Nurse led PICC line insertion
Development of a
Nurse Led PICC Line Insertion Service for Haematology and Oncology Patients, University Hospital Waterford Hospital
This project involved the development of a nurse-led peripherally inserted central catheters (PICC) line insertion service for haematology and oncology patients using 3CG technology.
Prior to this, PICC lines were typically inserted by a consultant interventional radiologist.
How it works
An analysis and
Protocols, referral pathways, patient pathways, data collection tools and audit process agreed. A standard
Two oncology clinical nurse specialists (CNS's) and one
A pathway was developed with the community intervention team to carry out PICC line flushes in the patients home. These occur within 24 hours post line insertion.
Following this, a weekly PICC line insertion clinic commenced.
Impact of the project
To date, 29 PICC lines have been inserted by the CNS's.
The patient no longer has to wait for extended periods of time to have a PICC line inserted. This greatly decreases the anxiety patients experience while they are waiting to begin chemotherapy treatment. Other impacts include:
- patients also spend less time in hospital by not being
addinttedto a surgical day ward
- wait times for insertion of PICC lines were reduced
- patients commenced cancer treatment in a timely manner
Total savings were estimated to be €47, 860.
A database has been developed to gather all the relevant evidence which will allow for a full audit after 12 months.