Complex IV Management for PICC Line Insertion

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A DEMAND FOR COMPLEX IV MANAGEMENT MEMPHIS, TN 2007

Memphis Business Journal Article 2007. Physican Assistant Robert L Jamison 

Four nurses and a physician's assistant identified a business opportunity and are betting $750,000 of their personal fortunes to make it a reality. All five have experience in surgery and critical care and recognized the need for people who can place and service PICC lines. So, they've launched a school that will train medical professionals in this and other complex procedures; the tuition will help generate start-up revenue for two mobile PICC clinics. PICC stands for peripherally inserted central catheters.  Unlike an IV line in the arm, a PICC is threaded deep into the body with the terminal end near the heart. It's used for long-term chemotherapy, antibiotics and to provide total nutrition for the incapacitated. Placing the line can take an hour in a sterile field but must be done by someone certified by the Infusion Nurses Society.  

 A PICC line, or peripherally inserted central catheter, is a long, thin, and flexible tube inserted into a vein in the upper arm and threaded into a larger vein near the heart. It's used to administer medications, fluids, blood products, and nutrition, as well as for drawing blood. PICC lines are a type of central venous catheter and can stay in place for weeks or even months, reducing the need for repeated needle sticks.   

What is a PICC line used for?

• Medication Delivery: PICC lines are commonly used to administer antibiotics, chemotherapy, and other medications that require long-term or frequent IV access. 
• Fluid Administration: They can be used to provide fluids for hydration or electrolyte balance. 
• Blood Transfusions: PICC lines can be used to administer blood products. 
• Nutritional Support: They can deliver parenteral nutrition (IV nutrition) when patients are unable to eat or drink. 
• Blood Sampling: PICC lines can be used to draw blood samples. 

 He'll offer training in advanced procedures, which reimburse at a higher rate. And he'll offer a more generous split of the hourly rate than his competitors. Nurses want a professional environment, he says, but they also want money. "There's a dire need for what we do, and we don't get the compensation we deserve," he says. The five principals raised the start-up capital themselves, leveraging pension plans, credit cards and letters of credit. While Jamison manages the school and home health business, nurse and Memphis Fire Department paramedic Mark Hamlet will be in charge of the mobile clinics.

"There are thousands of people in the Memphis area that need a PICC line; even in the hospital it can take three days," he says. "In the rural areas surrounding Memphis there are no PICC services at all." The mobile units would be like a mobile MRI, parking at a nursing home or hospital as patients are brought inside for the procedure. Since all the principals have years of experience in critical care, they're turning first to the physicians they know to build a referral network. The company already has four recruiters lining up a home health staff. A pay raise and advanced training are part of the recruiting pitch.   All training will be from an experienced and certified nurse, rather than an instructor. The peer-to-peer aspect is also part of the pitch. "We all work in health care, and we know how nurses feel shortchanged," Hamlet says. "We've all been there, and we don't want to put others there." Jamison is determined to be successful, and says it's worth the personal, calculated risk he and his friends have taken. "If you're going to go out on a line, you should do it for yourself."  

 Intravenous Nurses, Inc./ Mobile IV Nurses, Inc. PICC line care Principals: Robert Jamison Mark Hamlet Yolanda Berdin Charity Peters Falisha Wynn Address: 4273 American Way 

MEMPHIS BUSINESS JOURNAL By Scott Shepard – Feb 25, 2007, Updated Feb 22, 2007, 9:12am CST 

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