It says the region of the antecubital fossa, which could include the sites slightly above the AC that are commonly used. Sites too far up the arm toward the axilla should not be used as this area is becoming wet skin with a very different profile of more skin organisms. So I do not see any problem with this wording as it can incorporate both a site directly in the AC, slightly below the AC, or above the AC. Lynn

At 9:39 AM -0600 1/29/06, CAROLYN wrote:
# 37 Site Selection - Practice Criteria: II Peripheral-Midline and III PICC it states:

Site selection should be routinely initiated in the region of the antecubital fossa; veins that should be considered for cannulation are the basilic, median cubital, cephalic, and the brachial.

When we use ultrasound we are hardly ever placed in the antecubital fossa because of the larger catheters being required, increase in antecubital complications because of movement and of course patient comfort.

What are the legal implications of this in court by not using the antecubital for placement? Thanks


--
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

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