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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
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Demographics Gold Coast Health & Hospital Service
Gold Coast University
Hospital (GCUH) - 750 beds
Robina- 364 beds
Carrara- 63 beds
X3 Community Health Centres
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1991 1992 1997 1998 2004 2008 2011 2013 2015
Surveillance & Monitoring
ICU model of care MID model of care
History
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PICC me!
0
150
300
450
600
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
Year
Ward and Outpatient PICC Insertions
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Peripherally Inserted Central Catheter (PICC) Framework
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Nurse Led PICC Insertion Service
Timing
Motivated Clinicians
Support
Scope of Practice
Service Delivery
Business Case
Clinical Competence
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PICC Chicks “PICCing" 2015
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Monitoring & Surveillance
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Auditing
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Data Collection
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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)
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0%
1%
2%
2%
3%
USS confirmed thrombosis
STATS
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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
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Education
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Policy and Procedure
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Research
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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
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Thank you