phlebotomists and CVCs

2005-11-02 Thread Janousek, Patricia
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

RE: Ultrasound for difficult PIV placement

2005-11-02 Thread Brian Gackenbach
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

RE: Ultrasound for difficult PIV placement

2005-11-02 Thread Brian Gackenbach
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

Clinical question

2005-11-02 Thread jhull
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

RE: Ultrasound for difficult PIV placement

2005-11-02 Thread Lynn Hadaway
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

RE: Ultrasound for difficult PIV placement

2005-11-02 Thread Lynn Hadaway
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

RE: Chemo therapy in the home

2005-11-02 Thread Fritz, Donna
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

RE: Ultrasound for difficult PIV placement

2005-11-02 Thread Brian Gackenbach
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

RE: Ultrasound for difficult PIV placement

2005-11-02 Thread Lynn Hadaway
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

Re: central line lab draws

2005-11-02 Thread Alma Kooistra
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

Phenergan protocol

2005-11-02 Thread Beverly Moore
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   

Re: [vascular] Phenergan protocol

2005-11-02 Thread Lynn Hadaway
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