I can't find this book in the INS store..... Is it called something else?
Robin
-----Original Message-----
From: [EMAIL PROTECTED] on behalf of Kokotis, Kathy
Sent: Fri 4/14/06 1:25 PM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED]
Cc:
Subject: RE: Productivity for PICC dressings
Red book
Best chapter ever published by INS
Intravenous Therapy by Baronowski Chapter three
Time and motion to do a PICC line 60-180 minutes with a mean of 2 hours
Dressing change 20-30 minutes and I use 30 minutes for a central line
dressing change
Kathy
_____
From: [EMAIL PROTECTED] on behalf of [EMAIL PROTECTED]
Sent: Fri 4/14/2006 11:58 AM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: Productivity for PICC dressings
Below is a Question recently posted but not answered in full by
anyone--There is no way in the real world that a skilled/professional PICC
nurse can verify an order--assess the patient for placement appropriateness and
anatomical accessabilty--obtain informed consent--measure and prep
patient--establish a large sterile field--administer local anesth--puncture and
vein capture--MST advancement of catheter--apply sterile dressing--obtain STAT
portable--fill out a mound of paper work while waiting for XR confirmation in
30 or 45 minutes--those numbers are totally unrealistic and misleading in the
hospital bedside environ where ONE nurse is responsible to do all of the
aforementioned steps--and let us not forget to factor in TIME for
troubleshooting/complications or repositioning etc....20min for drsg change but
30-45min for PICC insertion??? GET REAL!!!
Robbin K. George RN
Vascular Access Resource
Alexandria Hospital Virginia
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I would like to know from those of you who do picc
dressings how much time you get for productivity.
Should this time include collecting supplies and
charting?
I would also like to know how much time you are
alloted for PICC placements with ultrasound.
Thanks for your help.
Darilyn Cole, RN CRNI
Mercy Healthcare Sacramento
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We are allotted 20 min. for central line dressing changes and 45 min.
for picc placements in our RVU conversion for productivity.
Cheryl Barrett RN, BSN, CRNI
IV Coordinator
Erlanger Health System
423-778-2472
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We are allotted 2 hours per PICC- try to place 4 in an 8 hour day, and
6 in
a 12 hour day... including paperwork and ordering/gathering supplies.
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We allotted 30 min per PICC and 20 min for dressing changes.
Doug
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