Table 5:

Patient Discharge Teaching and Post-Discharge Management

Site Insertion Model	Who Provides Discharge Education	Discharge Education Content	Home Care and Discharge Instructions
Site 1 ICU: Trained ICU PICC nurses Non-ICU: Interventional Radiology (IR)	Ambulatory infusion nurse or IV team nurse	Not standard, line flushing, basic care included.	Home care provided, for some, by contract home care agency. Told to call the IV team with any device problems after discharge.
Site 2 Interventional Radiology (IR) only	Discharge nurse	Signs and symptoms to watch for	Home health nurses responsible for home monitoring. Patients told to contact home health about problems after discharge.
Site 3 No on-site insertion	Inpatient nurse responsible for patient discharge	Education sheet with basic device information from referral site that placed the PICC	Social work schedules home care with contracted agency. Instructed to contact home health provider, telephone triage line or go to urgent care for problems after discharge.
Site 4 Vascular Access Team (VAT)	VAT	Line care basics, scrub the hub and pamphlet on what a PICC is, why it’s used, what to do if it gets wet or pulled out, how to care for it at home	At discharge, a home health nurse comes to the facility for a warm handoff. Pamphlet also contains vascular team contact information.
Site 5 Vascular Access Team (VAT)	VAT	Pre-insertion video, booklet on flushing, basic line care, and dressing protocols	Some have home care; all are instructed to call the vascular team if they have any questions.

ICU = intensive care unit; IR = interventional radiology; PICC = peripherally inserted central catheter; VAT = vascular access team