Submitted by David Bruce, Vascular Access Service , Albany on Sat Dec 13 17:39:52 2008
Bear in mind I'm writing this as I wait for the CXR on, YET AGAIN, another displaced PICC line. The frustration is mounting. I am a member of a 4 person Venous Access Service at a tertiary/ teaching center. Even though displacement may be an inherent risk of central venous acceess, I feel our rates are disproportionally high (8/72 last month, 4/30 to date). Is anyone aware of national benchmarks pertaining to dislodgement frequency ? We mandate a Patient Safety Report be generated each time a PICC is inadvenrtently pulled. We are tracking & trending but I am not aware of a resource for comparison. Has anyone else experienced dislodgement problems and how did you solve them ? Thanks for your help.