Thanks to everyone
for your responses. I neglected to mention that this would be on outpatients
only, however, I share your same feelings, and think the same would be true for
outpatients as well. Thanks again. Patty
Patty Janousek, BSN, CRNI
Team Leader, IV Team
Methodist Hospital
8303 Do
Just wanted to throw my 10 cents in here (2 cents for every year I've been using U/S on a daily basis to place regular PIV's as many as 15 or more times a day). Coming strictly from my personal experience, experience again that includes THOUSANDS of PIV starts using U/S, I can say it is a WONDER
Sorry...gotta reply:
quote: US requires that you dramatically alter venipuncture technique to insert a PIV.
Reply: Ok...so you have to learn a new technique...
quote: There is no way that one person can hold the probe, hold the catheter and hold traction on the skin during puncture and can
Title: Clinical question
We have a lady on TPN through a PICC who is on her 2nd MRSA infection (last one 3 months ago.) blood culture positive (1 thru PICC and two peripherally. Not Quant). Received an order to pull the PICC, culture tip and begin Vanco peripherally for 10 days before consi
Title: RE: Ultrasound for difficult PIV
placement
I am not questioning your success rates for getting a PIV
inserted. I am questioning the repeated use of US on peripheral veins
if the patients therapy will last longer than a week. That is an
indication for a PICC or some other CVC, not repeated
Title: RE: Ultrasound for difficult PIV
placement
Published data in a well designed, preferably randomized
controlled trial, is quite necessary. I am definitely interested in
the outcomes of the catheter, not your success rate with getting it
in. This would include specific vein used and location
Gretchen,
Via
what type of vascular access device?
Donna
Fritz
-Original Message-From:
[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On
Behalf Of Gretchen DavenportSent: Tuesday, November 01, 2005
5:20 PMTo: Kilbourne, Susan; Janousek, PatriciaCc:
[EMAIL PROTECTED]Su
Title: RE: Ultrasound for difficult PIV placement
Lynn,
Ok...I'll see what I can do about putting such a trial together.
Superficial vs Deep: 90% + of the veins I use are .5 cm to 1.0 cm's. I next to never stick peripheral veins deeper than 2 cm's. Only in emergent situations. I'm talking
Title: RE: Ultrasound for difficult PIV
placement
All the veins you are talking about are peripheral veins. The
distinction is between superficial peripheral veins and deep
peripheral veins. The cephalic vein is classified as a superficial
vein from its beginning just above the thumb all the way
Not here eitherAlma Kooistra RN, CRNI
From: "Maria Kostylo" <[EMAIL PROTECTED]>To: [EMAIL PROTECTED], [EMAIL PROTECTED]Subject: Re: central line lab drawsDate: Tue, 01 Nov 2005 08:34:11 -1000EEK! Not here.Maria>>> "Janousek, Patricia" <[EMAIL PROTECTED]> 11/01/05 08:10AM >>>Ad
Does anyone out there have a protocol or policy
requiring that Phenergan be given sidearm on compatible fluid? Would you be
willing to share? We are thinking about implementing this.
Beverly Moore, RN, BSN, OCN
IV Therapy
Danville Regional Medical Center
Title: Re: [vascular] Phenergan
protocol
Gahart's Intravenous Medication handbook calls for promethazine
to be administered thru the injection port of a free flowing infusion.
Lynn
At 3:34 PM -0500 11/2/05, Beverly Moore wrote:
Does
anyone out there have a protocol or policy requiring that Phene
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