Developing a comprehensive Vascular Access Service -

Collaboration, Scope of Practice and Business Models

Infusion Therapy PICC Service Gold Coast University Hospital

Tanya Clark

Clinical Nurse Consultant

Infusion Therapy

Demographics Gold Coast Health & Hospital Service

Gold Coast University

Hospital (GCUH) - 750 beds

Robina- 364 beds

Carrara- 63 beds

X3 Community Health Centres

1991 1992 1997 1998 2004 2008 2011 2013 2015

Surveillance & Monitoring

ICU model of care MID model of care

History

PICC me!

0

150

300

450

600

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

Year

Ward and Outpatient PICC Insertions

Peripherally Inserted Central Catheter (PICC) Framework

Nurse Led PICC Insertion Service

Timing

Motivated Clinicians

Support

Scope of Practice

Service Delivery

Business Case

Clinical Competence

PICC Chicks “PICCing" 2015

Monitoring & Surveillance

Auditing

Data Collection

STATS

0.5

0.2

0.4

1.

1.2

0.8 0.9

0.7 0.8

0.7

0.

0.3

0.6

0.9

1.2

1.5

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

pe

r 1

00

0 c

ath

ete

r d

ays

Year

Gold Coast Hospital Central Line Associated Blood Stream Infections (CLABSI) Rate

(CVCs & PICCs)

0%

1%

2%

2%

3%

USS confirmed thrombosis

STATS

74 73

54

40 38

66 64 53

76 66

81 82

97

0

25

50

75

100

125

Inpatient TPN 2000-2013

1 2 2 3 4 0

0 0 0

3

024579

2011 2012 2013 2014 2015

Nu

mb

er

of

Pat

ien

ts

Year

GCH/GCUH Home TPN Patients

HITH

Home

TPN

Education

Policy and Procedure

Research

Patient

PICC

Insertion

TPN

CLABSI

PIVC

Central

venous

catheters

Policy &

procedure

Product

Review

Ward

Rounding

Complications

Trouble

shooting

Database

Auditing Education

Research

Consultation

Fluoroscopy

Surveillance

Clinical

Support

Phone

Advice

PICCs

Thank you