That reminds me of my favorite PICC insertion. The man was tattooed everywhere. I honestly did not pay much attention to exactly where the insertion site was....just chose the best place with ultrasound........Well it seemed his RED DEVIL tatto now had a groshong picc coming out of his mouth! It was pretty funny looking....too bad I didn't get a picture of it!
--
Susan Schuetrumpf, CRNI
VASPRO
Atlanta, GA
cell-404-606-1194
Susan Schuetrumpf, CRNI
VASPRO
Atlanta, GA
cell-404-606-1194
-------------- Original message --------------
From: "Ann Williams" <[EMAIL PROTECTED]>
> 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
> uppe r 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 w e'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 on ly 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.
>
>
>
