RE: telemetry and PICCs

[Ward Gina]

Title: telemetry and PICCs

Well, sounds like I definitley need to reconsider our process for monitoring pts. 

 Do you take pre and post vital signs

as well?

 

Thanks,  Gina

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From: [EMAIL PROTECTED] on behalf of Ward Gina
Sent: Tue 5/9/2006 2:59 PM
To: Kilbourne, Susan; [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: RE: telemetry and PICCs

I know in the Bard book it recommends cardiac monitoring during insertion of PICC line. 

 

 During our training

I asked our preceptor and she never did it.  We didnt do it then because of her.  I was thinking , the goal was

to maybe be able to assess any cardiac irritability if tip is placed in atrium.  I have never had anyone c/o palpitations or noted anything unusual even on the patients that we had tip found to be in the atrium. 

 

we dont even take vital signs before inserting the PICC line.

 

Thanks,  Gina

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From: [EMAIL PROTECTED] on behalf of Kilbourne, Susan
Sent: Tue 5/9/2006 1:23 PM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: telemetry and PICCs

I just had a visit from our infection control MD. She states that the physicians/surgeons group have decided that they need to do telemetry when placing central lines and want to require it for PICC placements as well. I have one article from Pediatric Anesthesia that talks about V-tach with PEDS PICC placements but other than that, this is not something I have heard of doing on everyone. I told her my concerns with added cost, competency and having portable telemetry units available. Are any of you doing telemetry during PICC placements? I think this is overkill but I need all the info I can get before they act on this.

Sue Kilbourne CRNI, OCN
Clincail Manager Vascular Access/Infusion Services
Asante Hospital Systems

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