Inside best practice: PICC lines and informed consent

HCPro's Weekly Update on the ANCC Magnet Recognition Program®*, September 20, 2010

If a procedure has been shifted from the physician to the nurse, can informed consent then be obtained by the nurse, or does that responsibility remain with the ordering physician? One facility, by using nurses for the insertion of peripherally inserted central catheters (PICC lines), challenged the previous way of thinking in order to enable their specialized nurses to obtain informed consent.

At St. Mary’s Health Center in Jefferson City, MO, PICC lines were inserted by a small team of specially trained nurses. These nurses, who completed a special training program to become credentialed to insert the lines, were also allowed to obtain informed consent and explain to the patient what the procedure involved. This program had faded into the background for a number of years but recently returned to the forefront with the arrival of new leadership. The new leaders saw the benefits of PICC line usage and decided to aggressively pursue a full-strength re-implementation of the program.

Source: This excerpt is from the September HCPro’s Advisor to the ANCC Magnet Recognition Program®. Don’t have a subscription? Take a look at the benefits of becoming a member of HCPro’s Resource Center for the ANCC Magnet Recognition Program®.

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