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 when vascular access is not available.

RN, BSN, VA-BCBoard-certified vascular access
15+ yearsPICC and vascular access practice
As neededNot a standing shift
Ultrasound-guided vascular access with a Bard Site-Rite

Services

Ultrasound-guided placement on a Bard Site-Rite. PICC tip position is confirmed at the bedside with Sherlock 3CG+. Chest X-ray remains available when the hospital or patient requires it.

PICC insertion

Ultrasound-guided peripherally inserted central catheter placement, including exchange when an existing line must come out. Upper-arm placement is the default. A mid-thigh PICC or midline is available when both arms are restricted, including fistula, thrombosis, or contracture.

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 Vascular Access team is unavailable. A call is accepted when I am available and declined when I am not.

Cortrak feeding tube

Electromagnetic placement when the facility already has the Cortrak system and tubes. The equipment is not supplied.

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 that need weekend or after-hours 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

Serving Elizabethtown, Greensburg, Campbellsville, Glasgow, and other central Kentucky facilities.

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 has placed PICCs for more than 15 years and continues to work as a hospital vascular access nurse.

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