We do the same--A bright yellow paper is posted over the bed with baseline measurements along with PICC flushing and care instructions
--
Robbin K. George RN
Vascular Access Resource
Alexandria Hospital Virginia
Robbin K. George RN
Vascular Access Resource
Alexandria Hospital Virginia
-------------- Original message --------------
From: "Gwen Irwin" <[EMAIL PROTECTED]>
> We still do a baseline measurement at the insertion site and document the
> circumference at the insertion site (which is variable of course). We never
> did a specific place measurement. Our documentation has always included
> where we measured.
> We have found a few patients with "swelling" on the PICC arm and we could
> document there was no difference from our original measurement. We have
> also found very few that have had an increase of 1-2 cm. that did have a
> thrombus in the arm, detected early, treated early.
> We don't require staff to measure regularly. But if the question comes up,
> we are comfortable having the baseline measurement, when called about
> assessing the site again.
>
> Gwe n Irwin
> Austin, Texas
>
> ----- Original Message -----
> From: "Brenda McKay" <[EMAIL PROTECTED]>
> To: <[EMAIL PROTECTED]>; <[EMAIL PROTECTED]>; <[EMAIL PROTECTED]>
> Sent: Wednesday, July 26, 2006 9:50 AM
> Subject: Re: PICC measurements
>
>
> > We continue to do baseline measurements for arm circumference. Over the
> > past couple of years, we have identified suspicious differences in the
> > arm measurements and recommended a doppler study. In 2 cases, the
> > patient did have a clot in the arm. We always measure prior to line
> > insertion.
> > We do not do any routine follow up measureements.
> >
> > Brenda McKay RN, CRNI
> > Clinical Manager IV / PICC Team
> > The Christ Hospital
> > Cincinnati, Ohio
> > office 513-585-1803
> > [EMAIL PROTECTED]
> >
> &g t;>>> <[EMAIL PROTECTED]>7/25/06 9:43 PM >>>
> > We never do arm circumference. We found it to be useless, and Nadine is
> > right about staff compliance. We don't even do a baseline.
> > Leigh Ann
> >
> >
> > -----Original Message-----
> > From: [EMAIL PROTECTED]
> > To: [EMAIL PROTECTED]
> > Sent: Tue, 25 Jul 2006 12:20 PM
> > 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, a nd 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]
> >
> >
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