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Use of Designated Nurse PICC Teams and CLABSI Prevention Practices Among U.S. Hospitals: A Survey-Based Study

Krein Sarah L. PhD RN; Kuhn, Latoya MPH; Ratz, David MS; Chopra, Vineet MD, MSc
doi: 10.1097/PTS.0000000000000246
Original Article: PDF Only

Objectives

The use of peripherally inserted central catheters (PICCs) has increased substantially within hospitals during the past several years. Yet, the prevalence and practices of designated nurse PICC teams (i.e., specially trained nurses who are responsible for PICC insertions at a hospital) are unknown. We, therefore, identified the prevalence of and factors associated with having a designated nurse PICC team among U.S. acute care hospitals.

Methods

We conducted a survey of infection preventionists at a random sample of U.S. hospitals in May 2013, which asked about personnel who insert PICCs and the use of practices to prevent device-associated infections, including central line–associated bloodstream infection. We compared practice use between hospitals that have a designated nurse PICC team versus those that do not.

Results

Survey response rate was 70% (403/575). According to the respondents, nurse PICC teams inserted PICCs in more than 60% of U.S. hospitals in 2013. Moreover, certain practices to prevent central line–associated bloodstream infection, including maximum sterile barrier precautions (93% versus 88%, P = 0.06), chlorhexidine gluconate for insertion site antisepsis (96% versus 87%, P = .003) and facility-wide insertion checklists (95% versus 87%, P = 0.02) were regularly used by a higher percentage of hospitals with nurse PICC teams compared with those without.

Conclusions

These data suggest that nurse PICC teams play an integral role in PICC use at many hospitals and that use of such teams may promote key practices to prevent complications. Better understanding of the role, composition, and practice of such teams is an important area for future study.

Correspondence: Sarah L. Krein, PhD, RN, 2800 Plymouth Rd, Building 16, Rm 330W Ann Arbor, MI 48109 (e-mail: skrein@umich.edu)

The authors disclose no conflict of interest.

This work was funded through grant support from Blue Cross Blue Shield of Michigan Foundation and the Department of Veterans Affairs, National Center for Patient Safety.

The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the U.S. government.

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