Re: picc line removal

Tue, 06 Jun 2006 06:31:42 -0700

I agree with Nancy, of course, but in the past if we've had a patient who is uncooperative with the care of the line or a patient as you describe, you have a responsibility to remove that line.  The patient may not be able to understand the risk assosicated with a CRBSI (death!) and may just be looking for a way to assume control.  Someone has to "own the line".  The patient is unable to own it responsibly.  Your stand is to protect the patient, even from himself.  Good luck!

On 6/5/06, Nancy Moureau <[EMAIL PROTECTED]> wrote:
Contact risk management, your supervisor and the MD. If treatment is complete then the line needs to be removed. Same issue as with a peripheral IV. Does the patient have a reason to keep the PICC?
 
 
Nancy Moureau, BSN, CRNI
PICC Excellence, Inc.
888-714-1951
 
-----Original Message-----
From: [EMAIL PROTECTED] [mailto: [EMAIL PROTECTED]] On Behalf Of Jones Lucy - Austin
Sent: Monday, June 05, 2006 3:25 PM
To: [EMAIL PROTECTED]
Subject: picc line removal

I have a quick question about a patient who is refusing to have her picc line removed.  It was inserted at another facility, pt is being discharged w/ order to remove PICC.  Pt has a history of manipulating picc which possibly resulted in sepsis, and self-abuse.  Where do I stand on removing the PICC?
Any help is welcome!
Sincerely,]
Lucy Jones, RN CNRN
PICC Services
St.David's Medical Center, Austin, TX
512-370-4391, 512-205-7177 (text and digital pager)
512-867-5575 (fax)

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