Totally depends upon the rules and regulations in your state and the
hospital policies. The rad tech association also has a scope of
practice statements which do include PIV insertion and med
administration. Lynn
At 8:22 PM -0800 3/7/06, Anna Liang wrote:
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
> >
> >
> >---------------------------------
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Mail.
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> >
> >
> >
> >
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