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Lynn,
I realize that the documentation on PICC's causing ectopy is scarce, but that does not mean it does not happen. There are some things that are unable to be studied due to the fact that most people would not want to participate in that study due to the negative out come possibility. I myself would not care to participate in any study where abnormal cardiac activity was a good possibility, much less a bad or negative outcome from that abnormal activity. Anyone who does PICC's knows that this happens, and negative outcome or not, it is potentially dangerous to mess with anyones heart rhythm. Otherwise we would not have to medically treat people who have abnormal rhythms. None of our vascular surgeons here at U of L would place a PICC in the right atrium. They know better. Most of the PICC's are placed by the Infusion team anyway since that is our specialty. I again reiterate that overkill is not necessarily a bad thing, but a cautious one.
Heather Nichols RN BSN CRNI
Infusion Services University of Louisville Trauma Institute 530 S. Jackson St. Lou. Ky. 40202 (502)562-3530 >>> "Lynn Hadaway" <[EMAIL PROTECTED]> 5/10/2006 10:56 AM >>> Was there some serious negative outcome that lead
to this decision? There are articles documenting the fact that cardiac arrhythmia may occur briefly when the wire or catheter passes the SA node and enters the right atrium, However, these same articles do not report negative outcomes such as cardiac arrest or even any arrhythmia that lead to treatment. Without fluoroscopy during catheter insertion, one can not determine if the catheter has passed into the RA. I would also point out that inside the RA is the preferred tip location for some radiologists and they have not reported any cardiac complications that have required immediate management. So I also agree that this is overkill and would want to know the information behind this decision or why they have made this decision. Without that information it is impossible to know what is motivating this. Lynn At 10:23 AM -0700 5/9/06, Kilbourne, Susan wrote: >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 > > >NOTE: The information contained in this message >may be privileged and confidential and protected >from disclosure. If the reader of this message >is not the intended recipient, or an employee or >agent responsible for delivering this message to >the intended recipient, you are hereby notified >that any dissemination, distribution or copying >of this communication is strictly prohibited. If >you have received this communication in error, >please notify us immediately by replying to the >message and deleting it from your computer. >E-mail has the potential to have been altered or >corrupted due to transmission or conversion. It >may not be appropriate to rely upon this E-mail >in the same manner as hardcopy materials bearing >the author's original signature or seal. Thank >you. Asante® Health System > > >[Non-text portions of this message have been removed] > > > >------------------------ Yahoo! Groups Sponsor --------------------~--> >Protect your PC from spy ware with award winning >anti spy technology. It's free. >http://us.click.yahoo.com/97bhrC/LGxNAA/yQLSAA/wrSolB/TM >--------------------------------------------------------------------~-> > >MedComp Proud Sponsor of the Vascular List Serve. >Yahoo! Groups Links > ><*> To visit your group on the web, go to: > http://groups.yahoo.com/group/vascular/ > ><*> To unsubscribe from this group, send an email to: > [EMAIL PROTECTED] > ><*> Your use of Yahoo! Groups is subject to: > http://docs.yahoo.com/info/terms/ > -- Lynn Hadaway, M.Ed., RNC, CRNI Lynn Hadaway Associates, Inc. 126 Main Street, PO Box 10 Milner, GA 30257 http://www.hadawayassociates.com office 770-358-7861
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BEGIN:VCARD VERSION:2.1 X-GWTYPE:USER FN:Nichols, Heather TEL;WORK:562-3530 ORG:;IV specialist EMAIL;WORK;PREF;NGW:[EMAIL PROTECTED] N:Nichols;Heather TITLE:RN END:VCARD
