Competency Tool
PICC Line Competency Tool 1
The Victorian Department of Health is making this document freely available on the internet for health services to use and adapt to meet the National Safety and Quality Health Service Standards of the Australian Commission on Safety and Quality in Health Care. Each health service is responsible for all decisions on how to use this document at its health service and for any changes to the document. Health services need to review this document with respect to the local regulatory framework, processes and training requirements
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Published by Sector Performance, Quality and Rural Helth, Victorian Government, Department of Health
February 2014
PICC Line Competency Tool 1
Key: I – Independent S – Supervised A – Assisted M – Marginal D – Dependent (Refer ‘Bondy’ Rating Scale p.4)
Note: Shaded area indicates minimum criteria to meet clinical competency
ASSESSMENT CRITERIA / ELEMENTS / Participant Performance / Standard /The ability to effectively and safely undertake the management of a PICC line. / § Demonstrates correct technique including compliance with principles of asepsis when accessing a PICC line / I / S / A / M / D /
§ Demonstrates correct technique including compliance with principles of asepsis when flushing a PICC. / I / S / A / M / D
§ Demonstrates the correct technique, which includes compliance with the principles of asepsis, for collecting blood. / I / S / A / M / D
§ Demonstrates the correct technique, which includes compliance with the principles of asepsis, for changing a PICC dressing. / I / S / A / M / D
§ Demonstrates the correct technique, which includes compliance with the principles of asepsis for changing a stat lock. / I / S / A / M / D
§ Demonstrates the correct technique, which includes compliance with the principles of asepsis, for changing a positive pressure bung. / I / S / A / M / D
§ Demonstrates a pulsatile flush. / I / S / A / M / D
§ States the reasons for flushing a PICC line. / I / S / A / M / D
§ States the process for managing complications of a PICC line. / I / S / A / M / D
§ States the circumstances under which the PICC is flushed with Normal Saline. / I / S / A / M / D
§ States the documentation required for the management of a PICC. / I / S / A / M / D
§ States the management of what to do when the PICC line has migrated outside of the vein. / I / S / A / M / D
Staff member being assessed: ______
Assessor: ______Signed (Assessor): ______
(Please print name)
Date of Assessment: ______
Standard Achieved: (please circle one) Competent (C) Not Yet Competent (NYC)
Comments (if required):
Action Plan
Please document the agreed education plan and completion timelines for staff assessed as not yet competent:
Staff Member Name ______
Staff Member Signature ______
Staff Member Ward ______
Educator Name ______
Educator Signature ______
Proposed Completion Date ______
‘Bondy’ Rating Scale
Scale label / Score / Standard of procedure / Quality of performance / Level of assistance requiredIndependent / 5 / Safe
Accurate
Achieved intended outcome
Behaviour is appropriate to context / Proficient
Confident
Expedient / No supporting cues required
Supervised / 4 / Safe
Accurate
Achieved intended outcome
Behaviour is appropriate to context / Proficient
Confident
Reasonably expedient / Requires occasional supportive cues
Assisted / 3 / Safe
Accurate
Achieved most objectives for intended outcome
Behaviour generally appropriate to context / Proficient throughout most of performance when assisted / Requires frequent verbal and occasional physical directives in addition to supportive cues
Marginal / 2 / Safe only with guidance
Not completely accurate
Incomplete achievement of intended outcome / Unskilled
Inefficient / Requires continuous verbal and frequent physical directive cues
Dependent / 1 / Unsafe
Unable to demonstrate behaviour
Lack of insight into behaviour appropriate to context / Unskilled
Unable to demonstrate behaviour/procedure / Requires continuous verbal and continuous physical directive cues
Bondy, 1983
References
Bondy, K.N. (1984) Clinical Evaluation of student performance: the effects of criteria on accuracy and reliability. Research in Nursing and Health, 7(1), 25-33.
Bondy, K.N. (1983) Criterion-Referenced Definitions for Rating Scales in Clinical Evaluation. Journal of Nursing Education, 22(9), 376-382
Cabrini Health Policy and Procedures Manual & Cabrini Nursing Clinical Protocol Manual
PICC Line Competency Tool 1
PICC Line Competency Tool 1