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Hi Sarah,
When you say that you only place the lines and do
not follow them after placement, does this mean that you do not follow up for
confirmation of tip placement? And if not, who does?
Our radiologists have indicated to us that they
will provide a hard copy for the chart of their findings re PICC tip placement
within 48 hours of reading same and so the residents are releasing the PICCs for
use. Sometimes we are asked to pull the line back only to find out afterwards
that it was in a good position prior to pulling back and ends up in less than
optimum location.
What are others doing for tip determination? Any
suggestions?
Patrice Wilken
Vascular Access Team
Winnipeg, Manitoba
----- Original Message -----
Sent: Thursday, January 05, 2006 4:07
PM
Subject: Re: PICC insertions
I work in a 140 bed community
hospital. I have a total of 5 nurses (counting myself) that place PICC
lines. All of my nurses are also chemotherapy trained. We work
out of an outpt infusion service department. We are open 8-4:30.
Our lines are not pre-scheduled, we just fit them into our schedule.
Gets a little hectic on Fridays at 3pm. We have 8 hr wkend and
holiday on-call coverage. We use MST/US for placement. We don't
have IR who place lines, but they will help reposition under fluoro if we have
a difficult placement. We only place the lines, we do not follow them
after placement.
Sarah
Jones RN, BSN, OCN, CRNI
Oncology Nurse Clinician/Infusion Services
Coordinator
Upper Valley Medical Center
T: (937)
440-4827
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| [EMAIL PROTECTED]
Sent by:
[EMAIL PROTECTED]
01/05/2006 04:31 PM
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To:
[EMAIL PROTECTED]
cc:
Subject: PICC
insertions |
We are an
approximately 250 bed community hospital At present, the PICC lines
inserted at our facility are done by one of four individuals that comprise our
PICC team That team is two Nurse Managers who were willing to take this
on as an additional duty, and two RNs employed to provide Nutritional Support
Services (follow all central access devises, monitor tube fed patients).
We provide service M-F 08-430.
My question is, what do other facilities this size and
type do to provide PICC insertion services? Do you contract to an IV
company? Use Interventional Radiology? Dedicated team?
Thanks in advance for any information you can provide.
Lisa Kasten
Lisa Kasten RN, MSN, CNA, BC
Nurse Manager Med/Onc
Memorial Hospital
[EMAIL PROTECTED]
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