We use the "stat lock" securement device and are not having migration problems.(that I am aware of)   We also use the Groshong dual or single lumens.  We haven't gotten to the open ended/reverse tapered piccs yet.
 
Gina


From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
Sent: Wed 3/15/2006 2:22 AM
To: Ward Gina; [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: Re: biopatch question

7 centimeters?? Our nurses would complain if we routinely left this much out, as they would find it more difficult to do site care without causing a migration in or out. One of our team leaves 1-2 cm out, and the rest of us usually try to insert the whole line, especially we are trying to take advantage of the reverse taper feature on the PICC we use.
Leigh Ann
Same Trauma Place as Heather 
 
-----Original Message-----
From: Ward Gina <[EMAIL PROTECTED]>
To: Laurie Hill <[EMAIL PROTECTED]>; Rinehart, Nancy <[EMAIL PROTECTED]>; [EMAIL PROTECTED]
Sent: Tue, 14 Mar 2006 15:52:44 -0500
Subject: RE: biopatch question

We do just like Laure said below.  That way you open the biopatch (slit open) , and reclose it under the picc by just holding picc up away from skin.( and allow picc tubing to fall over the closed slit).  This also makes it come off well during dressing changes.  when you pull and stretch out your opsite prior to removal it opens the slits, sticks to the Opsite and not the site or picc. 

We also leave about 7 cm of exposed cath on our single lumen so we have more to hold on to.
 
Biopatch has free videos/cd that were very helpful getting us comfortable with using them.
 
Gina

From: [EMAIL PROTECTED] on behalf of Laurie Hill
Sent: Tue 3/14/2006 2:08 PM
To: Rinehart, Nancy; [EMAIL PROTECTED]
Subject: RE: biopatch question

We had the same problem until we started putting the slit of the patch going toward (along) the cath, that way when the patch/drsg is lifted off, the position of the slit allows it to come right off. Does this make sense?
Laurie Hill RN PICC/RAD
 

From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Rinehart, Nancy
Sent: Tuesday, March 14, 2006 10:22 AM
To: [EMAIL PROTECTED]
Subject: biopatch question
 
For those of you out there using this patch: are you having any difficulty keeping the PICC in place when changing the dressing?  We have had some problems with pulling the PICC out a few cms and my nurses are getting very frustrated.   This happens when we have placed the biopatch around the catheter.  In the past we just placed the biopatch on the site, we had no problems and wonderful results.
I hesitate going back to the "old" way but neither do I want to lose my PICCs.  Any suggestions?
=

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