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Data Review of PICC insertions Specific to Patients with Pacemaker/AICD Pocket Infections

Data Review of PICC insertions Specific to Patients with Pacemaker/AICD Pocket Infections Marianne Lucot RN, BSN Johns Hopkins. Abstract. Methods. Results.

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Data Review of PICC insertions Specific to Patients with Pacemaker/AICD Pocket Infections

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  1. Data Review of PICC insertions Specific to Patients with Pacemaker/AICD Pocket Infections Marianne Lucot RN, BSN Johns Hopkins Abstract Methods Results This report involves empirical research. There was a suspicion that the PICC service was often unsuccessful in placing a PICC for a particular patient population. These patients had a pacemaker/AICD pocket infection which resulted in device extraction. The physicians were requesting PICC to be placed on the affected side and the PICC service was not able to advance across the affected side. PICC service data was reviewed from May 2008 through September 2008 .The data for the suspected group was then compared to the overall PICC data This data reveals that only 14% of the time, were we able to place a PICC on the same side as a pacemaker pocket infection and 86% of the time we were unsuccessful with placement. Results Seven patients were found from the review to have had a pacemaker/AICD pocket infection resulting in extraction of device. The PICC had been attempted on the affected side and only one of the seven PICC insertions was successful... …….. May through September 2008 Add Image Objective Determine if there exists a significant difference between the success rate of PICC placements for patients with pacemaker/AICD pocket infection vs. the overall PICC service success rate.

  2. Data Review of PICC insertions specific to patients with Pacemaker Pocket Infections Data Review of PICC insertions specific to patients with Pacemaker Pocket Infections Data Review of PICC insertions Specific to Patients with Pacemaker/AICD Pocket Infections Marianne Lucot RN, BSN Johns Hopkins Medical Institution Results Results Conclusions . The total number of PICCs placed for all service units during this time frame was determined to be 667 from the PICC statistics. The number of successful PICC placements was 620 and the number of unsuccessful PICC placements was 47. This data changed our practice, providing evidence to share with the providers. The best choice for this group of patients is to send them directly to Interventional Radiology for line insertion rather than attempting a bedside PICC. References The PICC service’s overall success rate of 93% is indicative of their expertise in placing PICCs 2009 PI Report: Data Review of PICC insertion specific to patients with Pacemaker Pocket Infections

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