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

    Author(s)
    Chopra, Vineet
    Kuhn, Latoya
    Vaughn, Valerie
    Ratz, David
    Winter, Suzanne
    Moureau, Nancy
    Meyer, Britt
    Krein, Sarah
    Griffith University Author(s)
    Moureau, Nancy A.
    Chopra, Vineet
    Year published
    2017
    Metadata
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    Abstract
    Background: Although certification by an accredited agency is often a practice prerequisite in health care, it is not required of vascular access specialists who insert peripherally inserted central catheters (PICCs). Whether certification is associated with differences in practice among inserters is unknown. Purpose: The purpose of this study was to gather information regarding whether certified and noncertified PICC inserters differ with respect to their practices and views about PICC use. Methods: We conducted a national survey of vascular access specialists, identifying certified PICC inserters as those who had received ...
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    Background: Although certification by an accredited agency is often a practice prerequisite in health care, it is not required of vascular access specialists who insert peripherally inserted central catheters (PICCs). Whether certification is associated with differences in practice among inserters is unknown. Purpose: The purpose of this study was to gather information regarding whether certified and noncertified PICC inserters differ with respect to their practices and views about PICC use. Methods: We conducted a national survey of vascular access specialists, identifying certified PICC inserters as those who had received board certification from the Association for Vascular Access, the Infusion Nurses Society, or both. The 76-item survey asked about PICC policies and procedures at respondents’ facilities, use of insertion technologies, device management, management of complications, perceptions about PICC use, and relationships with other health care providers. Additional data about respondents, including years in practice and primary practice settings, were also gathered. Bivariable comparisons were made using χ2 tests; two-sided α with P ≤ 0.05 was considered statistically significant. Results: Of the 1,450 respondents in the final sample, 1,007 (69%) said they were certified inserters and 443 (31%) said they were not. Significantly higher percentages of certified than noncertified inserters reported having practiced for five or more years (78% versus 54%) and having placed 1,000 or more PICCs (58% versus 32%). Significantly more certified than noncertified inserters also reported being the vascular access lead for their facility (56% versus 44%). Reported practice patterns for insertion, care, and management of PICCs varied based on certification status. Some evidence-based practices (such as the use of ultrasound to measure catheter-to-vein ratios) were more often reported by certified inserters, while others (such as the use of maximal sterile barriers during PICC insertion) were not. Asked about their perceptions of PICC use at their institution, certified inserters reported higher percentages of inappropriate insertion and removal than noncertified inserters. Conclusion: Certified PICC inserters appear to be a distinct group of vascular access specialists. A better understanding of how and why practices differ between certified and noncertified inserters is necessary to ensuring safer, high-quality patient care.
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    Journal Title
    American Journal of Nursing
    Volume
    117
    Issue
    12
    DOI
    https://doi.org/10.1097/01.NAJ.0000527458.85599.3a
    Subject
    Nursing
    Nursing not elsewhere classified
    Publication URI
    http://hdl.handle.net/10072/376847
    Collection
    • Journal articles

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