Are you talking about Duke Medical If so give it up the doctors allow the team to do midclaviculars. It was passed through med exec Kathy
________________________________ From: [EMAIL PROTECTED] on behalf of Dawn Ellis Sent: Wed 3/15/2006 12:27 PM To: [EMAIL PROTECTED] Subject: Midclavicular catheters I am continuing to see midclavicular catheters being placed in one of the largest most (supposedly) progressive hospitals in the nation. I am not sure how to handle this problem. I consult for a long-term care pharmacy and some of my facilities admit patients with midclavicular caths because the hospital informed them the resident had a PIC, not PICC. I have educated the staff and our procedure manual states that we need a chest X-ray prior to using any type of central line. When calling the attending physician for the long-term facility and advising him of the complications that may arise, he still insists on using the existing line. My advice to the facility is that I would not use this line for 6 weeks of vancomycin or any other medication that should not be infused peripherally. I feel that I have been beating my head against the wall for 4 years now and I am still not sure why this hospital with a vascular access team is not doing the correct placement. Thoughts?! Advice? Help? Dawn D. Ellis, RN, CRNI, OCN Clinical Nurse Consultant Neil Medical Group 800 862 4533 ext 3443
