Gina,
Bard does not make this recommendation in the instructions for
use, however, Bard does make note in the PICC course, and therefore the PICC
manual that applying an EKG monitor during the insertion process is advisable,
but not required. Bard suggests that the clinician advise the patient
to let them know if they feel any flutters during the procedure as well.
Neither the EKG or a fluttering sensation is 100% reliable indication that the
catheter is in the right atrium. Paul
From: Blaber, David
Sent: Wednesday, May 10, 2006 2:54 PM
To: Blackburn, Paul; Biller, Bill
Subject: A response may be necessary cause I never heard of this.
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
David Blaber
Vice President of Sales
Vice President of Sales
Bard Access
Systems
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