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

[MidWest Vascular Access]

If the tip of an intravenous catheter resides in the SVC or IVC, then it is a central catheter.  But, the site of insertion should determine whether it is referred to as a Peripherally Inserted Central Catheter or a Centrally Inserted Central Catheter (tunneled lines, implanted ports, percutaneous triple lumens, dialysis catheters).  I have been trained for years that a line that originates in the neck or chest is a centrally placed central catheter.  A line that starts in the arm, or legs of peds patients, is a PICC.   If a line manufactured to be a PICC is placed anywhere but the arms or legs, it is still a central line (if in the vena cava), but should no longer be called a PICC, rather a percutaneous central catheter.   Please correct me if I am wrong!!!!!!!!!   Michelle Followell, RN, CNN, CRNI     -----Original Message----- From: Fritz, Donna [mailto:[EMAIL PROTECTED]] Sent: Thursday, December 22, 2005 2:49 PM To: Betsy Harmon; MidWest Vascular Access; Mullins, Lilia; [EMAIL PROTECTED] Subject: RE: question for the group: Neck placements of PICC Lines   Isn't tip termination inherent in the definition of a central venous catheter?    Donna Fritz -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Betsy Harmon Sent: Thursday, December 22, 2005 11:41 AM To: MidWest Vascular Access; 'Mullins, Lilia'; [EMAIL PROTECTED] Subject: Re: question for the group: Neck placements of PICC Lines CDC  made the destinction that the EJ is peripheral and the IJ is Central.    Betsy Harmon RN BSN CRNI   ----- Original Message ----- From: MidWest Vascular Access To: 'Mullins, Lilia' ; 'Betsy Harmon' ; [EMAIL PROTECTED] Sent: Wednesday, December 21, 2005 4:59 PM Subject: RE: question for the group: Neck placements of PICC Lines   A PICC placed in the neck… 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   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]     __________ NOD32 1.1208 (20050902) Information __________ This message was checked by NOD32 antivirus system. http://www.eset.com ***************************************************************************** This communication is for the use of the intended recipient only.  It may contain information that is privileged and confidential.  If you are not the intended recipient of this communication, any disclosure, copying, further distribution or use thereof is prohibited.  If you have received this communication in error, please advise me by return e-mail or by telephone and delete/destroy it. ***************************************************************************** __________ NOD32 1.1208 (20050902) Information __________ This message was checked by NOD32 antivirus system. http://www.eset.com