I have just begun my journey as a PICC nurse, I have only attempted 4 with a 50% success rate.
I am very frustrated and am starting to doubt my ability to do this. I am using the US for guidance. I have a few questions for some seasoned PICC nurses.
1. On my last attempt I hit the brachial artery. It was very apparent both on US and by blood return that I hit her artery. So I immediately pulled it out of the arm and held pressure. Was the correct? Or could I have just pulled out of the artery and try to hit the vein? I had only this arm to use because the patient had a PICC pulled out of the other arm just that morning. Which leads me to my next question....
2. How soon can you re-access a vessel once a PICC was removed. It was removed because they thought the patient was going home on hospice, not because of infection. The MD is wanting me to attempt it again tomorrow, but I'm not sure what to do?
Any help is greatly appreciated...I'm so happy to have come across this site.
Thanks in advance.