This course provides complete education to meet the didactic requirements of PICC training for neonatal and infants. The focus of this training is inserting PICCs for neonates and newborn infants to approximately 6 months of age.
About the Education Component of the Neonatal PICC Training:
The subject of neonatal and infant PICCs encompasses neonate and newborn infants to approximately 6 months of age. This course incorporates the recommendations from the National Association of Neonatal Nurses and those from the Infusion Nurses Society specific to neonates and pediatric patients. In areas where there is a contradiction between the two recommending agencies, both recommendations have been presented.
The course begins with vascular access options for the neonate, definitions of vascular access devices and PICCs. Comprehensive information is then provided regarding all aspects of PICCs including:
indications and contraindications for use
growth and development and how it applies to selection, anatomy, neonatal vein anatomy, vessel health, vein selection, insertion preparation, step-by-step insertion procedures by multiple methods as they apply to neonates
care and maintenance
legal aspects all specific to neonates.
Program Objectives and Goals
Define peripherally inserted central catheter by acknowledging the Infusion Nursing Standards of Practice designation for terminal tip location for neonates
List the advantages and disadvantages of PICC placement
State the indications and contraindications for PICC placement
Review major anatomical features of veins
Describe the main and alternate veins utilized for insertion of catheters with neonates and infants
State considerations for patient selection and parental involvement
Describe the proper measurement procedures for all possible insertion sites
Describe ways to reduce trauma in neonates requiring vascular access
List the steps of the PICC insertions procedure as related to neonates
Describe the procedures for managing catheter malposition
Explain neonatal care and maintenance procedures acceptable for use with PICCs including flushing and dressing changes
Recognize potential complications associated with the use of PICCs
Ultrasound is strongly recommended as a safety component of PICC insertion. In the past ultrasound insertion for pediatric and neonatal PICC placement has not been well accepted. The trend now is to incorporate this technology to add a level of competence that improves success, allows for expanded vein selection and provides more options for improved outcomes with neonates. Ultrasound cannot be learned in one or two lessons. In this course we introduce ultrasound as one of the options for insertion. In the beginning ultrasound can best be used for vein assessment and selection. As you gain in mastery add ultrasound guided needle insertion, especially when veins are deeper. Use of phantom vein pads to teach hand eye coordination is helpful in gaining skills with ultrasound guided needle placement. Using ultrasound for not only PICC placement, but also for ultrasound guided peripheral catheter placement will provide more opportunities for practice and lead to fewer overall attempts at device placement. Additional ultrasound courses are available to aid in understanding, provide tips and tricks while helping to facilitate your process through the learning curve with ultrasound. Simulation work and one on one coaching during insertions with a clinician experienced with ultrasound will greatly aid your understanding.
About the Additional Component of the Neonatal PICC Training:
Simulation and supervised insertions are additional components of training designed to establish patient safety with neonatal PICC insertion, confirming the clinician has reached competency in the insertion procedure. Simulation is provided as part of a hands-on workshop that you may attend or cover with your supervisor. Neonatal workshops are available including shadowing of patient insertions with ultrasound usage. While there is no set number of supervised insertions required prior to independent placement, it is recommended that you perform enough that you and your supervisor feel you are completely competent and confident to handle a variety of situations. No two insertions are the same. PICC insertion is considered an advanced level of practice requiring a higher level of knowledge and expertise and is to be performed only by those who have reached the level of specialist, specifically trained for the procedure. A supervisor for PICC insertion observation is qualified through licensure, as with a medical doctor or registered nurse, and through demonstrated successful PICC experience. The purpose of a PICC supervisor is to spot sterile technique, manage any complications that may arise, help the inserter learn from his experiences and allow the insertion to be successful if difficulties arise. Education and competency are necessary prior to independent neonatal PICC insertion. Overall medical liability is reduced with proof of education and competency for a specific procedure. We recommend using the competency forms and Global Rating Scale included as resource material in the course to document your competency as verified by your supervisor.
successfully complete this course and the course post test
print your continuing education certificate to use as proof of successful completion of a Neonatal PICC Training program.
Begin your supervised, simulated insertion
followed by supervised insertions on patients to the point of competency, comfort and confidence.
PICC training is a process and includes not just one course, but many courses. Continue to seek out educational opportunities including but not limited to ultrasound training, complication management, and tips and tricks in a variety of areas.
As you continue to perform insertions you will reach a level of qualification to become certified. After 25 insertions and documentation of supervised competency you are eligible to apply for the CPUI Certified PICC Ultrasound Inserter program. Following approval of qualification, a study guide is provided and sample test to assist you prior to completing the online proctored examination. Successful completion of the CPUI examination allows you to receive this professional designation, effective for a two-year period. An easy 3 step renewal process ensures you will retain your certification. Receiving this designation and maintaining your CPUI status places you in an elite group of expert clinicians who have demonstrated qualification, competence and knowledge necessary to provide the highest level of patient insertion and care with PICCs.
We wish you the greatest success in working with this fragile population. Your love and care for these children has a profound effect on their lives and their future.
Completion of this course meets and exceeds the requirements of all state, national and international groups specific to pediatric and neonatal PICC didactic training.
Provider approved by the California Board of Registered Nursing, Provider # CEP 15304
Continuing Nursing Education also provided through Florida Board of Nursing, Provider # 50-1594 FL