If the patient is under the care of or refered to RENAL we always obtain clearance from the service before proceeding with any PICC EVAL--BARD has a POWER HOHN and our IR has had success inserting this catheter in these patients and others that have peripheral vascular issues
--
Robbin K. George RN
Vascular Access Resource
Alexandria Hospital Virginia
Robbin K. George RN
Vascular Access Resource
Alexandria Hospital Virginia
-------------- Original message --------------
From: "Alma Kooistra" <[EMAIL PROTECTED]>
> 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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