piccme

piccme has 20 years experience and specializes in cardiac- tele-ICE-SHU-cath lab/ir.

Latest Activity

1. PICC bu$ine$$ info dump

   piccme replied to inee's topic in Infusion

   How did you get accounts when you first started your business? Is insurance for LLC through NSO adequate? How did you know what to charge? Did you supply your own piccs? Did you use tracking devices to ensure placement? What about cxr's for tip place...

2. Starting a PICC business

   piccme posted a topic in Infusion

   Hi everyone! I've been putting in PICCs at the bedside for awhile now and its time to start my own LLC. I am having difficulty figuring out how to get this done. I need accounts! I have come to understand that for nursing homes, I probably need to g...

3. Injection/infusion nurses, help! Are you in business for yourself?

   piccme replied to Spoiled1's topic in Infusion

   I've heard that it can take Medicare up to 6 months to pay. But if you go through a Pharmacy, and they bill it, its a lot easier on the nurse. I don't know yet what all of this involves, I've been to busy at work and working on prep for the CRNI exam...

4. Clinical Nurse Specialist degree in Vascular Access

   piccme replied to sgbpiccrn's topic in Infusion

   so....how difficult was the CRNI exam? I am scheduled to take it in September and more than a little worried as my entire experience before I became the only PICC nurse for our hospital is in Cardiology. Technically I am pretty good...... cath lab/ir...

5. Injection/infusion nurses, help! Are you in business for yourself?

   piccme replied to Spoiled1's topic in Infusion

   I, too, have been looking into my own business for placing PICC's in the nursing home, home, where ever! I have found that I should become an LLC from my attorney and am currently having a seach done for my business name, its cute, but sorry, I can't...

6. Flush and blood return

   piccme replied to nursemomof3boys's topic in Infusion

   I would really appreciate a few articles on this! At my hospital, I have orders for hep flushes and the hospital is questioning the need for it. I find it keeps piccs working optimally longer.

7. PICC Nurses: How long did it take you to become proficient

   piccme replied to zahryia's topic in Infusion

   When I first started doing picc's I wish someone would have told me to insert the wire slowly. It won't get hung up that way.

8. 5 french vs 6 french PICC

   piccme replied to Rexie68's topic in Infusion

   Thanks for the helpful hints, its most appreciated! Mary

9. New PICC nurse needs help......PLEASE

   piccme replied to LCLARN's topic in Infusion

   I've only been putting in PICCs for a year. I have put in over 500 in such a short time....and we're a small hospital. The need is just so great. I would recommend calling Bard.... they come out, free of charge and work with you for as long as you ne...

10. Now how did that happen!

    piccme replied to piccme's topic in Infusion

    I went into the left basilic vein, which was larger that what i usually deal with. No history of surgery, pacer or ICD. It was a 6 fr picc. The picc wouldnt flush after placement, nor was there a blood return. I pulled it back, thinking maybe there w...

11. IV certification

    piccme replied to galenanurse's topic in Infusion

    Along with my PICC responsibilities, I do a few other things at my hospital. One of them is to teach IV's. This all sortof came about as I tend to be a pretty good stick and people would ask me to start theirs or teach them how i do it. I was formall...

12. Now how did that happen!

    piccme posted a topic in Infusion

    I've been putting in PICCs for nearly a year now. Yesterday, the darn thing tied itself in a knot about an inch from the tip! I couldnt remove it from his arm, so the patient had to be sent to IR to have it snared. The PICC went in so easily, didnt g...

13. sherlock

    piccme replied to kraye's topic in Infusion

    I use the Sherlock with every insertion. I wouldnt want to do piccs without it, actually. I know exactly where my picc is all the time. Bard has a deal with the shelock, our initial one was 1500, but if we maintain 40 piccs a month they will reimburs...

14. 5 french vs 6 french PICC

    piccme replied to Rexie68's topic in Infusion

    I always go with the triple lumen in either the ICU, OR, or ER. I really dont put in any single lumen PICCs, even on outpatients as they are usually either on more than one abt, or lack of trust in the flushing. I find they dont come back as often wi...

15. 5 french vs 6 french PICC

    piccme replied to Rexie68's topic in Infusion

    I'm glad I could add to the discussion. I think its great to have a place to come and discuss the PICC biz! There arent that many of us out there yet, yet being the keyword! Mary