I have it on good authority Nadine, that she does not know what they mean either.  She just likes to spout them off so we will shut up.  ;-)
 
 
Heather Nichols RN BSN CRNI
Infusion Services
University of Louisville Trauma Institute
530 S. Jackson St.
Lou. Ky. 40202
(502)562-3530

>>> "Nadine Nakazawa" <[EMAIL PROTECTED]> 8/10/2006 11:57 PM >>>

Sorry about the senior moment.   The previous rambling was to give a good example of the damaged veins we see more and more...like Leigh Ann is talking about and using all those big words that I'm just too tired to try to remember right now...

Nadine Nakazawa, RN, BS, OCN
PICC Program Coordinator
Stanford University Hospital and Clinics
Stanford University Medical Center

From: [EMAIL PROTECTED]
To: [EMAIL PROTECTED], [EMAIL PROTECTED], [EMAIL PROTECTED]
Subject: Re: question about CT
Date: Thu, 10 Aug 2006 21:51:06 -0400

Absolutely. I am concerned anytime we put in a central line that could be avoided, and especially when we leave one in without any ordered use for it. Remember that frequently placed lines or lines left in place for extended periods increase the risk of neointimal hyperplastic venous stenosis, something we see A LOT in our facility. We have patients who are literally dying for lack of access, due to no viable pathway available for a catheter.
Leigh Ann 
 
 
-----Original Message-----
From: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Sent: Wed, 9 Aug 20006 11:22 PM
Subject: Re: question about CT

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] 
&ggt;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 >rrates >starting at 1¢/min. 

>________________________________________________________________________ 
>Check out AOL.com today. Breaking news, video search, pictures, email and >IM. All on demand. Always Free. 
 

Check out AOL.com today. Breaking news, video search, pictures, email and IM. All on demand. Always Free.


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