To add another two cents with regard to infusion devices....
INS Standard #39 Flow-Control Devices (page S35 in the Standards document) states:
"Electronic infusion devices should be used for central line infusions"...
Any infusion (blood or otherwise) via central (PICC in this case) access, should be delivered utilizing an EID !
Nancy
"Kokotis, Kathy" <[EMAIL PROTECTED]> wrote:
"Kokotis, Kathy" <[EMAIL PROTECTED]> wrote:
you can gravity fluids without a pump but the original question was on blood. Why would anyone in this day and age want to give blood without a pump? Time in a chair is money in outpatient and blood has to be delivered in four hous. It is not cost feasible to deliver blood via a PICC without a pump. Nor is it the best case for the patient
Kathy
________________________________
From: [EMAIL PROTECTED] on behalf of Mazza, Kathleen
Sent: Thu 11/10/2005 7:35 AM
To: Kokotis, Kathy; [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: RE: PICC infusions
Honestly, we have pretty good results using gravity for our home care patients. Most of the PICCs are 4Fr. and our infusion volumes are generally pretty small (100cc over 30 minutes for many IVAB, 250cc/hr for Vanco). Occasionally we will need to place a pump in a patient's home, but we don't do it as a general rule. Of course, any medication that requires very specific infusion rates gets a pump - but we don't base that on the type of access. I'll be curious to hear what others' experiences are with this.
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Kokotis, Kathy
Sent: Wednesday, November 09, 2005 1:53 PM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: RE: PICC infusions
Gravity flow does not work with PICC lines at all. Law of physics length and time
kathy
________________________________
From: [EMAIL PROTECTED] on behalf of [EMAIL PROTECTED]
Sent: Wed 11/9/2005 10:06 AM
To: [EMAIL PROTECTED]
Subject: PICC infusions
Are all of you mandating that PICC lines have electronic infusion devices (EID) used with infusions? We currently use a gravity flow blood tubing - our policy states that all central line administrations must be done on a EID. Also, our Albumin tubing coming from the blood bank isn't pump tubing.....
How is everyone else doing this?....I know that there is tubing out there to accommodate EID with blood transfusions...how about Albumin?
Lorelle Wuerz BS, RN
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