I think understand. There is a point where the catheter gets "stuck" in the introducer. This caught me off guard the first time it happened too and I thought I had met an obstruction at the distal end of the catheter.
Basically you have to expect this is going to happen, when you feel the catheter stop (a good 10cm from the end) you will have to break the introducer and remove it which will pull the catheter out until the introducer is completely out. If you have not removed the stylet the catheter should easily advance back through the skin to the distance you need it to be.
The other option is to break the introducer, pull it back a few cm, readvance the picc, and repeat until the introducer is out. Although this "feels" different, as long as you get a good blood return after the catheter is fully advanced there should be no problem.
Some people are removing the stylet from the power piccs
before insertion but this backfired on me one day as I could not advance it through the skin without the stylet. Fortunately I saved the wire and put it back in the catheter about 20 cm and it advanced easily at that point.
Tell her this new feeling will soon be second nature and all will be well again.
Darilyn
"Galloway, Margy" <[EMAIL PROTECTED]> wrote:
Can you share how she has had to "adjust" her technique for the tapered catheter? We don't do anything differentfor our tapered catheters and just want to understand what she is doing different for the tapered catheter.Margy Galloway
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED]
Sent: Thursday, February 02, 2006 3:45 PM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: Advancing tapered PICCQUESTION For the Group: We have a bedside PICC nurse who has inserted over 3000 non tapered catheters and is now having a GREAT deal of difficulty adjusting her pratice technique to the insertion of the tapered catheters which the system has asked us to use--The "straight" catheter allowed her to gain a feel for placement that is lost with the premature dismantling of the peel away dilator to facilitate the advancement of the final 7plus cms of the tapered catheter--Any suggestions from those who might have encountered the same difficulty?--
Robbin K. George RN
Vascular Access Resource
Alexandria Hospital Virginia
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"Galloway, Margy" <[EMAIL PROTECTED]> wrote:
Can you share how she has had to "adjust" her technique for the tapered catheter? We don't do anything differentfor our tapered catheters and just want to understand what she is doing different for the tapered catheter.Margy Galloway
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED]
Sent: Thursday, February 02, 2006 3:45 PM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: Advancing tapered PICCQUESTION For the Group: We have a bedside PICC nurse who has inserted over 3000 non tapered catheters and is now having a GREAT deal of difficulty adjusting her pratice technique to the insertion of the tapered catheters which the system has asked us to use--The "straight" catheter allowed her to gain a feel for placement that is lost with the premature dismantling of the peel away dilator to facilitate the advancement of the final 7plus cms of the tapered catheter--Any suggestions from those who might have encountered the same difficulty?--
Robbin K. George RN
Vascular Access Resource
Alexandria Hospital Virginia
Saint Luke's Health System Confidentiality Notice:
The information contained in this e-mail transmission is confidential information, proprietary to the sender and legally protected. Its purpose is intended for the sole use of the individual(s) or entity named in the message header. If you are not the intended recipient, you are hereby notified that any dissemination, copying or taking any action in reliance on the contents of this information is strictly prohibited. If you received this message in error, please notify the sender of the error and delete this message and any attachments.
Kansas City's newest health care campus, Saint Luke's East-Lee's Summit, is now open. Go to saintlukeshealthsystem.org to learn more.
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