Does anyone know the figure for picc insertions based on licensed beds? Thank you.
Forum topic
Tue, 08/09/2011 - 00:47
#1
Number of piccs/licensed beds
Fri, 08/12/2011 - 14:30
#2
Just a couple weeks or a
Just a couple weeks or a month ago Kathy Kokotis had a note on figuring the amount of PIcc lines per bed and determining where that lines up with some benchmark data.
do a search of this site and you will find it.
It was something like the number of piccs you placed in the year dividided by your average or lisc bed count, then she had data of; low volume placement, medium, and high volume placements according to the number you did per bed.
Gina
Fri, 08/12/2011 - 14:43
#3
found old link and copied and pasted, hope that is ok. Gina
Fri, 08/12/2011 - 14:53
#4
Just to add more confusion to
Just to add more confusion to this question, I recently found another way to measure PICC utilization ratio. = # of catheter -days per patient-day. This was reported to be 0.064 catheter-days per patient-day hospital-wide; 0.109 for ICU patients. This was in
Ajenjo MC, Morley JC, Russo AJ, et al. Peripherally inserted central venous catheter-associated bloodstream infections in hospitalized adult patients. Infection control and hospital epidemiology: the official journal of the Society of Hospital Epidemiologists of America. 2011;32(2):125.
This is a more scientific approach to this measurement. Lynn
Fri, 08/12/2011 - 22:36
#5
Thank you to all.
Thank you to all.
Data analysis is always an
Data analysis is always an challenge. The measurement of the number of PICC per occupied bed is one way to assess the number being placed. This has become a familiar way to benchmark against other facilities. It is very similar to BSI events per 1000 catheter days, or number of needlestick injuries per 100 occupied beds. Same thing. A percentage would is not the best way to measure these actions. For instance, the percent of catheters that become infected could be very high but that number would not take into consideration the number of line days. If your population had long-term catheters that dwelled for many weeks, you could have 10% or 20% or even 50% that became infected. But if those that got infected were dwelling for 60 days each and you had 100 catheters, that is 6000 days as your denominator instead of the 100 catheters. To establish a rate, there must be a denominator and it is convenient to choose occupied beds for this denominator for PICC usage. Sorry I am not a math expert but there are resources that can explain this stat stuff much better than me. Lynn
Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Blog http://hadawayassociates.blogspot.com/
Office Phone 770
picc placed per bed
I was very glad to see this post and printed up the info a couple weeks ago and just found my notes.
I am the "picc team" , we are in a small rural hospital that has 100 beds in it. I looked at the below formula that Kathy mentioned . I contacted my director of nursing who says our average bed occupancy is 55.
So.... last year I placed 480 picc lines ( some of them are OPs, since we have an OP dept in house that does OP abx).
so......55 beds average occupancy and 480 piccs placed make it an average of 8.7 piccs placed per bed per year. Is that correct? That would place me in the "mid range" of insertions.
Kathy; I am interested of how the lines per bed per year gives meaningful info. I guess I just dont get it on a statistical view point. I believe it is similar in the way we do infections per line days, it gives us all a similar across the board way to do measurements. But....if you have any info to help clarify or simplify this for me that would be great.
this is good info to have; I have one Dr who thinks we place too many PICC lines. Of course I do a thorough screening for indications as well and contraindications etcc and some times I am starting a hep lock and not a PICC Line. But....using this data and the benchmark info given says I am in the "mid zone" so, that means no red flags and no over useage if we compare our numbers to other institutions.
I also did some review of all my last quarter consults ordered for PICC lines and the Dr who tells me he thinks we do too many picc lines, is the main physician ordereing them. I told him that, and he didnt believe me but now I will make it part of my data collectio to trend ordering MDs. In the beginning I did indications etc....to prove that they were being done appropriately and I still do asses that on an individual basis but I no longer report the indications etc....
Here lately I have found alot of consults when the pt was really not even that difficult a stick or only getting one piggy back or sometimes only needed a hep lock for a prn push. So, I started to keep track with my final action; picc line, recommended port , or line not indicated and peripheral line started etc.....good info for education. I find that sometimes it may be a little challenging iv for a nurse and they without trying ordering a PICC Line, not considering the risks versus alternatives.
Our DVT rate is up to 4% which in itself isnt high, but ...I am lookinig at all ways to decrease risks. I cut back on triple lumens inserted, and pre screen pts for risk factors or predisposing factors to dvts but usually the benefits outweigh the risks and we proceed.
any info from anyone would be helpful, Thanks, Gina Ward R.N, CPAN
Gina Ward R.N., C.P.A.N
PICC averages
The very low I see is 3 PICC/occupied bed per year which happens iin the east coast/deep south and virtually any hospital with most of their PICC's placed in a IR setting
The top I have seen is in the midwestern states where very old and established PICC teams with outpatient services are averaging 12 PICC's per occupied bed per year. Realize the acute care CVC's placed in those facilites are very lpw.
The mid range you will see is 7-10 PICC's per occupied bed per year
The way I gauge it is to look the number of patients who are not psych that stay 6 days or greater per year and that is usally 10-20% of admits on average. That is the PICC pool or the CVC pool. 6> days is usually an idication for mid to longer term therapy and the CDC 2011 definition.
Hospitals differ accross the board.
If you have 200 occupied beds and place 1,000 PICC's ypu average 5PICC/occupied bed per year. You likely have 1.5 FTE's for PICC placement. I would venture to say you place PICC's monday to friday on days. How close am I?
Kathy Kokotis RN BS MBA
Bard Access Systems
Kathy, Are you saying if a
Kathy, Are you saying if a hospital averages 200 occupied beds then our team should be placing close to 2,000 PICCs per year? We aren't even close to 50% of that.
Can anyone provide real numbers?
PICC's per occupied bed
use the formula of PICC's per occupied and not licensed beds. A hospital can have 200 more licensed beds than they utilize.
8-10 per occupied bed is what I see if there is a dedicated in-house PICC service
Kathy Kokotis
Bard Access Systems