info that others have in the placement of picc lines so that our patients do not have to go to I.R. I am currently (seriously) looking at the site-rite 5 as the u.s. to help us with the task. Any help is welcomed.