I'm not saying that the CT must be done without contrast; I'm saying that a PICC is overkill. We can get a 20 g angio in using US in patient with no palpable large veins in the antecub.
Nadine Nakazawa, RN, BS, OCN
PICC Program Coordinator
Stanford University Hospital and Clinics
Stanford University Medical Center
From: "Cindy Schrum" <[EMAIL PROTECTED]>
To: "Nadine Nakazawa" <[EMAIL PROTECTED]>
CC: [EMAIL PROTECTED], [EMAIL PROTECTED]
Subject: Re: Re: question about CT
Date: Thu, 10 Aug 2006 08:47:03 -0400
>If the patient needed the CT with contrast, if it were vital to the
>health of the patient, if it were my Dad, I would place the Picc and
>remove it after the procedure. I'd want the best for someone I
>love.
>The risk of placing and removing a Picc seems minimal in comparison
>to
>the risk of misdiagnosing an acute illness.
>
>We have the tools, we just have to look at the whole picture and
>choose the best course of action. There are not hard and fast
>rules.
>
>On 8/9/06, Nadine Nakazawa <[EMAIL PROTECTED]> wrote:
>>
>>If placing a PowerPICC just for CT, you have to look at the total
>>patient:
>>Do they really need a central line for anything OTHER than the CT?
>>Otherwise putting in a PowerPICC and leaving it there is too great
>>a risk
>>for very little benefit if they have no other IV access needs.
>>
>>Nadine Nakazawa
>>
>>
>>
>>
>>
>>
>> >From: [EMAIL PROTECTED]
>> >To: [EMAIL PROTECTED], [EMAIL PROTECTED], [EMAIL PROTECTED]
>> >Subject: Re: question about CT
>> >Date: Wed, 09 Aug 2006 22:42:48 -0400
>> >
>> >We do the same as Nadine.
>> >Leigh Ann
>> >
>> >
>> >
>> >-----Original Message-----
>> >From: [EMAIL PROTECTED]
>> >To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
>> >Sent: Wed, 9 Aug 2006 7:44 PM
>> >Subject: RE: question about CT
>> >
>> >
>> >No, but we do use ultrasound sound to place a peripheral 20 g
>>angio right
>> >above the antecub.
>> >
>> >Obviously this is only by someone trained in US.
>> >
>> >Nadine Nakazawa
>> >
>> >
>> > >From: "Denise Harper" <[EMAIL PROTECTED]>
>> > >To: [EMAIL PROTECTED], "listserve" <[EMAIL PROTECTED]>
>> > >Subject: question about CT
>> > >Date: Wed, 9 Aug 2006 13:05:32 -0700 (PDT)
>> > >
>> > >If you have a patient who needs a CT (that HAS to be power
>>injected) and
>> > >you absolutely cannot get a peripheral IV (even with
>>ultrasound) do you
>> > >place a power PICC for a 1 time procedure?
>> > >
>> > > This question has come up twice today.
>> > >
>> > > Thanks,
>> > > Denise
>> > >
>> > >
>> > >---------------------------------
>> > >Talk is cheap. Use Yahoo! Messenger to make PC-to-Phone calls.
>>Great
>> >rates >starting at 1ยข/min.
>> >
>> >________________________________________________________________________
>> >Check out AOL.com today. Breaking news, video search, pictures,
>>email and
>> >IM. All on demand. Always Free.
>>
>>
>>
>>
