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Peripherally Inserted Central Catheter: Compliance With Evidence-Based Indications for Insertion in an Inpatient Setting

Wojnar, Danuta G. MSN, RN; Beaman, Margaret L. PhD, RN

Journal of Infusion Nursing:
doi: 10.1097/NAN.0b013e318297c1a8
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Abstract

A randomized, retrospective chart review was conducted at a medium-sized community hospital to verify appropriateness of peripherally inserted central catheter (PICC) use in 49 inpatient patients. Study results support the Infusion Nurses Society recommendation to use PICCs to facilitate either short- or long-term intravenous therapy of vesicants, irritants, and any medications with a pH less than 5 or greater than 9 and osmolarity greater than 600 mOsm/L. All PICC insertion criteria recommended by the Centers for Disease Control and Prevention were met except one—the intended duration of intravenous therapy of more than 6 days. Identical PICC selection criteria are needed to standardize clinical practice.

Author Information

Eisenhower Medical Center, Rancho Mirage, California, and California State University, San Bernardino (Ms Wojnar and Dr Beaman).

Danuta G. Wojnar, MSN, RN, is chair of the Intravenous Access Committee and co-chair of the Nursing Research Council at Eisenhower Medical Center. She also works as a part-time faculty member in the Department of Nursing at California State University, San Bernardino. She has 28 years of nursing experience and is specialized in nephrology and critical care.

Margaret L. Beaman, PhD, RN, works as a nursing research consultant for the Eisenhower Medical Center nursing department, and she is a part-time faculty member with California State University San Bernardino's Department of Nursing and professor emeriti with Southern Illinois University Edwardsville. She specializes in research design and analysis, program planning, implementation and evaluation, and public health nursing.

Corresponding Author: Danuta G. Wojnar, MSN, RN (dwojnar@emc.org).

The authors of this article have no conflicts of interest to disclose.

© Copyright 2013 by Infusion Nurses Society