Yes we are still doing the initial baseline circumference in order to have a reference point if needed, however we have discontinued the daily circumference measurements.
Louise P. Cofield RN BSN , CMSRN St. Francis Hospital Clinical Educator Med/Surg Ext 6166 Pager# 390-1167 -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Alma Kooistra Sent: Saturday, July 29, 2006 8:04 PM To: [EMAIL PROTECTED]; [EMAIL PROTECTED] Subject: Re: PICC measurements 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] > > >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. 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