We have all of our PICC patients get a tattoo so everyone knows where to measure. Oh, and our medtronic refills get a bulls eye tattooed also!
Ok, before you believe me....I'm just kidding. I don't measure anymore either. :) ann Ann Williams RN CRNI Infusion Specialist Deaconess Home Services 600 Mary St. Evansville, IN 47747 812-450-3828 812-450-4665 FAX -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Gail Sansivero Sent: Tuesday, July 25, 2006 1:44 PM To: [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED] Subject: RE: PICC measurements Hi all Nadine you crack me up. But agree...we have never done it and don't plan too. GES >>> "Nadine Nakazawa" <[EMAIL PROTECTED]> 07/25 1:44 PM >>> About 5 years ago, Gail Sansivero (NP from Albany IR Dept and former NAVAN President) asked me WHY we still measured upper arm circumferences as there is no study looking at outcomes with this measurement? It made me question something we had written in our CVC Maintenance Care procedure since 1990 but I took it for granted that it made sense. Since that time we've moved into an era of evidence-based practice. I am also faced with a very poor compliance rate at my hospital with measurements because the staff nurses change the CVC and PICC dressings. Measuring upper arm circumference is tricky as well because without marking the arm with a permanent marker, you can never be sure exactly where someone laid the measuring tape and measurements are invariably off. so I took it out of our procedure at least 5 years ago. Just an opinion... Nadine Nakazawa, RN PICC Program Coordinator Stanford Hospital >From: "Janousek, Patricia" <[EMAIL PROTECTED]> >To: [EMAIL PROTECTED] >Subject: PICC measurements >Date: Tue, 25 Jul 2006 11:20:36 -0500 > >Hi all, We are getting started on ultrasound PICCs, and the question has >come up regarding the arm circumference measurement. Currently with the >traditional approach in the AC, we have always measured 3 inches above >the insertion site. Now we're thinking that may not always be possible >if we place the PICC higher up in the upper arm. Question: is there a >standard guideline that everyone is using, and is the guideline >different for traditional and ultrasound? Thanks so much. > >Patty > > >Patty Janousek, BSN, CRNI >Team Leader, IV Team >Methodist Hospital >8303 Dodge Street >Omaha, NE 68114 >(402)354-8760 >FAX: (402)354-5266 >PAGER: (402)577-9527 >EMAIL: [EMAIL PROTECTED] > > > >This message and any included attachments are from Nebraska Methodist >Health System and its affiliates and are intended only for the addressee. >The message may contain privileged, confidential and/or proprietary >information intended only for the person(s) named. Unauthorized >forwarding, printing, copying, distribution, or use of such information is >strictly prohibited and may be unlawful. If you are not the addressee, >please promptly delete this message and notify the sender of the delivery >error by e-mail or you may call Nebraska Methodist Health System and its >affiliates in Omaha, Nebraska, U.S.A at (402)354-2280. ----------------------------------------- CONFIDENTIALITY NOTICE: This email and any attachments may contain confidential information that is protected by law and is for the sole use of the individuals or entities to which it is addressed. If you are not the intended recipient, please notify the sender by replying to this email and destroying all copies of the communication and attachments. Further use, disclosure, copying, distribution of, or reliance upon the contents of this email and attachments is strictly prohibited. To contact Albany Medical Center, or for a copy of our privacy practices, please visit us on the Internet at www.amc.edu. -------------------------------------------------------------------------------------------------------------------- This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the originator of the message. Any views expressed in this message are those of the individual sender, except where the sender specifies and with authority, states them to be the views of Deaconess Health System.
