Who is authorized to insert a PICC?

• A. A physician
• B. A nurse with specialized training
• C. A pharmacist
• D. A physical therapist

Answer: (B)

Inserting a PICC requires specialized training in vascular access, sterile technique, and often ultrasound guidance to safely choose a vein and place the catheter with the correct tip position. Because of the potential risks—infection, thrombosis, catheter misplacement—this procedure is entrusted to clinicians who are credentialed in PICC insertion. A nurse with specialized training in PICC line insertion is equipped to perform the procedure, manage the line, and monitor for complications under appropriate orders or protocols. While physicians can also perform insertions, the option that aligns with the common, authorized role in many settings is the nurse with specialized training. Pharmacists and physical therapists do not perform invasive venous access procedures as part of their standard scope.