Basic PICC Insertion Self Study
Many infants require central venous access. Percutaneous central lines (PICC’s) are a vital intervention in the management of preterm and critically ill infants. Invasive procedures in the newborn require a clinician with both clinical and technical expertise.
The goal of this educational program is to provide a standardized curriculum that not only enhances, but increases opportunity to practice insertion of PICC lines in critically ill infants. The training curriculum includes a web-based instructional video and real time simulated practice using a low fidelity simulator trainer. The didactic portion will be self directed and includes the instructional video (PICC Excellence tm) that all trainees must review, along with a post-test prior to participation in the simulation. Content includes sterile technique, preparation, sedation, proper insertion, securing and dressing catheter, proper placement documented with an x-ray and maintenance of the central line.
Thereafter, trainees will participate in a simulation training session at the simulation lab in the School of Medicine at Stony Brook University. Simulation is being used as an educational intervention to improve the current method of PICC line placement training and improve competency. Currently trainees are not getting the time and opportunity for development of proficiency and competency. The desired outcome is to improve successful placement, reduce infection and other complications associated with the procedures. A low-fidelity partial- task simulator (“Nita Neonate tm” by Laerdal Medical) will be used. The trainees will perform two practice PICC line procedures using the “Nita Neonate tm” and receive immediate feedback in video review and debriefing sessions. The trainee will then have to demonstrate in a test simulation proper technique in PICC line placement using the partial task simulator under direct supervision. Video tape performance in the test simulation will be reviewed and scored using a predetermined checklist. All participants must successfully pass the test simulation prior to performing PICC placements on live newborns.
All of the staff that place PICC lines in NICU will be required to go through the training process.The course objectives include: