Training in Placement of Peripherally Inserted Central Catheters in the Neonate

Abstract

Abstract This is an instructional guide on the placement of a peripherally inserted central catheter (PICC) in an infant. This resource was developed following an iterative review process based on evidence-based practice published in the literature and on the expert experience of an interprofessional team consisting of neonatologists, neonatal-perinatal fellows, and neonatal nurse practitioner. The overall goals is to help those who place and maintain PICCs to standardize technique, improve success rates of PICC placement, and reduce PICC-associated complications. This resource contains a 30-minute video that combines live footage of PICC placement in the clinical setting with slides, photos, and x-rays highlighting salient points of PICC placement not captured on the video. In addition, a procedural checklist, a self-assessment form, and a learner evaluation form are provided as supplementary materials to the video to enhance the learner's training. This activity has been successfully implemented for orientation, training, and maintenance of procedural certification of our neonatology doctors, nurse practitioners, and physician assistants over a 5 year period. Feedback from our learners and educators after implementation has been positive and included comments regarding the utility of this resource for postgraduate medical and nursing education and credentialing.

Keywords

• Central Catheter
• Catheters
• Infant
• Instructional Films and Videos