For declotting in home care, try this one:
1.
Moureau N, Poole S, Murdock M, Gray S, Semba C. Central venous
catheters in home infusion care: Outcomes analysis in 50,470 patients.
Journal of Vascular and Interventional Radiologists.
2002;13:1009-1016.
Why do you think that left arm placement should not be the first
choice? You will need a longer catheter and there is the possibility
of it abutting the right side of the SVC wall if it is not long
enough. But for home care you must think about the patient's
handedness and if they will be expected to do any of their flushes,
connections, etc. With the catheter in the right hand, a right handed
person may have real trouble with performing all these tasks
left-handed. Think about their increased risk of contaminating the
system and balance this against the catheter length. For a properly
positioned tip in the lower SVC, a left sided PICC insertion could be
the best site. Lynn
At 7:24 AM -0700 7/31/06, Denise Harper wrote:
I am wondering, do any home health agencies or home infusion companies declot catheters anymore? If not, why?
I need articles, or such, to explain to one of my employees that left arm PICC placement should not be the first choice. Can ya'll point me to some references?
Thanks so much.
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--
Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
