Original Publication
Open Access

Training in Placement of Peripherally Inserted Central Catheters in the Neonate

Published: April 24, 2014 | 10.15766/mep_2374-8265.9780

Included in this publication:

  • Instructors Guide.docx
  • PICC Manuscript.docx
  • PICC Placement.mp4

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. This publication includes large downloadable files. If you experience difficulty downloading these files, please contact mededportal@aamc.org to receive a free DVD version via mail.

Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.


This is an instructional guide on the placement of a peripherally inserted central catheter (PICC) in an infant. This resource was developed following an iterative review process based on evidence-based practice published in the literature and on the expert experience of an interprofessional team consisting of neonatologists, neonatal-perinatal fellows, and neonatal nurse practitioner. The overall goals is to help those who place and maintain PICCs to standardize technique, improve success rates of PICC placement, and reduce PICC-associated complications.

This resource contains a 30-minute video that combines live footage of PICC placement in the clinical setting with slides, photos, and x-rays highlighting salient points of PICC placement not captured on the video. In addition, a procedural checklist, a self-assessment form, and a learner evaluation form are provided as supplementary materials to the video to enhance the learner’s training.

This activity has been successfully implemented for orientation, training, and maintenance of procedural certification of our neonatology doctors, nurse practitioners, and physician assistants over a 5 year period. 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.

Educational Objectives

By the end of this session, learners will be able to:

  1. Identify indications, contraindications, precautions, and potential complications of peripherally inserted central catheter (PICC) placement.
  2. Describe how to prepare for PICC placement, including the use of sterile technique and the identification of potential sites for placement.
  3. List the supplies needed for the procedure, including the different types of catheters and needles.
  4. Demonstrate how to successfully place a PICC while maintaining sterile technique.
  5. Describe methods for troubleshooting when encountering difficulty during the procedure.
  6. Determine correct radiographic positioning of the PICC.
  7. Demonstrate how to properly dress a PICC insertion site.

Author Information

  • Meggan Butler-O'Hara, MSN: Golisano Children's Hospital
  • Ann Reininger: University of Rochester Medical Center
  • Rita Dadiz: University of Rochester Medical Center

None to report.

None to report.


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  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. http://dx.doi.org/10.1542/peds.2010-2873
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Butler-O'Hara M, Reininger A, Dadiz R. Training in placement of peripherally inserted central catheters in the neonate. MedEdPORTAL. 2014;10:9780. https://doi.org/10.15766/mep_2374-8265.9780