Which type of central venous catheter may be placed by a specially trained registered nurse?
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Multicenter Study Show
Nurse-led central venous catheter insertion-procedural characteristics and outcomes of three intensive care based catheter placement servicesEvan Alexandrou et al. Int J Nurs Stud. 2012 Feb. AbstractBackground: Nurse-led central venous catheter placement is an emerging clinical role internationally. Procedural characteristics and clinical outcomes is an important consideration in appraisal of such advanced nursing roles. Objectives: To review characteristics and outcomes of three nurse-led central venous catheter insertion services based in intensive care units in New South Wales, Australia. Design: Using data from the Central Line Associated Bacteraemia project in New South Wales intensive care units. Descriptive statistical techniques were used to ascertain comparison rates and proportions. Participants: De-identified outcome data of patients who had a central venous catheter inserted as part of their therapy by one of the four advanced practice nurses working in three separate hospitals in New South Wales. Results: Between March 2007 and June 2009, 760 vascular access devices were placed by the three nurse-led central venous catheter placement services. Hospital A inserted 520 catheters; Hospital C with 164; and Hospital B with 76. Over the study period, insertion outcomes were favourable with only 1 pneumothorax (1%), 1 arterial puncture (1%) and 1 CLAB (1%) being recorded across the three groups. The CLAB rate was lower in comparison to the aggregated CLAB data set [1.3 per 1000 catheters (95% CI=0.03-7.3) vs. 7.2 per 1000 catheters (95% CI=5.9-8.7)]. Conclusion: This study has demonstrated safe patient outcomes with nurse led CVC insertion as compared with published data. Nurses who are formally trained and credentialed to insert CVCs can improve organisational efficiencies. This study adds to emerging data that developing clinical roles that focus on skills, procedural volume and competency can be a viable option in health care facilities. Crown Copyright © 2011. Published by Elsevier Ltd. All rights reserved. Comment in
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Can a nurse put in a central venous catheter?It is NOT within the scope of practice of the Registered Nurse (RN) to insert a central venous catheter (CVC) through the use of the subclavian vein or to insert any catheter using a tunneled or implanted approach.
Who can insert a PICC line?PICC line insertion can be done by a nurse, doctor or other trained medical provider. If you're staying in the hospital, the procedure might be done in your hospital room.
What are the four main types of central venous catheters?Types of central lines. Peripherally inserted central catheter (PICC). This line is placed in a large vein in the upper arm, or near the bend of the elbow.. Subclavian line. This line is placed into the vein that runs behind the collarbone.. Internal jugular line. ... . Femoral line.. What is PICC line used for?A PICC line is a thin, soft, long catheter (tube) that is inserted into a vein in your child's arm, leg or neck. The tip of the catheter is positioned in a large vein that carries blood into the heart. The PICC line is used for long-term intravenous (IV) antibiotics, nutrition or medications, and for blood draws.
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