Was wondering what information was disseminated to the CT techs when the Power PICC was promoted and inserviced by Clinical Specialist and Reps?
--
Robbin K. George RN
Vascular Access Resource
Alexandria Hospital Virginia
[EMAIL PROTECTED]
Robbin K. George RN
Vascular Access Resource
Alexandria Hospital Virginia
[EMAIL PROTECTED]
-------------- Original message --------------
From: "Blackburn, Paul" <[EMAIL PROTECTED]>
> Tanya,
>
> I will answer your questions from the manufacturer's standpoint:
>
> 1. Does the contrast injection occurring in the SVC rather than the
> periphery change the timing or decrease the clearness of the CT image?
> Yes injecting contrast media into the SVC will change the timing to some
> degree as the contrast does not have to travel through the periphery and
> then into the SVC for distribution to the target organ. Injecting
> contrast media into the SVC versus the periphery has been reported to
> improve clarity rather than making the image less clear. This is due to
> the fact that the target organ receives a bolus of the contrast media in
> a more concentrated dose than it would i f the contrast media were
> infused from the periphery.
>
> 2. Power injection through needleless injection caps: Please refer to
> the PowerPICC Instructions For Use (IFU). The IFU instructs the CT
> technologist to "remove the injection/needleless cap from the PowerPICC
> catheter" before power injection of contrast media. As most needleless
> injection caps are not approved by the FDA for injection of contrast
> media, you are risking damage to the injection cap, and lower flow rates
> of contrast media than expected if you inject contrast media through a
> needleless cap.
>
> 3. Can these catheters be flushed and locked with saline only? Heparin
> induced thrombocytopenia is certainly a matter of concern, however, the
> PowerPICC has been designed to be locked with heparinized saline. If
> you add a positive pressure needleless access device to the PowerPICC,
> you sh ould follow the needleless access device manufacturer's
> recommendations for locking the catheter with their device. There are
> many facilities throughout the US that are heparin free and therefore
> lock their PICCs with saline only, based on recommendations from the
> needleless access device manufacturer.
>
> Please let me know if I can provide you with additional information.
> Paul
>
>
> Paul L. Blackburn, RN, MNA
> Manager, Clinical Education
> Office: 800-443-5505, ext. 4981
> Mobile: 801-598-1657
> Email: [EMAIL PROTECTED]
>
>
>
>
>
>
> Confidentiality Notice: This e-mail and any attachments are intended only for
> the use of those to whom it is addressed and may contain information that is
> confidential and prohibited from further disclosure under law. If you have
> received this e-mail in error, its review, use, retention and/or distribution is
> strictly prohibited. If you are not the intended recipient, please contact the
> sender by reply e-mail and destroy all copies of the original message and any
> attachments.[v1.0]
> -----Original Message-----
>
> From: [EMAIL PROTECTED]
> [mailto:[EMAIL PROTECTED] On Behalf Of Nauman, Tanya
> Sent: Wednesday, September 27, 2006 10:38 AM
> To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
> Subject: Power PICC questions
>
> We're starting to place Power PICCs on Oct 2. Two questions have
> arisen:
> From CT techs: Does the contrast injection occurring in the SVC rather
> than the periphery change the timing or decrease the clearness of the CT
> image?
> Also, our techs have been injecting through the MaxPlus cap of the
> peripheral lines and don't want to remove and replace a cap--What are
> they doing about this in your CT departments?
>
> From docs: Can these catheters be flushed and locked with saline only?
> Many of them are very concerned with Heparin-induced thrombocytopenia
> and may write specific orders for Groshong PICC's just to avoid the use
> of Heparin.
>
> Thanks for any input.
> Tanya R.N.
> SHMC
> Eugene, OR
>
> ___________________________________________________________
> This message is intended solely for the use of the individual and entity
> to whom it is addressed, and may contain information that is privileged,
> confidential, and exempt from disclosure under applicable state and
> federal laws. If you are not the addressee, or are not authorized to
> receive for the intended addressee, you are hereby notified that you may
> not use, copy, distribute, or disclose to anyone this message or the
> inform ation contained herein. If you have received this message in
> error, immediately advise the sender by reply email and destroy this
> message.
>
>
