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Evaluation On Demand Video ViewAttendees 121

Peds

(L5) ECG PICC Tip Confirmation: One Less Film

Monday, October 16, 2023
4:00 PM – 5:00 PM PT
Location: C123
Earn 1 CE
Peds/Neo SIG On-Demand
Disclosure(s):
Luis Cipriano, BSN, RN, VA-BC: No financial relationships to disclose
Kacey M. Wiseman, MSN, RN, CPN, VA-BC: No financial relationships to disclose
Confirming the tip location for a peripherally inserted central catheter (PICC) is essential to safely utilize this catheter as a central access point. Post-procedural radiographic films have long since been the standard for tip confirmation across the lifespan. This approach often leads to increased procedural time, supplemental sedation, multiple radiation exposures, delayed delivery of infusates via a central route, and increased cost. Intracavitary electrocardiogram (ECG) has emerged as an effectual adjunctive technology for PICC tip confirmation in neonatal and pediatric patients. This session will evaluate radiographic films and the corresponding intracavitary ECG readings to compare the two methodologies in PICC tip confirmation for the neonatal and pediatric populations.

Learning Objectives:

  • Identify two characteristics of RA-SVC junction tip location via electrocardiogram (ECG) readings following a review of intracavitary ECG methodology.
  • Explain two procedural considerations influential in the accurate interpretation of PICC tip location after a comparative evaluation of radiographic films and ECG readings.
  • Describe two benefits of using intracavitary ECG as an adjunct to radiographic films for PICC tip confirmation following an analytical appraisal of case studies.