Insertion and removal of Peripherally Inserted Central Catheters (PICC) - catheters inserted via peripheral vein with the tip presiding in the vena cava.

1. May be done only by RNs who provide documentation of successful completion of an organized program of study which is approved by a nationally recognized accrediting board (in this case the program is approved by the American Nurses Credentialing Center's Commission on Accreditation) that provides didactic instruction and a competency skills check-off.  These items will be placed in the employee's personnel file.
2. RNs must demonstrate the skill in the clinical setting under supervision by a Attending MD prior to independent performance of the insertion and removal.  A clinical competency check-off based on ASBN guidelines should be completed both initially and annually and placed in the employee's personnel file and training tracker.
3. RNs who insert and remove PICC lines will follow specified procedures.
4. RNs authorized to insert and remove PICC lines must have this skill specifically listed in their job specific competencies in the training tracker.

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