|
I am looking into this info at this point also. Please forward any replys. Thanks.
Heather Nichols RN BSN CRNI
Infusion Services University of Louisville Trauma Institute 530 S. Jackson St. Lou. Ky. 40202 (502)562-3530 >>> "Anna Liang" <[EMAIL PROTECTED]> 3/7/2006 11:22 PM >>> 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
This
message, including any attachments, is confidential, intended only for the named
recipient(s) and may contain information that is privileged or exempt from
disclosure under applicable law, including PHI (Protected Health Information)
covered under the Health Insurance Portability and Accountability Act (HIPAA) of
1996. If you are not the intended
recipient(s), you are notified that the dissemination, distribution, or copying
of this message is strictly prohibited. If
you receive this message in error, or are not the named recipient(s), please
notify the sender or contact the University of Louisville Health Care I.S.
helpdesk at 502.562.3637 to report an inadvertently received message.
----------------------------------------------------- |
BEGIN:VCARD VERSION:2.1 X-GWTYPE:USER FN:Nichols, Heather TEL;WORK:562-3530 ORG:;IV specialist EMAIL;WORK;PREF;NGW:[EMAIL PROTECTED] N:Nichols;Heather TITLE:RN END:VCARD
