PICC insertion
Ultrasound-guided peripherally inserted central catheter placement, including exchange when an existing line must come out.
Central Kentucky · Weekend and after-hours
The line, placed.The transfer, avoided.
Ultrasound-guided PICC, midline, and difficult IV placement for hospitals and care facilities that do not have vascular access coverage when they need it.
RN, BSN, VA-BCBoard-certified vascular access
15+ yearsPICC and vascular access practice
Your suppliesOr kits supplied when arranged
As neededNot a standing shift
Services
Ultrasound-guided placement on a Bard Site-Rite. PICC tip position is confirmed at the bedside with Sherlock 3CG+. The magnetic stylet is in the PICC kit. Chest X-ray remains available when the facility or patient requires it.
Midline insertion
Ultrasound-guided midline placement when central access is not required and a short peripheral will not last.
Difficult peripheral IV
Ultrasound-guided peripheral placement for infants, children, and adults, so a patient who only needs a peripheral does not get a central line.
Assessment and troubleshooting
Line assessment, dressing problems, and troubleshooting. Repair or replacement only when that is the indicated next step.
Weekend and after-hours
Coverage when the weekday team is off. Calls are accepted when available and declined when they are not.
Cortrak feeding tube
Electromagnetic placement when the facility already has the Cortrak system and tubes. The equipment is not supplied.
Facility kits
Procedures can be done with the facility’s PICC and midline kits. Supplying kits is a separate arrangement.
Who this is for
Built for facilities, not for walk-in patients. A provider order is required before a line is placed.
- Critical access and community hospitals without weekend vascular access coverage
- Imaging departments that cancel CT or MRI because IV access cannot be obtained
- Skilled nursing and rehab facilities that currently send patients out for a line
- Infusion sites that need a line placed before therapy can start
Based in Buffalo, Kentucky. Serving Elizabethtown, Greensburg, Campbellsville, Glasgow, and other central Kentucky facilities within a practical drive.
What a facility gets
- One clinician, credentialed to the facility
- Sterile ultrasound-guided insertion
- Documentation the receiving team can use
- Professional liability insurance
- A proposal and services agreement before the first case
About
Apex Precision Vascular Access PLLC is a nurse-owned practice. Michael Hepworth, RN, BSN, VA-BC, has placed PICCs for more than 15 years and still works as a hospital vascular access nurse.
The practice exists for the gap those hospitals already know: weekends, after hours, and the patient who cannot wait until Monday for a line.
Veteran-owned. Licensed registered nurse. Vascular Access Board Certified.
Request a proposal
Hospitals receive a service proposal and a professional services agreement. Rates are quoted to the facility, not posted here.
apexprecisionva@gmail.com
270-696-7006
Request coverage
This form opens an email. Do not include a patient name, medical record number, or clinical detail.
Not offered
- Declotting that requires alteplase
- Home visits to private residences
- Pediatric PICC or midline placement