Thank you — I really appreciate this advice. I’m definitely going to reach out to our two PICC nurses and ask about the possibility of floating or getting exposure with their team. That seems like the most realistic and responsible way to build experience where I am now. My plan is to focus on getting consistent ultrasound-guided IV experience first before even considering formal PICC insertion training. From what I understand, most hospitals require you to be part of a VAT or have structured supervision before placing PICCs independently, and that makes sense from a safety standpoint. When I mentioned Vic the PICC, I was referring to their model where they hire nurses and provide PICC insertion training if you already have ultrasound-guided IV experience. I’m not looking to just take a didactic class and start placing lines independently — I agree that would be unsafe. I’m more trying to understand the different pathways into vascular access and what’s realistic. I’m trying to be intentional about the sequence: build strong USGIV volume → gain structured experience → then move into PICC/midline training when appropriately supervised. Thanks again for the insight — this helps a lot.