When I worked in an oncology day unit, in a rural part of the country we'd train district nurses to care for PICC lines so that they could disconnect certain types of chemo for patients in their own home 48 hrs after receiving treatment as a day case, so as to avoid unnecessary long distances to travel to hospital for a procedure which would only take 15-30 mins
However the reality was that often the nurses we'd trained, weren't on duty when certain patients needed to be disconnected and unless they were doing it on a regular basis , they quickly became deskilled which could put both them and their patients in a very dangerous situation ( clots in line, infected lines, sepsis , emboli etc etc)
Often the patients would then turn up at 4pm on a Friday afternoon with infected lines , necessitating removal of line ( meaning another unnecessary, painful procedure to replace line by skilled nurse in an already v busy day unit when they weren't expected + another chest x Ray to check position ), possible IV antibiotics . Then there's the query did they receive the full dose of chemo if line was blocked

I don't know what the answer is....train more nurses?pay us a decent salary for our experience and expertise ....I know I'll be retiring in a couple of years
after 37 years in the NHS) along with a large number of my highly skilled cohort ....something is wrong in society when my 22 year old son
with abs no experience will be entering a grad scheme with a bank and will be earning more than me as a highly skilled, experienced professional....
the last 2 years have broken the NHS irretrievably I'm afraid ....sorry for rant, but I'm worried for my patients
and as an older person who'll most likely need nursing care myself!