Here is a situation the I encountered today and was not happy with. A doc ordered a PICC on a patient with a PAC. The patient, of course has the PAC in the distal one third of the SVC. I was instructed to place a PICC. I didn't think this was a good idea simply because BOTH lumens would have resigned in the distal one third of the SVC and I was afraid that the PICC tip could cause a little bit of a problem with entanglement should this happen. The reasons for wanting BOTH didn't make sense.
Has anyone ever done this...both lumens in the SVC? If so why? I didn't want to do this because I felt that this was unnecessary. Please...give feedback. The radiologist said it is done all of the time...but it's my license should something go wrong and I wasn't comfortable. Karen San Clemente, CA -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Gwen Irwin Sent: Monday, June 05, 2006 6:06 PM To: [EMAIL PROTECTED] Subject: Re: Arterial sticks Nina, We don't have a policy for this, but the PICC nurses know when they have inadvertently accessed an artery and document this and their response. It has occurred, but their response is immediately to remove the PICC and therefore, the access site and hold pressure x 5 minutes, then document the distal pulses after the occurrence. However, we have also had a few that were not arterial, but had such a brisk blood return that we reacted to that and REMOVED the PICC. We have learned from that also. I do not have references that relate to arterial hematomas, like you asked. Gwen Irwin Austin, Texas ----- Original Message ----- From: "Nina Ainslie" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Friday, June 02, 2006 12:23 PM Subject: Arterial sticks > We are developing a competency to follow for inadvertent arterial > sticks, and arterial cannulation when performing PICC insertions. Does > anyone have references related to arterial hematomas? > > Nina Ainslie, RN, BS, CRNI > Infusion Nurse Specialist, PICC Services > > This message may contain confidential information protected by law > through attorney-client privilege or professional peer review/quality > evaluation privilege. It is intended only for the individual or entity > named above. It is prohibited for anyone else to disclose, copy, > distribute, or use the contents of this message. If you received this > message in error, please notify the BCHS Privacy/Integrity Office at > [EMAIL PROTECTED] or (269) 966-8017.
