Exactly our philosophy......and what we do.
Alma Kooistra RN, CRNI
----Original Message Follows----
From: "Gwen Irwin" <[EMAIL PROTECTED]>
To: [EMAIL PROTECTED]
Subject: Re: PICC measurements
Date: Thu, 27 Jul 2006 18:32:29 -0500
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.
Gwen 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]
<[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, 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]
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