Submitted by Robyn Whitlock RN MSN CRNI, Director of Clinical Practice, IV Assist Inc on Sun Jan 30 17:51:16 2011
I just received my 2011 Standards of Practice and I must say I am disappointed about the wording on the use of ultrasound for PICC placement. On page S41 it says under Practice Criteria "D. The nurse should consider using visualization technologies that aid in vein identification and selection." I didn't expect the critieria to state you must use ultrasound, but I was hoping for a more strongly worded statement. Our long term care pharmacies that we service for PICC placement use the Standards of Practice as their guidelines. It is a little bit difficult to convince them that we need to use ultrasound as the standard for PICC insertion when the criteria is stated the way it is. They want to use nurses who insert without ultrasound and my feeling is that there is just too much information out stating that this is NOT the way a PICC nurse should be practicing.
I welcome all comments.
Robyn Whitlock RN, MSN, CRNI
IV Assist, Inc.