Your message is a little confusing. First you say you have no IR,
then you stated your supervisor wanted referral to IR. I would agree
that referral to IR is be best choice but leaving it midline for even
a short time may not be appropriate either, depending on the
infusates. Midclavicular is the least favorable but there are no
studies comparing midline to midclavicular. Lynn
At 11:39 AM -0800 3/5/06, Patty Flack wrote:
I had a patient last week in ICU who had a PICC line ordered, but PICC kept going into the IJ after 3 attempts to get it to go SVC. I ended up pulling the PICC back to a Midclavicular tip placement. This hospital does not have IR and the infusates were irritating in nature.
I have come across this situation in the past and have been directed by MD's to leave the line Midclavicular. My supervisor says to always pull back to midline and schedule patient for IR. I would like to know the opinion of those who are more experienced than I.
Thank you in advance,
Patty Flack RN
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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
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
