great transcript of your discussion. i'm glad i ran across it. both of you bring up some very good points.
i have had the opportunity to work with some very good techs in an i.r. setting. they were/are very strong professionally, however, techs are not trained to deal with a lot of the intricacies that surround really sick people getting piccs.
to be fair, nurses that are placing piccs have usually worked in the trenches so to speak and are intimately familiar with seeing patients as a whole. what i mean by that is you can see a patient's info (age, diagnosis, medical history, medications, labs, current overall condition, body habitus, etc.) and you immediately know how all of these things are going to interplay with a line placement.
on one occasion, i was going to help with staffing in an i.r. and with placing piccs in a hospital that was affiliated with the hospital i work at. the tech placed the piccs at this hospital.
we grabbed the cart and ultrasound, etc and went to the icu to place a picc. i was just helping out opening things on the sterile field, etc. and tech placed the picc. super nice guy, but after watching that picc placement, i was like, no way.
the short story is that it's more than just a procedure or act. i walked away from that assignment.
i understand that hospitals need coverage etc. all things being equal, i'll take the nurse.
"in the end, picc placement is a task, one that hardly encompasses the wide breadth of skills and knowledge that defines nursing, so i don't see it as a huge blow to nursing to lose something that really best falls under the role of a "tech"."
like i said, great discussion, but this particular point made by munrorn above is completely contrary to my experience assessing for and placing piccs.
i have noticed similar trends in working in/around unionized hospitals and could not agree with you more.