Peripherally Inserted Central Catheters (PICC) and the Efficacy of Tip Placement Confirmation with ECG Ultrasound-Guided Technology and Chest Radiography
Review TypeNone: Degree-based Submission
Repository Posting Date2019-11-20T18:36:39Z
Author(s)Morrell, Elizabeth A.
Author DetailsElizabeth A. Morrell, DNP
Lead Author Sigma AffliationZeta Mu at-Large
Level of EvidenceOther
Research ApproachPilot/Exploratory Study
CINAHL HeadingsPeripherally Inserted Central Catheters; Catheter Placement Determination; Electrocardiography; Radiography, Thoracic; Peripherally Inserted Central Catheters--Evaluation; Catheter Placement Determination--Methods; Electrocardiography--Utilization; Radiography, Thoracic--Utilization
AIM: The aim of this study was to appraise the efficacy of peripherally inserted central catheters (PICC) tip placement confirmation using a fully-integrated magnetic tracking system and ECG ultrasound-guided insertion technology performed at the patients’ bedside by venous access nurses and validated by the post-insertion chest radiography (CXR) report. Labor costs and time were compared with the interventional radiology (IR) team and the venous access nurses to determine if there was a noteworthy cost difference with PICC insertions. BACKGROUND: PICCs have gained popularity due to improved ECG ultrasound-guided tip navigation technology. Real-time ECG ultrasound-guided technology is the safest, most accurate method of PICC insertion. METHODS: A retrospective chart review of 125 adults between 18 to 90 years of age who met the indications for a PICC that were inserted at the bedside by competent venous access nurses. Post insertion CXR were compared for accurate tip placement. RESULTS: A sample of 125 patients had bedside PICCs inserted by qualified venous access nurses from July 2016 to June 2017 in one southern California acute care hospital. Study findings revealed 97.6% of PICCs was properly placed as validated by post CXR. Demographics included age (Mean = 62 years, Range 25-86) and gender (70.4% male, 29.6% female). No complications occurred during PICC insertions. A separate cost comparison of average labor costs during PICC insertions was measured among bedside venous access nurses and interventional radiology. Labor costs for venous access nurses performing PICC insertions were $67.47 (75 minutes) versus $81.17 (110 minutes) in interventional radiology, a cost savings of $13.70 per PICC insertion.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 10751378; ProQuest document ID: 2029861378. The author still retains copyright.
Advisor(s)Boller, Janet E.
Degree GrantorWestern University of Health Sciences
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Morrell, Elizabeth A. by View
Popular Works for Morrell, Elizabeth A. by Download
The citations below are meant to be used as guidelines. Patrons must make any necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult appropriate citation style resources for the exact formatting and punctuation guidelines.