Who this course is for
Nurses and licensed clinical staff reviewing this area of vascular access practice.
Review within your professional scope and facility policy. Procedural practice requires appropriate clinical supervision and separate competency validation.
What you'll learn
- Explain the P-wave principle and the cavoatrial-junction target
- Set up and perform IC-ECG tip confirmation step by step
- Recognize when IC-ECG is contraindicated (atrial fibrillation/flutter, paced atria)
- Troubleshoot signal loss and malposition, and document confirmation correctly
About the course
Confirm PICC and CVAD tip position at the bedside with intracavitary ECG (IC-ECG). Learn the P-wave method for locating the cavoatrial junction, equipment and setup, step-by-step technique, troubleshooting, contraindications, and documentation.
IC-ECG provides real-time confirmation and can replace a confirmatory chest x-ray in appropriate patients — saving time and letting you correct malposition before the procedure ends.
Try an actual lesson excerpt.
No sign-up or payment required. The preview also links to available sample study materials.
Read the Free PreviewYour course curriculum
1 included modules. Open the sections below to review their topics.
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ECG100: ECG-Guided PICC Tip Confirmation
Master intracavitary ECG (IC-ECG) tip confirmation for PICCs and CVADs: the P-wave method for locating the cavoatrial junction, equipment and setup, troubleshooting, contraindications, and documentation per INS 2024 standards.
Meet the curriculum team
VAC Clinical Education Team
Vascular Access & Consulting
Course lessons include learning objectives and knowledge assessments. Preview the material to see whether the teaching fits your needs.
About VAC Education →Your certificate and clinical next steps
Passing the required module assessments earns a certificate of completion. Online completion does not independently validate hands-on procedural competency or grant a professional license or specialty board certification.
CE approval has not yet been obtained. This course does not award accredited nursing contact hours. References to professional standards describe the educational content, not endorsement or accreditation.
Before you enroll
Comparing learning paths? Our PICC, IV therapy, and midline education guide explains the differences and links to related courses.
How long will it take?
This course contains 1 module. Work at your own pace; completion time depends on your experience and how much review you need.
What do I receive?
Access to the modules listed above, their lessons and knowledge checks, available study guides and worksheets, and module completion certificates after passing. Clinical supervision and in-person competency sign-off are separate.
How do I get access after payment?
After payment is confirmed, your course opens on this browser. Save the access code on your confirmation page to return on another device. Use the same checkout email when restoring your purchase.
Can I enroll a team or ask a purchase question?
Request facility training information, or contact VAC about course suitability, access, or purchase terms before paying.