You have to ask yourself the following questions if you are recording this
arm circumference?
1. What is the evidence-based practice that indicates that this
measurement is helpful?
2. Who uses this information, and how does it get transfered with the
patient?
3. Are the PICC inserters measuring consistently? (moot point if you are
not using it for followup)
Nadine Nakazawa, RN
From: "Janousek, Patricia" <[EMAIL PROTECTED]>
To: "Monahan, Maggie" <[EMAIL PROTECTED]>, [EMAIL PROTECTED]
Subject: RE: PICC measurements
Date: Tue, 25 Jul 2006 13:47:31 -0500
So if I am understanding this all, no one is doing even the initial
baseline circumference? We do not do daily measurements, I was only
thinking of the measurement on insertion day. Thanks, Patty
________________________________
From: Monahan, Maggie [mailto:[EMAIL PROTECTED]
Sent: Tuesday, July 25, 2006 1:46 PM
To: Janousek, Patricia; [EMAIL PROTECTED]
Subject: RE: PICC measurements
We have stopped measuring arm circumference because we found it was not
consistently measured the same way each time. Also that information has
hardly ever been necessary to determine if a problem exist. It has been
removed from our forms.
Maggie Monahan RN, MSN, CCRN
St. Francis Hospital
Columbus Georgia
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Janousek, Patricia
Sent: Tuesday, July 25, 2006 12:21 PM
To: [EMAIL PROTECTED]
Subject: PICC measurements
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
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