[font="comic sans ms"]what kind of education/training does your hospital require for their picc nurses?
most institutions require a class, followed by so many hours of bedside training.
if that is the case at your hospital, then i would suggest getting them to send you through a class so that you can be "a good picc resource at night." you will have a better understanding of them, and be able to help trouble-shoot. i get called to look at piccs all the time because of one problem or another -- real or imagined. things like, "i went to change the dressing and the line is out x far. " well, if you look at the documentation, that is how far it was out when it was placed. no problem. thing is, they will often stop using the picc until i can come and assess it. then the patient ends up missing several hours of therapy needlessly. i try to do inservices, but with the high turnover of floor/unit nurses, it is tough to keep everyone educated and up-to-date. i often wish there was someone else around who could help people trouble-shoot, especially at night. then, once you have been though the class, it will be easier to convince them to get you checked off. maybe you could work prn or as a fill-in picc nurse for a while, until a position opened up.
but, just a couple of cautions:
first, are you sure there are nurses that would be willing to give up the picc position? i ask that not because being a picc nurse is so wonderful (i love my job, but honestly, it is one of the higher-stress jobs i have had in nursing -- there are days i truely contemplate going back to the er full time), but because i would think that they would have resigned already. there must be some reason why they continue to be picc nurses instead of something else. there is too much else available in nursing, and no one can force them to stay.
the other is that being a good iv nurse doesn't necessarily translate into being a good picc nurse, especially if your facility uses ultrasound. don't get me wrong -- being a good stick can only be an asset. but there is so much more to placing a picc than getting in the vein. this weekend i put a picc in a guy that i had no problem getting into the vein. but, to thread the picc, i had to have two people help me so i could get him rolled onto the opposite side while the arm i was working on was pulled out at a certain angle. all while maintaining a sterile field.
i'm not trying to be discouraging, really, i'm not :wink2: . but the first several months of my picc career were more frustrating than being a new grad. good luck, and let me know if i can answer any questions.