Reduce Use of CXRs for PICC Placement Confirmation

Project manager: 

  • Elizabeth Sin, MS, BSN, CCRN, Unit Director, Centralized Telemetry/Vascular Access Team

Sponsors: 

  • Sheila Antrum, MHSA, RN, President and Senior VP, UCSF Health – Adult Services
  • Tina Mammone, PhD, RN, CENP, NEA-BC, Vice President and Chief Nursing Officer

Participants: 

Adult Vascular Access Team members:  Anna Liang, MS, RN, CPNP-AC, VA-BC; Lynne Tom, MSN, RN, VA-BC; Michele Nomura, MSN, RN, VA-BC;  Yunhee Lee, BSN, RN, VA-BC; Todd Dayton, BSN, RN; Vivian Phan, RN; Kenichi Uyeda, RN, VA-BC; Shannon Sutherland, RN, VA-BC

Summary:

Elimination of confirmatory chest x-ray in selected patient population for tip location of Peripherally Inserted Central Catheter (PICC) utilizing electrocardiogram (ECG) based technology. This methodology is endorsed by the Infusion Nurses Society as it allows greater accuracy, more rapid initiation of infusion therapies, and reduction of radiation exposure as well as reduces costs for patient care.