WOW! I have divulged our dark age practice of using silicone catheters, but at least, I have my question answered about the 45 degree cut. Thanks, Paul.
Gwen Irwin Austin, Texas ----- Original Message ----- From: "Blackburn, Paul" <[EMAIL PROTECTED]> To: "Gwen Irwin" <[EMAIL PROTECTED]>; <[EMAIL PROTECTED]> Sent: Thursday, March 16, 2006 12:02 PM Subject: RE: cutting picc catheters during placement Gwen, To the best of my knowledge, the only Bard Access Systems PICC that is still cut on a 45 degree angle is the silicone Per-Q-Cath. We cut the silicone this way because it gave the clinician a clear idea that they had removed all of the catheter from the vessel, however, as PICCs have matured, this practice has changed--we just haven't gone back to change this old practice on a very old product. It really should be revised to a 90 degree cut as a 90 degree cut helps prevent the catheter from easily adhering to the vessel wall. Additionally all Bard Access Systems Poly Per-Q-Cath, PowerPICC, and Triple Lumen PICCs are cut at a 90 degree angle. Please let me know if you have other questions. Paul Paul L. Blackburn, RN, MNA Manager Clinical Education Office: 800-443-5505, ext. 4981 Mobile: 801-598-1657 [EMAIL PROTECTED] -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Gwen Irwin Sent: Wednesday, March 15, 2006 6:12 PM To: [EMAIL PROTECTED] Subject: Re: cutting picc catheters during placement OK, I have to ask then why does the manufacturer have a slanted cut on their PICCs of (60 or 65 cm.)? Particularly, Bard. For the people that don't alter the original PICC, that PICC is cut slanted. Anyone? Gwen Irwin Austin, Texas ----- Original Message ----- From: "Lynn Hadaway" <[EMAIL PROTECTED]> To: "Norrie Rabinowitz" <[EMAIL PROTECTED]>; <[EMAIL PROTECTED]> Sent: Wednesday, March 15, 2006 3:31 PM Subject: Re: cutting picc catheters during placement > There is no published evidence that I have ever seen but the most > recommended method is a blunt cut, if you cut at all. Lynn > > At 3:24 PM -0500 3/15/06, Norrie Rabinowitz wrote: > >Does anyone know the current evidence regarding a straight versus > >slanted cut on a picc catheter when cutting the distal tip? > -- > Lynn Hadaway, M.Ed., RNC, CRNI > Lynn Hadaway Associates, Inc. > 126 Main Street, PO Box 10 > Milner, GA 30257 > http://www.hadawayassociates.com > office 770-358-7861
