1. We do not get written consent for Midlines, only PICCs. Midlines do
require a doctor's order first here, but are considered a long PIV.
Patients and families are educated prior to placement so you could say
we get informed verbal consent.

2. Can not speak to this as I work in a hospital setting only.

Kathleen Witt, RN, BSN
Nutrition Support
Presbyterian Hospital of Dallas
214-345-7468
[EMAIL PROTECTED]


-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Adams, Lorim
Sent: Wednesday, April 05, 2006 2:04 PM
To: [EMAIL PROTECTED]
Subject: Two questions for group from a lurker

I'm an avid reader of the list serve and learn alot from the discussions
held here, thank you so much!
Okay now to my questions (which may have been covered in the past- not
sure)
 
1. At your particular institutions are you obtaining informed consents
for midline placements or treating them the same as a PIV placement?
(which i feel they cannot be compared to) Also could someone guide me to
INS standards which do or do not support such consent. We are getting
conflicting information at my hospital. I work in an outpatient
ambulatory infusion center associated with a hosptial but not on the
physcial campus.
 
2. How are any of you working in outpatient ambulatory infusion centers
obtaining Informed Consent for Blood transfusions (including a physcian
signature)? We may receive a call from the MD's office for referral
based on labs drawn the day before. The patient is at home and is called
by MD's office and then sent to us for transfusion. Orders are faxed in
and the patient may not even see the MD at all prior to transfusion.
Upon arrival to our infusion center we have been obtaining a consent and
proceeding with transfusion, as waiting for a physcian signature on the
consent could delay the transfusion for days. Any input would be greatly
appreciated. 
 
Michele Adams RN, BSN





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