Sent: Thu 3/2/2006 6:30 AM
To: 'Kokotis, Kathy'; Henderson, Karin ; Ratz, Karen; Helen lazeration; [EMAIL PROTECTED]
Subject: RE: dressing changes and protocol/procedures for DVT in PICC Arm
While I absolutely agree that we can teach and that many techs
can fit
nicely into this model, in NC, even LPNs cannot do initial
assessments and
RNsmust assess for any changes in patient status. But I
agree that in the
future, (which is now), we need to push the envelop to
support nursing and
optimize patient care
-----Original
Message-----
From: Kokotis, Kathy [mailto:[EMAIL PROTECTED]]
Sent:
Wednesday, March 01, 2006 5:57 PM
To: Henderson, Karin; Ratz, Karen; Helen
lazeration; [EMAIL PROTECTED]
Subject: RE: dressing changes and
protocol/procedures for DVT in PICC
Arm
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]]On
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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