Kathy, I can think of a few reasons why I am
hoping that your vision for the future is not
realized. I don't think this is coming to your
two alternatives. Why must we assume that there
will be staff nurses who never do dressings or
site inspections? I would also suggest that these
technicians would not be "competency trained." I
would call it task-trained. Competency includes
critical thinking and I am not sure that simple
task performance will include the level of
critical thinking that is often required. Lynn
At 3:57 PM -0700 3/1/06, Kokotis, Kathy wrote:
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
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Lynn Hadaway Associates, Inc.
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