Technicians have been used in the battlefield for years. We could teach them to assess better than the staff RN's for redness, drainage, swelling etc. Would you rather have staff nurses never do dressings or site inspections or techs that are competency trained. I like the idea of techs. It fits with the hospital re-design I see for the future Kathy
________________________________ From: Henderson, Karin [mailto:[EMAIL PROTECTED] Sent: Tue 2/28/2006 2:19 PM To: Kokotis, Kathy; Ratz, Karen; Helen lazeration; [EMAIL PROTECTED] Subject: RE: dressing changes and protocol/procedures for DVT in PICC Arm I'm very interested in the idea...just wondering, since "assessment" is not in the "scope of practice" for techs, if this is an issue? -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Kokotis, Kathy Sent: Tuesday, February 28, 2006 1:45 PM To: Ratz, Karen; Helen lazeration; [EMAIL PROTECTED] Subject: RE: dressing changes and protocol/procedures for DVT in PICC Arm This is the future - talked about this same concept today in my lecure This is how we reduce CVC infections - line teams with technicians reporting to the vascular access service Flow process control at its best I love this!!! Kathy ________________________________ From: [EMAIL PROTECTED] on behalf of Ratz, Karen Sent: Tue 2/28/2006 5:36 AM To: Helen lazeration; [EMAIL PROTECTED] Subject: RE: dressing changes and protocol/procedures for DVT in PICC Arm We have a line care team that is responsible for all the dressing changes to subclavian, jugular, arterial , Hickman and PICC lines. They are nursing technicians that perform this task. We have 1 full time and 2 others that are part time. They perform the dressing change with sterile gown,sterile gloves and the large sterile drape,chloraprep, and the biopatch. They also wear the mask and hair bonnet. We had 1 PICC infection last year and 0 central line infections. The technicians also assist us with PICC insertions if not busy with dressing changes. ________________________________ From: [EMAIL PROTECTED] on behalf of Helen lazeration Sent: Sat 2/25/2006 2:18 PM To: [EMAIL PROTECTED] Subject: dressing changes and protocol/procedures for DVT in PICC Arm Need some help with two items: Just need an informal survey on how many facilities have their IV/PICC Teams do the routine dressing changes or if the nursing staff do the changes and how everyone feels about the nursing staff on the floors doing the routine dressing changes. Also, if there are any facilities out there who have physicians leave a PICC in place with a DVT and anti-coagulate the patient to try and break down the DVT? If so, do you have a policy/procedure in place for this scenario that you would be willing to share? Helen Lazeration, CRNI Fairbanks Memorial Hospital Fairbanks, Alaska ******************************************** This message and accompanying documents are covered by the Electronic Communications Privacy Act, 18 U.S.C. ยงยง 2510-2521, and contain information intended for the specified individual(s) only. This information is confidential. If you are not the intended recipient or an agent responsible for delivering it to the intended recipient, you are hereby notified that you have received this document in error and that any review, dissemination, copying, or the taking of any action based on the contents of this information is strictly prohibited. If you have received this communication in error, please notify us immediately by e-mail, and delete the original message. *********************************************
