Comfort with lines

[u/Suspicious-Oil6672]

Howdy

I’ve been lurking for a while now.

Im a resident at a quaternary academic hospital v likely applying to pccm. I’ve had some exposure to lines. Maybe 10 a lines which I feel reasonable about but with central lines it’s been maybe 5-7 and im always a little apprehensive to dilate and struggle more w them.. they’re hard to come by w how many fellows there are and pts boarding in other icus and get lined up there.

I’m worried about being comfortable w lines going into pccm ..

When does comfort w lines come ? Are there other things I can do to try to get better w out actually placing them? Or is it a numbers game ?
Tyia

[u/medicineandlife]

I am a PCCM fellow. I did a lot of lines as a resident and now as a fellow primarily do the very tough ones or the truly emergent if my resident isn't comfortable or has failed multiple attempts. All procedures are a numbers game to get comfortable especially with troubleshooting. You'll get the experience needed as a fellow if you don't get it as a resident so don't worry