Being in Texas, I would be interested in that too. We have already
been to the Bard class for x-ray interpretation. Now we are working on trying to
get it through our legal dept. Our radiologist have been on board for quite some
time, it's just convincing the rest that we can and need to do
this.
Kathleen Witt,
RN, BSN
Nutrition
Support
Presbyterian Hospital of
Dallas
214-345-7468
[EMAIL PROTECTED]
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Cindy Hunchusky
Sent: Friday, April 28, 2006 6:57 AM
To: Nancy Moureau; 'Bell, Roberta M.'
Cc: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: [vascular] Re: Productivity for PICC dressings
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
>
> ----------------------------------------------------------------------------
> ------
> 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
>
> ----------------------------------------------------------------------------
> -----
>
>
>
>
>
>
>
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