I would definately not place another PICC in this gentleman.  If he
really needs IVAB, I would place a tunneled line and tunnel it out over
his shoulder to the back.  We do this frequently in confused folks and
kids...it's an "out of sight, out of mind" kind of thing and it really
works.

Good luck!

Gail

>>> <[EMAIL PROTECTED]> 05/19/06 10:53 AM >>>
Question for the group.
If this is a repeat I am sorry.  My e-mail program is on the fritz and
keeps 
shutting down.
The question.
How many times would you re-insert a PICC line in a confused elderly
resident 
that has already pulled out five PICC's in a period of a week and a
half?  He is 
a retired Locksmith who thinks his PICC lines are locks that need to be
fixed.  
My concern is obvious that he finally cuts one or breaks one of these
PICC's.  
The Infectious Disease Doctor who said try one more time before going
with my 
suggestion along with a consultation from a pharmacist for a switch to
PO Zyvox 
has changed his mind and is and is demanding the PICC be replaced.
What in your wisdom would be your suggestion?
>From a liability standpoint I feel compelled to refuse to replace the
line.  I 
am a contractor and have the right to refuse placement.  What if any
suggestions 
or comments do all of you have.
Thanks You in advance for any comments or suggestions.
Randy

--
Randy Ross R.N., B.S.N.
IV Nurse Consultant,
President & C.E.O.
IV's Etc...  LLC
Vascular Access
    & Consulting
Ph: 317-541-6463
Fax: 317-894-7709
Email: [EMAIL PROTECTED]
Website: www.IVsEtc.com



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