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1.5 CE Test Hours

Original Research

Does Certification in Vascular Access Matter? An Analysis of the PICC1 Survey

Contrada, Emily

AJN The American Journal of Nursing: December 2017 - Volume 117 - Issue 12 - p 35,47
doi: 10.1097/01.NAJ.0000527459.93222.bc
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Does Certification in Vascular Access Matter? An Analysis of the PICC1 Survey

GENERAL PURPOSE:

To present the details of a study done to determine whether certified and noncertified inserters differ in their practices and views about peripherally inserted central catheter use.

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LEARNING OBJECTIVES/OUTCOMES:

After completing this continuing nursing education activity, you should be able to

  • outline characteristics of the study participants.
  • discern the authors’ findings.
  • identify any implications for practice and further research.
  1. Certification helps assure the public and other stakeholders of
  2. the availability of ongoing training.
    empowerment among nurses.
    competence in a domain.
  3. Which of the following is a professional organization for both nurses and other health care professionals who are vascular access specialists?
  4. Infusion Nurses Society
    Association for Vascular Access
    Vascular Access Certification Corporation
  5. Of the clinicians participating in the authors’ study, what percentage reported having certification in peripherally inserted central catheter (PICC) insertion?
  6. 46%
    58%
    69%
  7. Among certified and noncertified PICC inserters, 89% in both groups identified as vascular access
  8. technicians.
    nurses.
    leads.
  9. What percentage of certified inserters reported that their facility had a written medical or nursing process for reviewing the necessity of PICCs on a daily basis?
  10. 71%
    83%
    92%
  11. Of certified inserters reporting having placed a PICC in a patient receiving dialysis, almost all reported consulting beforehand with which of the following professionals?
  12. interventional radiologist
    another certified inserter
    nephrologist
  13. Of the certified inserters, more than three-fourths reported using caps, masks, gowns, sterile gloves, and
  14. full body drapes.
    goggles.
    shoe covers.
  15. In both groups, 96% reported using which of the following to find a suitable vein for PICC insertion?
  16. palpation
    ultrasound
    radiographs
  17. Which dressing was reported as the one most often used for routine care after PICC placement by certified inserters?
  18. clear transparent dressing
    chlorhexidine-containing dressing
    colloid dressing
  19. Compared with certified inserters, noncertified inserters used wing-based products
  20. at about the same rate.
    more often.
    less often.
  21. According to the study, “targeted” flushing means flushing only those lumens that are
  22. not being actively used.
    not being used for blood draws.
    being actively used.
  23. More certified than noncertified inserters reported practicing
  24. rapid push flushes.
    pulsatile flushing.
    slow flushes.
  25. More certified than noncertified inserters reported flushing with
  26. normal saline.
    sterile water.
    heparin.
  27. More certified than noncertified inserters felt that what percentage of PICCs were placed for inappropriate reasons and could have been avoided?
  28. 5% or more
    10% or more
    15% or more
  29. According to current guidelines, placing PICCs in patients who are receiving dialysis
  30. is contraindicated.
    should only be done with the approval of a nephrologist.
    is associated with no constraints or contraindications.
  31. The authors suggest all of the following as vital steps in changing policy except
  32. working to eliminate financial barriers to obtaining certification.
    making PICC certification a requirement for employment.
    measuring key outcomes based on certification status.
  33. Identified limitations of the study include
  34. the possibility of selection bias.
    the use of descriptive statistics for data analysis.
    the use of gift cards as an incentive for participation.
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