All my CF patients usually make the call when they want a port. Some REALLY want it ASAP. Some want to wait until they need abx every 3-4 months or more. I personally love ports for the CF'ers, but there is a monthly flush AND not everyone can draw blood from them, i.e., lab.
I work it out individually. I have one pt who we taught to properly access herself. She wanted to learn because the nurses at the hospital were doing it so badly. :-/ She has NO infections to date (5+ years of self-acessing!)
My little, little ones get a baby port ASAP
Michael E. Johnson, RN, BSN
Outpatient Infusion Case Manager
Kaiser Santa Clara –Homestead
710 Lawrence Expressway
Infusion Center, Department 440
Santa Clara, California 95051
408-851-4301, tie line 401
Pager 6-476, 408-231-0988
fax 408-851-4359, tie line 401
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| "julie bryant" <[EMAIL PROTECTED]>
Sent by: [EMAIL PROTECTED] 03/08/2006 08:17 AM
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To: "[EMAIL PROTECTED]" <[EMAIL PROTECTED]> cc: Subject: Adult Cystic Fibrosis patients |
Thank you all for your responses regarding Midlines. Has certainly made my decision easier!
On to a new subject, My institution is going to start admitting Adult Cystic Fibrosis patients, anyone 18 years and older. The admitting MD has PICC line on the standing order sheets. I understand the need for a PICC due to the meds that are given. Like Vanco and I think the other one is Amikacin. And also just very poor venous access. Are these type patients frequent flyers and maybe a porta cath or tunneled hickman might be a more appropriate access? Just looking for opinions.
Haven't dealt with this type patient population before.
As always thanks for sharing your knowledge and experience.
Julie
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