RN's placing central lines

[bobnurse]

Hi,

I was told that some states allow trained RN's to place central lines. I am not referring to PICC Lines, but either subclavian or internal jugular placement. I have not heard this, but was wondering if there are RN's placing these out the

Thanks for your replies.

[iluvivt, BSN, RN]

Yes this is true. In many states RNs with special training may place internal jugular lines with the use of Ultrasound. I am in the process of reviewing the INS position statement about this that came out in March of this year. In this document they give clear and concise quidelines about all aspects of the issue. Some states do not allow this yet and I am just looking into California where I happen to practice. We would like to be able to place the IJ in some renal patients as we often can not use their arms (venous preservation) to place a PICC. I have a paper copy and I will see if I can hunt down where you can find this document.

[piccy girl]

Where can a RN get training for placing IJ's and what states allow it?

[pennym]

I Have Heard Alot Of Facilities Allow Icu Nurses With Special

Training Place Ij's. See Ya

[~*RN*~]

Yes, I work at a small LTACH in Lansing, MI and I have started a program which allows for the insertion of IJ PICCs (by me, BSN, RN, CRNI). These are small bore lines (4-5 fr and brought out to the clavicle making it much more comfortable and the dressing stays on well for the seven days. This is a small institution so change is able to take place faster. I brough the evidence-based articles from INS and then AVA and after writing the policies and procedures, proving that I had head & neck anatomy...I was off. These was instituted for patients with chronic kidney disease as a means of vessel preservation. I have inserted about 8 of them now, photpgraphing each and getting all the consents signed so that if I wanted to publish as case studies I could. This is what I am curently working on. It is a great option and doing cutting edge procedures which ultimately are in best interest of the patient is awesome!