Re: Central lines (femoral)

[KTMOHN]

In a message dated 6/21/2006 4:41:19 P.M. Pacific Standard Time, [EMAIL PROTECTED] writes: On what is this policy based? We use it for polyurethane PICCs, as well as any clotted central catheter we have to clear. That includes Arrow acute care CVCs. Do you have evidence that influenced this policy? Leigh Ann    -----Original Message----- From: Nauman, Tanya <[EMAIL PROTECTED]> To: Kokotis, Kathy <[EMAIL PROTECTED]>; Wilkinson, Kimberly <[EMAIL PROTECTED]>; IV list server <[EMAIL PROTECTED]> Cc: Perry, Stephen <[EMAIL PROTECTED]>; Crocker, Holly <[EMAIL PROTECTED]>; Sessions, Sharon <[EMAIL PROTECTED]> Sent: Wed, 21 Jun 2006 10:06:27 -0700 Subject: RE: Central lines (femoral) I'm adding this to an existing thread since I can't seem to send a new email and have it appear on the listserve. Are any of you using alteplase(tpa)to declot Arrow central catheters? We have a policy that states alteplase is be used only to declot silastic catheters-not "rigid-wall" catheters. A couple of docs have been really mad when we refused to use it on their pts acute care IJ lines.  Are we wrong?  Any input appreciated. Tanya RN I.V. Support SHMC Eugene, OR We have been using tPA on all kinds of catheters and ports here in Las Vegas for years-all aged patients too.  Where did this rigid wall stuff come from? Have you contacted Nadine Nagawaza at Genentec? She could provide the resource references to back up using tpa on any device.  Are you listening Nadine? Kathy Mohn-Las Vegas