Thanks for the replies, but I want to dig deeper... ARNA (American Radiology Nurses Association) during their annual convention in March 2004 will be addressing the topic of establishing venous access teams. Should be a good meeting. In the meantime, does anyone have any experience with RN's placing Picc Lines in Radiology without a Radiologist present? When nurses use ultrasound- is an ultrasonographer required to be present?