The Sherlock 3CG Tip Confirmation System for placement of peripherally inserted central catheters

Before implementation, collect baseline data on current PICC placements, malpositions and adjustments. See measuring success for more details.

Ensure that all stakeholders are consulted and ensure any relevant groups and committees are informed. See insights from the NHS for more details.

Oversee a trial period for training before independent placing to increase clinical confidence. See insights from the NHS for more details.

Build robust protocols for the correct insertions of PICCs. See PICC placement policies for more details.

Once independent placing with the Sherlock 3CG TCS has been established, continue to perform chest X‑rays for a locally agreed pilot period. Identify a lead clinical sponsor to act as an external assessor of these X‑rays. Once this has been agreed, the protocol for PICC placements can amended so that routine X‑rays are no longer needed. See insights from the NHS for more details.

Develop data collection mechanisms to monitor PICC placements using the Sherlock 3CG TCS. See measuring success for more details.