We alo use scalp veins as a last resort. We also make a production of taping the cut hair to an index card and give it to the parents as baby's first haircut.
Michael E. Johnson, RN, BSN
Outpatient Infusion Case Manager
Kaiser Santa Clara –Homestead
710 Lawrence Expressway
Infusion Center, Department 440
Santa Clara, California 95051
408-851-4301, tie line 401
Pager 6-476, 408-231-0988
fax 408-851-4359, tie line 401
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| "Janine Pritchett" <[EMAIL PROTECTED]>
Sent by: [EMAIL PROTECTED] 06/22/2006 08:56 AM
|
To: [EMAIL PROTECTED], [EMAIL PROTECTED] cc: Subject: RE: help!!!! |
As a pediatric facility, we do use scalp veins for access. PICC's can even be placed in certain scalp veins for neonates (generally NICU or < a week or 2 if no other veins). Scalps are the last resort. You must also keep in mind what is to be infused. Don't want to do things such as dilantin, vanco, acyclovir, etc. When these are ordered, we approach the MD and suggest a PICC. A scalp may get us a few hours until a PICC can be placed, however, if a PICC is indicated, we try to make that the first and only IV that these infants receive.
If needed for fluids, etc., a scalp can be a very good place to go. No need to shave with the use of adhesive remover when the time comes. With babies, "out of sight, out of mind". If they can't see it, they don't bother it.
Bottom line is that you must watch these and all pediatric IV sites very carefully. We check PIV sites Q2 hr, those considered neonates are every hour. If you are checking and the staff are very tuned into what to watch for, you are better able to catch things before they get to the point of being real problems.
Janine Pritchett, RN,C, BSN
Clinical Supervisor
Ambulatory Infusion Services
Pediatric Infusion Clinic
Mary Bridge Children's Hospital-
IV Therapy
(253)403-2549
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-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of [EMAIL PROTECTED]
Sent: Thursday, June 22, 2006 6:50 AM
To: [EMAIL PROTECTED]
Subject: help!!!!
hi to all of you-hope you have pleasant summer breezes where you are. It is H-O-T-T here
(southwest USA)-- have a question-have been asked to provide guidance to a Pediatric Nursing Manager who is deliberating a change in their policy to allow scalp IVs as a back-up site for peripheral IV placements. Many facilities here, because of a past history littered with incidents of osteomyelitis of the skull in young babies have made the scalp taboo. I have looked in my references, and as a mother I know what I would tell someone who suggested putting an IV in my baby's head-but I can't find much information or guidance in the journals about this process-any ideas out there? The INS Standards don't mention scalp IVs in their Standard about sites-but they don't preclude it either. Thanks in advance for any morsel you can toss my way-Kathy Mohn-Las Vegas
"MMS <multicare.org>" made the following annotations.
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