Name of the Procedure:

Home Infusion Therapy, Insertion of Peripherally Inserted Central Venous Catheter (PICC), Nursing Services Only (No Supplies or Catheter Included)
Common Names: PICC Line Insertion, Home Infusion Therapy
Technical Terms: Peripherally Inserted Central Catheter (PICC) Placement

Summary

A peripherally inserted central catheter (PICC) line is a long, thin tube inserted through a vein in your arm and guided to a larger vein near your heart. This is performed by a trained nurse to facilitate long-term intravenous (IV) therapy at home. This service includes the nursing procedure without the supplies or catheter.

Purpose

A PICC line insertion is typically required for conditions necessitating prolonged IV treatments, such as infections, cancer treatments, or chronic illnesses. The main goal is to provide a stable and reliable IV access point for long-term therapy while minimizing discomfort and risk of repeated needle sticks.

Indications

• Long-term IV antibiotic or medication therapy
• Chemotherapy
• Total Parenteral Nutrition (TPN)
• Frequent blood draws
• Poor venous access
• Chronic illnesses requiring ongoing IV hydration or treatments

Preparation

• No specific fasting required unless advised by your healthcare provider.
• Pre-procedure imaging or ultrasound may be used to assess vein suitability.
• Notify your nurse of all your medications and allergies.

Procedure Description

1. The nurse will clean the insertion site on your arm and apply a sterile drape.
2. Local anesthetic is applied to numb the area.
3. Using an ultrasound device, the nurse will identify a suitable vein and insert the catheter using a needle.
4. The catheter is threaded through the vein until its tip is in a large vein near your heart.
5. The PICC line is secured with a sterile dressing.
6. The position of the catheter is confirmed using X-ray or ultrasound.

Duration

The procedure usually takes about 1-2 hours.

Setting

The procedure is carried out at your home by a trained nurse.

Personnel

• Registered Nurse (RN) or Specialized Nurse (PICC Nurse)
• Additional supporting personnel as required (e.g., imaging technician)

Risks and Complications

• Infection at the insertion site.
• Bleeding or bruising.
• Risk of blood clots.
• Catheter displacement or blockage.
• Rarely, damage to nearby blood vessels or nerves.

Benefits

• Provides long-term IV access with minimal discomfort.
• Reduces the need for multiple needle sticks.
• Enables home-based treatment, enhancing comfort and quality of life.
• Immediate benefits include ready IV access for necessary treatments.

Recovery

• Minimal recovery time required.
• Keep the insertion site clean and dry.
• Follow all catheter care instructions provided by your nurse.
• Regular follow-up appointments to monitor the catheter’s condition.

Alternatives

• Other types of central venous catheters (e.g., tunneled catheters, port-a-caths)
• Regular peripheral IV lines, though not suitable for long-term use
• Subcutaneous ports
• Pros: Other methods may have different insertion sites and might be preferred based on patient condition and provider recommendation.
• Cons: Alternatives may have different risk profiles and might require more invasive procedures or frequent replacement.

Patient Experience

• During the procedure: You might feel slight pressure or discomfort when the needle is inserted, but this should be minimized by the local anesthetic.
• After the procedure: Mild soreness or bruising at the insertion site, which usually subsides within a few days.
• Pain Management: Over-the-counter pain relievers, such as acetaminophen, can be used if needed.

Your nurse will ensure you are comfortable and provide all necessary information for catheter care to prevent complications and promote swift recovery.