Our PICC QA is a continual work in progress. Right now we are looking at the value of collecting data (rate of occlusions, migration, CRBSI and repeat CXR's)on individual nurse inserters as well as overall insertions. There are so many variables contributing to the development of these events, how much of this is attributed to the inserter? And is it worthwhile knowing? Does anyone know what the standard is regarding gathering data on each inserter versus overall data?
Thanks,
Tami Mendonca, RN, BSN
Olympic Medical Center
All teams - regardless of what your name is - must have clinical outcome data which is what you listed. Thrombosis, infection, occlusion, infitlration , extravasation, etc. Productivity data on the number of procedures performed is not adequate. If you team is ever threatened to be disbanded, productivity data will not save you but outcome data will. This data should be collected in such as manner to identify specific trends occurring with each inserter. This is mainly for identifying process improvement issues and ongoing continued competence. See Infusion Nursing SOP 2011 # 5, 6, 7, 8, and 9. Lynn
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
Thanks Lynn for your comments. Currently we are collecting data on all events, but have not lfocused as much on individual inserters (although we do keep track of that as well). We have been doing this for a number of years with end-of-year graphs showing occurance of events. But what we are also looking at is adding a graph for each inserter's events.
Tami