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Discussion

Within scope of practice to insert a PICC line?

I have a job interview for an infusion company, and she said that I would be trained to insert PICC lines. I didn't know it was in an RN scope! It has to be done with the aid of x-ray, yes?

Do you generally need/receive a special certification when you're training to insert PICCs?

ETA: I apologize, I should have looked around at the IV therapy specialty board and I would have had an easy answer to my question!

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    I have a job interview for an infusion company, and she said that I would be trained to insert PICC lines. I didn't know it was in an RN scope!
    In the area where I reside, all of the PICC line nurses I've met have been RNs. They travel to extended care facilities and private homes to insert PICC lines for patients who will be receiving their IV therapies outside the acute care hospital setting.

    They utilize portable ultrasonography to assist them during insertions.

    EDIT...I did not realize this thread was 5+ years old, although the content remains relevant and useful in the present day.

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    Yes, RNs insert PICC/Midlines. In my facility, we currently use both ultrasound with 3CG TCS and CXR for tip confirmation. Midlines however do not require CXR.

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    Does anyone know if tunneling catheters is within a Registered Nurses scope of practice, with the appropriate training?

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    Does anyone know if tunneling catheters is within a Registered Nurses scope of practice, with the appropriate training?

    Depends on your state but many like California would include this under their standardized procedures which would allow you to tunnel so as long as there is a written policy & procedures along with documentation of being educated and trained to perform the procedure.

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