RN/MRT Inserted PICCs

Specialties Radiology

Published

The IR docs in my department have been placing PICCs in our pediatric centre. We are now looking into an RN/MRT PICC insertion program--using fluoro on cuffed PICC lines. Just wondering if anybody out there does PICC inserts using access--wire into IVC--lidocaine--dermatotomy--dilatation/sheath--PICC--fluoro with contrast administration--cuff insertion--suturing of line etc. Seems like a lot, I know, but our hospital uses cuffed lines as the uncuffed ones seem to "fall out" alot:nono:

Also, what, if any, kind of medical directives have you documented.

Thanks for any guidance.

BigDog

36 Posts

Specializes in picc certified.

We dont do many pedi piccs if we do the kid is like 8 y/o we do iit same as adults with sonasite vein location sheath etc.We dont use contrast unless the wire gets hung up.We do use pedi size line without a cuff and at times they do seem to "fall out".Not sure what you mean by directives we dont have a specific protocol for peds picc.We use the same screening form as for adults.

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