During this session, we will discuss the anatomy and physiology of the upper arm. Topics in this live session includes: structure of veins, superficial veins, antecubital fossa, veins, and arteries. The second half of the session will include patient assessment and factors influencing vein choice. Additionally, we will explore the condition of the vein, improving venous access, and site preparation and infection control guidelines.

During this session, we will discuss the guidelines for peripherally inserted central catheters (PICC).  Topics in this live session includes: general recommendations for insertion of PICC lines, education, hand hygiene guidelines and guidelines for prevention and control of infection in healthcare.  Also, we will discuss insertion and management requirements such as insertion location, catheter types and materials, alternative catheter solutions, catheter site selection, maximal barrier precautions and inspection and preparation of skin at the insertion site. The second half of the session we will explore patient scenarios for indications and contraindications for PICC insertion.  The instructor will perform a live demonstration of a PICC line set-up and insertion along with explanations associated with each step in the procedure. Afterwards, we will explore chest x-ray films for proper tip position and recognition on film.

During this session, we will discuss care and maintenance post PICC insertion.  Topics in this live session includes: dressing type and replacement intervals, skin preparation, chlorhexidine cleaning, infection control guidelines, examination of insertion site, arm circumference, and documentation.   The second half of the session we will flushing and locking of PICC lines to maintain patency and accessibility of line, syringe size, blood draws from PICC and catheter duration and replacement.  Lastly, the instructor will perform a live demonstration of a PICC line dressing change with explanations associated with each step of the procedure.

During this session, we will discuss PICC line complications.  Topics in this live session includes: immediate complications during insertion, malposition, migration, venous thrombosis, line fracture, catheter-associated bloodstream infection, and cellulitis.   The second half of the session we will explore blood culture collection for diagnosis of blood stream infection (BSI), culturing of PICC tips, guide-wire exchanges, malposition correction, and PICC removal.  Lastly, the instructor will perform a live demonstration of a PICC malposition correction and removal of PICC line with explanations associated with each step of the procedure.

During this session, we will discuss the entire PICC process.  Topics in this live session includes: indications and contraindications through patient scenarios, exploration of various veins for appropriate selection, infection control guidelines related to PICC line set-up, insertion, dressing changes, and removal.  The second half of the session we will explore chest x-ray films for proper tip position and recognition on film, PICC line complications and troubleshooting strategies.