The book is actually Blue now and Called Infusion Therapy in Clinical Practice Kathy referred to Chapter Three
Nancy Moureau, BSN, CRNI PICC Excellence, Inc. 888-714-1951 www.piccexcellence.com [EMAIL PROTECTED] -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Bell, Roberta M. Sent: Monday, April 17, 2006 11:07 AM To: Kokotis, Kathy; [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED] Subject: RE: Productivity for PICC dressings 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 ---------------------------------------------------------------------------- ------ 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 ---------------------------------------------------------------------------- ----- 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 ---------------------------------------------------------------------------- ----- 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. ---------------------------------------------------------------------------- ----- We allotted 30 min per PICC and 20 min for dressing changes. Doug ---------------------------------------------------------------------------- -----
