I am currently employed in a community hospital that has experienced exponential growth during the past 5 years. As a result our existing site rite assisted picc team can be overwhelmed and although our success for bedside placement is greater than 98% some patients require additional fluoro for placement. I would like to know what if any practice regulations there are for nursing inserting PICC's under fluoro? Can we do this? is there any existing arrangements whereby a radiologist must be in the room at time of fluoro. I am sure there are implications for billing as well. I would greatly appreciate anyones time and input regarding this query as we try to amalgamate skills in this area to provide optimal patient outcome cost effectively. Look forward to hearing. I currently practice in NY state. I also responded to angiorn with this as well.Don't want to create any confusion but am looking for reply regarding this practice for nurses.