i also have a PICC right now ... i was admitted to hospital last Tuesday (Nov 8) and came home on IV meds this Monday (Nov 14...on my birthday! yay!!). usually, at my hospital, the CF team (and Medicare i'm told) like you to stay in the hospital for the first few (and i use that word lightly LOL) days to get all the meds and levels in order then i can go home for the rest of the IV treatment which is usually another week or two. i like this because when i'm down and out, i like to have the rest and have someone do as much for me as possible. but when i start feeling better and have more energy, i like to go home to my own bed, my own food and my furry babies <img src="i/expressions/face-icon-small-smile.gif" border="0">
as for home health, i also live about an hour and a half from my CF center but have not had problems w/ home health yet. typically they come out the first day to admit me as a home health patient then we do a crash-refresher course on how to use the IV pump (depending on which IV meds you're on, the pump is awesome because my line is hooked up 24/7 so that i don't have to get up during the nite to change meds, etc). After that, home health only comes out once a week for dressing change and blood work unless I need them in mean time. and thus far, my home health nurses have ALL been very adamant that if i need anything at all, to call their 24hr answering service and that makes me comfortable. i guess your decision would also be dependent upon how much assistance you will need in a home health setting. i, myself, am home during the day from 7am-4:30pm by myself and do okay.
i do, however, get nervous about the PICC itself. if something happens to it here, i ultimately would have to travel back to my CF center (again, couple hours away) to have it taken care of (if it requires any intervention that home health cannot provide). so far this has not had to happen, but i still worry about that every time. this time around, my PICC is wanting to be super positional and causes the pump alarm to go off, saying "down occlusion", but i've figured out that if i hold my right arm straight out to my side it stops LOL
ONE of these days i will quit being so stubborn and just get a port...