We have the use of lidocaine as well as bacteriostatic saline incorporated in 
to our procedure policy so we do not need to order every time. If the pt is 
truly allergic to lidocaine we will write the order for bacteriostatic saline 
and have to wait until it is sent from pharmacy before placing the line because 
it is not stocked in the Pxyis.

Kathleen Witt, RN, BSN
Nutrition Support
Presbyterian Hospital of Dallas
214-345-7468
[EMAIL PROTECTED]

 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Anna Liang
Sent: Tuesday, May 30, 2006 10:10 AM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: [vascular] jcaho is coming to town

it is time of the year!
Now I am  told that picc is considered invasive procedure.

risk management & PI are going to review if picc is still covered under term of 
admission. for the time being, I am going back to  written consent (not 
informed consent).

a couple of questions for the group:
1) when a picc is ordered, does a MD also write the lido order? (It looks like 
over-riding is considered BAD).
2) how do you document time-out? Now time-out is required. I argue that I can't 
just chart 'time-out performed' unless MD specifies which SITE for a picc.
So I am going to chart 'right patient, right procedure'?????

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