This literature review includes off-site practice guidelines and selected articles that focus on the safe management and utilization of peripherally inserted central catheters (PICC). Topics include: Central line-associated blood stream infections (CLABSI), risks and benefits associated with PICC use, the nursing role in PICC utilization.
2021 - Utilization and Complications of Central Venous Access Devices in Oncology Patients
2015 - The Michigan Appropriateness Guide for Intravenous Catheters (MAGIC): Results From a Multispecialty Panel Using the RAND/UCLA Appropriateness Method. Criteria for PICC use, care, and maintenance according to patient population (for example, general hospitalized, critically ill, cancer, kidney disease), indication for insertion (infusion of peripherally compatible infusates vs. vesicants), and duration of use (≤5 days, 6 to 14 days, 15 to 30 days, or ≥31 days). Within each scenario, appropriateness of PICC use was compared with that of other venous access devices.
2011 - CDC Guidelines for the Prevention of Intravascular Catheter-Related Infections
This is an evidence based document intended for health care professionals who insert or manage intravascular catheters in a variety of setting. Topics include:
- Education, Training and Staffing
- Selection of Catheters and Sites Peripheral Catheters and Midline Catheters
- Hand Hygiene and Aseptic Technique
- Maximal Sterile Barrier Precautions
- Skin Preparation
- Catheter Site Dressing Regimens
- Patient Cleansing
- Replacement of Peripheral and Midline Catheters
- Replacement of CVCs, including PICCs and hemodialysis catheters
- Needleless Intravascular Catheter Systems
- Peripheral Arterial Catheters and Pressure Monitoring Devices for Adult and Pediatric Patients
- More
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