Decrease Use of Triple Lumen PICCs - Background, Rationale and Suggested Implementation Strategies

Background/Rationale:

  • Triple lumen PICCs have a more lumens, increasing the potential for catheter-related bloodstream infections. Using single or double lumen PICCs or more temporary triple lumen lines (triple lumen central venous catheters [CVCs]) when clinically appropriate can reduce this risk.
  • Create or share educational materials regarding the importance of lumens and risk of complications associated with triple lumen PICCs.
  • Educating staff about the appropriate indications for each type of catheter supports evidence-based practice and enhances the quality of care delivered.

Suggested Implementation Strategies:

  • Create and/or use guidelines based on evidence that outline the scenarios in which single, double, or triple lumen PICCs are appropriate, ensuring alignment with national safety standards.
  • Establish a feedback loop where healthcare workers can share experiences, challenges, and successes in reducing triple lumen PICC use to continuously improve and adapt practices.
  • Engage with key stakeholders, including nurses, physicians, and administrators, to secure buy-in and support for reducing triple lumen PICC use, highlighting the benefits for patient safety and cost savings.