We start all of our own iv's, If pt's need a PICC, an agency from Duke University travels to Podunck to insert the PICC...have asked to be trained in Picc insertion but NOOOOOO....hmmm would that be more cost effective ?? Of course it would, that's why the administration will have no part of training anyone in-house... We also do our own venipunctures for ordered labwork... all of that happened when the "great restructuring of nursing " came about in the 1990's...at least respiratory therapy is now doing its job...up until 4 years ago,nursing was responsible for neb treatments, EKG"S, o2 setups...they weren't happy, we weren't happy..eventually the powers that be saw the need for RT to be RT...