KMID : 1004620040100020103
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Clinical Nursing Research 2004 Volume.10 No. 2 p.103 ~ p.114
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A Clinical Nurse Specialist-led PICC(Peripherally Inserted Central Catheter) Program in an Affiliated Hospital
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Park Jeong-Yun
Baek Mi-Kyung Kwon Hye-Li Kim Se-Ra Yang Su-Ji Park Kwang-Ok
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Abstract
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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.
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KEYWORD
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Peripherally inserted central catheter(PICC), Clinical nurse specialist(CNS)
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