Training in Placement of Peripherally Inserted Central Catheters in the Neonate

Publication ID Published Volume
9780 April 24, 2014 10


This video is an instructional guide that demonstrates the placement of a peripherally inserted central catheter (PICC) in an infant. The overall goals of the video are to standardize technique, improve success rates of PICC placement and reduce PICC-associated complications. The video was developed following an iterative review process based on evidence-based practice published in the literature and on expert experience. This video is intended for doctors, nurse practitioners and physician assistants who place and maintain PICCs.

This video resource was developed after an iterative review process by an interprofessional team of neonatologists, neonatal-perinatal fellows and neonatal nurse practitioners. The video has been successfully implemented as a peer-reviewed teaching video utilized for orientation, training and maintenance of procedural certification of our neonatology doctors, nurse practitioners and physician assistants during the past 5 years. Feedback from our learners and educators after implementation has been positive and included comments regarding the utility of this resource for postgraduate medical and nursing education and credentialing.


Butler-O'Hara M, Reininger A, Dadiz R. Training in placement of peripherally inserted central catheters in the neonate. MedEdPORTAL Publications. 2014;10:9780.

Educational Objectives

  1. To identify indications, contraindications, precautions and potential complications of PICC placement.
  2. To describe how to prepare for PICC placement, including the use of sterile technique and the identification of potential sites for placement.
  3. To list the supplies needed for the procedure, including the different types of catheters and needles.
  4. To demonstrate how to successfully place a PICC while maintaining sterile technique.
  5. To describe methods for troubleshooting when encountering difficulty during the procedure.
  6. To determine correct radiographic positioning of the PICC.
  7. To demonstrate how to properly dress a PICC insertion site.


  • Central Catheter, Catheters, Infant, Instructional Films and Videos



1. Schulman J, Stricof R, Stevens TP, et al. (2009). Development of a statewide collaborative to decrease NICU central line-associated blood stream infection. Journal of Perinatology, 29(9), 591-599.

2. Schulman J, Stricof R, Stevens TP, et al. (2011), Statewide NICU central-line-associated bloodstream infection rates decline after bundles and checklists. Pediatrics, 127(3), 436-444.

3. Stevens TP and Schulman J. (2012). Evidence-based approach to preventing central line-associated bloodstream infection in the NICU. Acta Paediatrica, 101 (464), 11-16.

4. Butler-O’Hara M, D’Angio C, Hoey H, and Stevens TP. (2012). An evidence-based catheter bundle alters central venous catheter strategy in newborn infants. Journal Pediatrics, 160(6), 972-977.

5. Wirtchafter DD, Pettit J, Kurtin P, et al. A statewide quality improvement collaborative to reduce neonatal central line-associated blood stream infections. J Perinatol 2010;30(3):170-181.

6. Bizzarro M, Sabo B, Noonan M, et al. A quality improvement initiative to reduce central line-associated bloodstream infections in a neonatal intensive care unit. Infection Control Hospital Epidemiology 2010;31(3):241-248.

7. Chow LM, Friedman JN, Macarthur C, et al. Peripherally inserted central catheter fracture and embolization in the pediatric population. Journal of Pediatrics 2003;142(2): 141-144.

8. Wrightson DD. Peripherally inserted central catheter complications in neonates with upper versus lower extremity insertion sites. Adv Neonatal Care 2013;13(3):198-204.

9. Pettit J. Assessment of infants with peripherally inserted central catheters: part 1. Detecting the most frequently occurring complications. Adv Neonatal Care 2002;2(6):304-315.

10. Pettit J. Assessment of infants with peripherally inserted central catheters: part 2. Detecting less frequently occurring complications. Adv Neonatal Care 2003;3(1):14-26.

11. Shah PS, Shah VS. Continuous heparin infusion to prevent thrombosis and catheter occlusion in neonates with peripherally placed percutaneous central venous catheters. Cochrane Database System Review 2008;2:CD002772.

12. Paulson PR, Miller KM. Neonatal peripherally inserted central catheters: recommendations for prevention of insertion and post-insertion complications. Neonatal Network 2008;27(4):245-257.

13. Pettit J, and Wyckoff M. Peripherally Inserted Central Catheters, Guideline for Practice, 2nd Edition. National Association Neonatal Nurses, 2007.

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ISSN 2374-8265