We have found that that many patients with a "history" of
weakness may not still have it. Did you actually test arm strength, see how the
patient moved? If they can move it you can use it.
And, yes, the contraindications are the same for PICCs and
midlines, even more for midlines because you are limited in what you can give
through it.
Kathleen Witt, RN,
BSN
Nutrition
Support
Presbyterian Hospital of
Dallas
214-345-7468
[EMAIL PROTECTED]
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Duryea Tracy
Sent: Tuesday, April 25, 2006 12:33 PM
To: [EMAIL PROTECTED]
Subject: midlines in cva arms
Hello, all,
Our PICC team received a request to place a PICC in a patient who
has a large, non-functioning, tortuous AV fistula in the left upper arm and
a history of right-sided weakness due to a CVA. Despite the right-sided
weakness, this patient has a Swan-Ganz in the right jugular and permacath in the
right subclavian. When we refused the placement, the MD became upset even
after it was explained to her that the patient's co-morbidities ruled him our
for bedside placement. She then preceded to order placement of a
midline. Our question is this: Are the contraindications PICC placement
extended to midlines? What is being done elsewhere in this respect?
Your help is much appreciated!
Chris Tracy, RN
Artie Hansford, CRNI
Alta Bates Summit Medical Center
Oakland, CA
The information contained in this message and any attachments is intended only for the use of the individual or entity to which it is addressed, and may contain information that is PRIVILEGED, CONFIDENTIAL, and exempt from disclosure under applicable law. If you are not the intended recipient, you are prohibited from copying, distributing, or using the information. Please contact the sender immediately by return e-mail and delete the original message from your system.
