I was told it's not within the scope for the tech to use line other than piv. please verify. thank you
--- [EMAIL PROTECTED] wrote: > > A new peripheral IV, 20G or larger in a large vein > is still the safest way to power inject contrast. > There is no way you can see or even feel an > infiltration with a midline until it is at the "we > need a plastic surgeon" point. I work in Radiology > now, and I would be surprised to find a Rad tech > that would use a midline...many are still leary of > the Power PICC, afraid that it will blow, because of > the length of the line. > Chris Cavanaugh, CRNI > > ----- Original Message ----- > From: Tami Spaeder <[EMAIL PROTECTED]> > Date: Tuesday, March 7, 2006 6:33 pm > Subject: Re: 5fr Midlines > To: [EMAIL PROTECTED], [EMAIL PROTECTED], > [EMAIL PROTECTED] > > > Here are some of my thoughts on power injecting > through a midline. > > When > > using a peripheral IV in, say, the AC, the tech > can feel the > > contrast going > > into the vein by palpating just proximal to the > insertion site > > and, at the > > same time, watch for an extravasation. How can > this be done with a > > midline? > > One would never know if it had extravasated since > the tip resides > > close to > > the axillary vein. > > Tami Spaeder, RN, BSN > > > > >From: "Cindy Schrum CRNI" <[EMAIL PROTECTED]> > > >To: [EMAIL PROTECTED], [EMAIL PROTECTED] > > >Subject: Re: 5fr Midlines > > >Date: Tue, 07 Mar 2006 17:28:54 -0500 > > > > > >Why is it ok to power inject a vesicant when it's > not ok to > > infuse a > > >vesicant through a midline? Somebody needs to > help me with this one! > > > > > >Cindy Schrum RN CRNI > > >IVTeam Coordinator > > >Gaston Memorial Hospital > > >Gastonia, North Carolina > > >(704) 834-2707 > > > > > > >>> "Richard Pearson" <[EMAIL PROTECTED]> > 3/7/2006 3:43 PM >>> > > >At our hospital the IR docs now do all PICC > lines. There are > > still a couple > > >of us former PICC nurses who occasionally place > midlines since it > > doesnt > > >require a trip to radiology. We do occasionally > place a 'power' > > midline by > > >using a 5Fr single lumen power picc and cutting > it to midline > > length. I do > > >the same procedure as if I was placing a PICC > except that I cut > > the power > > >picc at the 20 cm mark prior to insertion. You > have to pull back > > the > > >stiffening stylet so you arent trying to cut that > as well and > > then it > > >sticks out and creates problems with maintaing a > sterile field. > > Last time > > >I took the stiffening stylet clear out and that > worked better. I > > then > > >insert it to the 5 cm mark, so 15 cm is in the > patient. After I > > am done I > > >use a sharpie marker to mark 'midline' on the > dressing and on the > > skin, > > >otherwise people will assume it is a PICC instead > of a midline. > > Then they > > >can use this for CT contrast if needed. It works > fine, but of > > course you > > >have the limitations of a mid! > > > line--no good for vancomycin, TPN, etc. > > > > > > > > > > > > > > > > > > > > >Rich Pearson RN MS CCRN > > >Clinical Nurse Specialist > > >Intensive/Post Intensive Care > > >Alegent Health-Immanuel Medical Center > > >Omaha, Nebraska > > >402-572-3433 > > > > > > > > > >>> "julie bryant" <[EMAIL PROTECTED]> 3/7/2006 > 12:30 PM >>> > > >We have always used single lumen 4fr cathteters > for Midline > > insertions at > > >my facility. > > > Are there any contraindications to using a 5FR > single lumen > > Midline?> Contemplating using the single lumen 5fr > power PICC > > and cutting for > > >Midline. > > > Thank you. > > > Julie > > > > > > > > >--------------------------------- > > >Brings words and photos together (easily) with > > > PhotoMail - it's free and works with Yahoo! > Mail. > > > > > > > > > > > > > > > > > > > > >----------------------------------------- > > >This message and any included attachments are > from CaroMont Health > > >Inc. and are intended only for the > addressee(s).The information > > >contained herein may include trade secrets or > privileged or > > >otherwise confidential information. Unauthorized > review, > > >forwarding, printing, copying, distributing, or > using such > > >information is strictly prohibited and may be > unlawful. If you > > >received this message in error, or have reason to > believe you are > > >not authorized to receive it, please promptly > delete this message > > >and notify the sender by e-mail with a copy to > [EMAIL PROTECTED] > > > > > > > > > > > > > > _________________________________________________________________ > > > Express yourself instantly with MSN Messenger! > Download today - > > it's FREE! > > > http://messenger.msn.click-url.com/go/onm00200471ave/direct/01/ > > > > > > __________________________________________________ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com
