We are in the process of tweaking (updating) our hospital policies and
procedures to better reflect the INS guidelines. Would someone be willling
to share their policies related to central venous catheters-maintenance,
dressing changes, injection cap care and change, flushing guidelines;
drawing blood/procedure,accessing an implanted port, cvc removal, resistance
during picc removal/troubleshooting, use of thrombolytic agents for catheter
clearance; occlusions related to drug/lipid precipitation; repair of
tunneled catheter.
Also, for those of you in Texas-would like to communicate with anyone who is
currently trained to initially "OK" the line for use after placing PICC
until the radiologist reads the film. I am interested in the process with
which you became qualified, and how annual re-qualifications are done,
documentation, etc. I can be reached at [EMAIL PROTECTED] # (214)
906-4484.
Thanks as always for your valuable input.
Cindy Hunchusky, RN
----- Original Message -----
From: "Nancy Moureau" <[EMAIL PROTECTED]>
To: "'Bell, Roberta M.'" <[EMAIL PROTECTED]>
Cc: <[EMAIL PROTECTED]>; <[EMAIL PROTECTED]>
Sent: Monday, April 17, 2006 1:17 PM
Subject: RE: Productivity for PICC dressings
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
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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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