RE: question for the group: Neck placements of PICC Lines

[Lynn Hadaway]

Title: RE: question for the group: Neck placements of PICC Lines

Yes and no, this is getting confusing. There has been one published article in JVAD several years ago about some nurses in FL using a product labeled as a PICC but placing it via the external jugular. This was only as a last resort when nothing else could be used. I also think this may have been before the widespread use of ultrasound. So I really wonder what is the true number of patients that could benefit from this insertion site. A PICC is longer than what would be needed for EJ insertion and this site would have oily skin, making infection a bigger risk, along with all the other problems with a neck insertion site. Lynn

At 7:59 PM -0600 12/21/05, MidWest Vascular Access wrote:

A PICC placed in the neckŠ well, is not a PICC, but a percutaneous central line that is not peripherally placed.  Am I right?

 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mullins, Lilia
Sent: Wednesday, December 21, 2005 1:31 PM
To: Betsy Harmon; [EMAIL PROTECTED]
Subject: RE: question for the group: Neck placements of PICC Lines

 

Please share with the group, what about Nurse Practice statements?

Thanks in advance

Lilia Mullins, RN, CRNI

Swedish Medical Center

Seattle, WA

 

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From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Betsy Harmon
Sent: Wednesday, December 21, 2005 10:26 AM
To: [EMAIL PROTECTED]
Subject: question for the group: Neck placements of PICC Lines

 

I have heard that some of the PICC Inserters out there are placing PICC's in the EJ.  If so would you be willing to share what type of documentation your facility requires for that placement.  Is there any competencies required?  Do you have to document educational experience for placing PICC's in the neck.  Anything you have would be appreciated.  Please e-mail me with any info.

 

Thanks in advance.

 

Betsy Harmon RN BSN CRNI

Vascular Access Team

Critical Care Unit

Alaska Native Medical Center

Anchorage, Alaska 99508

[EMAIL PROTECTED]

 

 

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Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861