Review and address patient factors
Element
Key Institutional Partners
  • Consider MAGIC to help inform decision of catheter choice in the ICU 
    • ICU patients have greater rates of catheter occlusion than non-ICU patients
Hospital Leadership, Providers, IR, Vascular Access Team
  • Train insertion staff to assess for risk of occlusion based on patient factors and ensure appropriate provider and device factors are taken into account prior to PICC insertion 
    • Consider placing PICCs on the right side to reduce risk of occlusion if technically feasible, as PICCs placed in the left arm have a higher risk of occlusion
Hospital Leadership, Providers, IR, Vascular Access Team
​Resources/Tools
CLOT Tool (CLOT - Catheter flush, Lumens, Optimal access, Tip)
Pocket card for occlusion risk based on CLOT (CLOT - Catheter flush, Lumens, Optimal access, Tip)
Articles/References
​Smith S, et al. Patterns and predicators of peripherally inserted central catheter occlusion:  The 3P-O Study. Journal of Vascular and Interventional Radiology 2017
  • Patient, Provider and Device Factors Associated with Catheter Occlusion
    • Patient- advanced age, elevated BMI, severe liver disease, diabetes, hemoglobin <10, ICU status
Validation Survey
Occlusion Step 3 Validation - Insertion Staff Education Regarding Patient Risk Factors.
  • This document includes all of the validation questions associated with this content area to help with collaboration on responses for your hospital. Responses to the validation questions should be entered in to the linked document and recorded to monitor progress.
Patient education regarding care and maintenance of PICC line
Element
Key Institutional Partners
  • Educate patients regarding precautions they need to take while the PICC line is in place including no lifting heavy weights, no contact sports, avoid lifting the arm above your head, and monitoring the catheter length on the skin
Providers, IR, Vascular Team, Hospital Leadership/Nursing Leadership
  • Educate patients on PICC care
  • Evaluate when patients are being educated and ensure that education occurs at a minimum prior to/upon PICC insertion and upon discharge if the patient is being discharged with a PICC
Providers, IR, Vascular Team, Hospital Leadership/Nursing Leadership
Resources/Tools
Validation Survey
Occlusion Step 3 Validation - Patient Education
  • This document includes all of the validation questions associated with this content area to help with collaboration on responses for your hospital. Responses to the validation questions should be entered in to the linked document and recorded to monitor progress.