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KMID : 1004620040100020103
Clinical Nursing Research
2004 Volume.10 No. 2 p.103 ~ p.114
A Clinical Nurse Specialist-led PICC(Peripherally Inserted Central Catheter) Program in an Affiliated Hospital
Park Jeong-Yun

Baek Mi-Kyung
Kwon Hye-Li
Kim Se-Ra
Yang Su-Ji
Park Kwang-Ok
Abstract
Purpose:The goal of this study was to introduce the PICC program for patients with ¥³ therapy and to present the nursing standard and the complication related to PICC.

Method:These outcomes of PICC program were collected during the period from November 2001 to April 2004.

Result:A total of 457 PICCs were inserted into 349 patients by the ¥³ CNS. The cases continuously increased and various patients units were referred. PICC program was extended to outpatient as well as inpatient. The mean duration of catheter use was 23 days; dwelltime ranged form less than 1 day to 247 days. The 457 catheters were in place for a total of 7,659 days. The reasons for removal were completed therapy in 123 cases(36.9%), patient death in 84 cases(25.2%), and mechanical or functional PICC problem in 70cases(21.0%). The 103 PICCs removed for presumed infection, phlebitis, edema(30.9%). The infection rate was calculated at accounted for 0.09% per 7,659 catheter days.

Conclusion:PICCs are safe and effective ways of delivering a variety of medical therapies via the central venous system. Therefore PICC program is rapidly growing popularity and required an extended course of ¥³ therapy.
KEYWORD
Peripherally inserted central catheter(PICC), Clinical nurse specialist(CNS)
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