I'm not sure how helpful this is, but if the patient has any indication of
renal failure I check with their nephrologist for their blessing before I
place a PICC. Sometimes they say no, but most times they have me go ahead
and place the PICC in the patient's dominant arm.
I have no policy written on this and no references listed. Just my own good
(?) judgement.
Alma Kooistra RN, CRNI
----Original Message Follows----
From: "Patricia Luptak" <[EMAIL PROTECTED]>
To: "list serve" <[EMAIL PROTECTED]>
Subject: Renal Criteria for PICC line insertion
Date: Thu, 1 Jun 2006 11:08:01 -0700 (PDT)
I need help from the group on an important issue. I need to know what
criteria is in place where you practice on when you hold from using a
patient's arm for PICC placement due to renal insuffiency. In addition if
anyone has policies, references from journals, literature, etc. please list
them as well. I have a nephologist that wants to restrict PICC placement
based on creatinine but with our elderly patient population that would
severly limit any PICC placement if we went with that number globally. Any
help from my colleagues is needed and appreciated in advance
Thanks
Patty
Patty
Patty Luptak RN OCN BSEd
Manager Oncology/Infusion Services @ Jefferson Regional Medical Center
LITE Presidential Advisor
www.lite.org
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