We use midlines for:
Hydration,
MSO4
Dilaudid
Cephs
penums
If we think it might convert to really long (over 2-3 months) or something nasty like Vanco, we do PICCS. Only occasionally have we been bitten by having to start a PICC after we started a midline.
Michael E. Johnson, RN, BSN
Outpatient Infusion Case Manager
Kaiser Santa Clara –Homestead
710 Lawrence Expressway
Infusion Center, Department 440
Santa Clara, California 95051
408-851-4301, tie line 401
Pager 6-476, 408-231-0988
fax 408-851-4359, tie line 401
NOTICE TO RECIPIENT: If you are not the intended recipient of this e-mail, you are prohibited from sharing, copying, or otherwise using or disclosing its contents. If you have received this e-mail in error, please notify the sender immediately by reply e-mail and permanently delete this e-mail and any attachments without reading, forwarding or saving them. Thank you.
| "Nauman, Tanya" <[EMAIL PROTECTED]>
Sent by: [EMAIL PROTECTED] 09/29/2006 12:11 PM
|
To: [EMAIL PROTECTED] cc: Subject: Midlines-use in your practice |
I know this had been discussed previously, but I get an error message
today when I try to access "archives".
Do any of you routinely place midlines? What are your criteria for
placing them? Do you know of any published research supporting
(or not) their use in certain situations? Much of the research I've
seen had to do with the Landmark catheters.
The medical director of our ICU's wants the ICU RN's to learn to
place these because we give him such a hard time when he orders
them. I think he would have them placed in nearly every patient.
He sees no problem with running Dopamine, Vanco, etc. through
them...that's why we strongly encourage PICC's and discourage
Midlines...but he's sick of us and plans to circumvent us...you can
tell I'm upset about this. A couple of years ago I quoted a study
(I don't remember which one now), and it was a study done by
nursing---he wants Physician studies!
I've thought about offering to personally do a study, placing so
many Midlines and keeping stats on infusates, medications,
outcomes, number of days in place, etc. But, I don't know if
this is worth my time, as I think it may just be a power struggle
issue and he doesn't want anyone arguing with his orders.
Thanks in advance for any input.
Tanya
___________________________________________________________
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 information contained herein. If you have received this message in error, immediately advise the sender by reply email and destroy this message.
