A comprehensive review of clinical nurse specialist-led peripherally inserted central catheter placement in Korea: 4101 cases in a tertiary hospital.
Peripherally inserted central catheters (PICCs) are expected to be convenient and reliable venous access devices. The purpose of this study was to analyze clinical nurse specialist (CNS)-led PICC placement and to describe its growth in a tertiary hospital. A computerized database identified 3508 patients who had PICCs placed between November 2001 and June 2010. One thousand, eight hundred ninety-eight of the 4101 PICCs were available for complete follow-up, and 791 of 1898 PICCs were still in place. The mean dwell time of 1898 PICCs was 27.4 days (1∼422 days). Most PICCs were removed after the completion of infusion therapy; the remainder were removed following death, occlusion, suspected infection, or phlebitis, or were removed by the patient. The study found that CNS-led PICC placement for infusion therapies was effective and safe with relatively low complication rates and that CNSs played important roles in the increased use of PICCs.
Department of Clinical Nursing, University of Ulsan, Seoul, Korea (Dr Park); and Department of Nursing, Asan Medical Center, Seoul, Korea (Ms Kim). Jeong Yun Park, PhD, RN, KOAPN, is an assistant professor of clinical nursing at the University of Ulsan in Seoul, Korea. She led Korea's first peripherally inserted central catheter program as a clinical nurse specialist. Dr. Park has conducted clinical research for 10 years and taught graduate students for 3 years. Hyun Lim Kim, BSN, RN, KOAPN, CRNI®, CPHON®, is a clinical nurse specialist at the Asan Medical Center at Seoul, Korea. She has been a clinical nurse specialist in infusion therapy since 2010, specializing in oncology. Her role is to improve nursing practice through standardization of education for infusion nursing, PICC insertion, and the management of vascular devices.
Jeong Yun
JY
Park
Hyun Lim
HL
Kim
D000293:Adolescent; D000328:Adult; D000368:Aged; D002406:Catheterization, Peripheral / Q000379:methods*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D056910:Republic of Korea; D012189:Retrospective Studies; D013041:Specialties, Nursing / Q000458:organization & administration*; D055815:Young Adult