Picc lines placed in radiology -
In our facility specially trained RNs, including myself, place Picc lines at the bedside;
we do this with Site Rite ultrasound machine if needed; when we are unable to gain access, or our catheter won't thread, we ask the radiologist to help us.
If the radiologist does the line, a Picc nurse and a radiology tech always assist him. If the problem is gaining venous access, the radiologist usually has us place a periperal IV in the lower arm or hand of the patient so he can push a little contrast through to assist him in finding a vein under fluoro.
If the problem is that the line won't thread, then he assists us in getting the line to thread under fluoro.
The nurse actually does most of the work of placing the line even when done in radiology. The rad tech pushes the contrast and runs the fluoro, but otherwise does nothing in the placing of the Picc lines. Not all of the radiologists at our facility are interventionalists, so we really only have one who will actually mess with Picc lines at all - but he is also the radiologist that I work with doing angios, so we work well together. (I am a radiology nurse who just happened to be a Picc nurse also!)
We have never placed a line in radiology without the radiologist present. This is just the way it has been since we started placing Picc lines at our facility.
However, let me point out that we have pretty good success placing Picc lines at the bedside especially since we got out SiteRite. We rarely have to ask our radiologist to place a line under fluoro.
I think you will find that who and where Picc lines are placed varies greatly from facility to facility.. There is a website called smartgroups.com (I think) that has a vascular access group on it. I view this site regularly and I find that some facilities place all their Picc lines in radiology, some use radiology only when necessary, etc... Most of the people on this site are nurses and I really haven't heard them mention anything about radiology techs or cardiovascular techs placing picc lines. At our facility, the rad techs and cv techs do not place lines.
Hope this helps some and wasn't too confusing!!!