PICC hands on training- CA,suggestions?

[quincycin]

Hello infusion mavens! I am looking for advice/ suggestions as to a hospital, large or small, anywhere in CA that would be willing to train me as a PICC nurse. I have the class already, so that is all good. My own hospital system is being difficult in letting myself or the three other nurses who took the class with me train with the PICC team to get signed off to place PICC's in the the ED(where we all work) . We don't want to go full-PICC, so to speak, but be available after hours(4 pm is the latest the PICC team works), and when there is a need. Any suggestions are most welcome! Thanks,

[IVRUS, BSN, RN]

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[iluvivt, BSN, RN]

You may NOT like what I have to say but if you did not have the go ahead to place PICCs in the ED from your managment team then it is not surprising they are giving you a hard time.Placing a PICC here and there in the ED setting is not ideal.It's best to place PICCs in a more controlled setting where maximal barrier precautions can be observed and and there is an empowered observer.Not to mention that research shows it takes placing 25 to 50 PICCs using Ultrasound and current insertion techniques and navigation and confirmation systems to be minimally competent.You also do not have the support of a PICC team or competent PICC nurse when things go wrong or become difficult and trust me not all PICC insertions are slam dunks. When the going gets tough and a PICC insertion takes a long time due to variety of problems who will be watching your patients and your assistant's patients? Also placing the PICC is just the start....how will you ensure all followup care is provided.PICC teams have systems in place to ensure post care is not missed.I say if this is what you want to do....get on a PICC team where you can be taught well and supported.