We get an OK or not ok from the treating nephrologist before we place any line. They then sometimes specify which arm we can use.
Michael Drafz
"Erickson, Wendy" <[EMAIL PROTECTED]> wrote:
Last week at the AVA conference we heard a speaker indicate that a contraindication for a PICC is a patient with a creatinine greater than 3. Our docs have asked us to avoid the non-dominant arm for PICCs - which sometimes requires a crystal ball, as to who might end up on dialysis. Having something more concrete like the creatinine level would be much better for us. Is there any reference or study out there that backs this up? I know I will need ammunition when I approach the nephrologists and surgeons, beyond "I heard it at a conference"!Thanks in advance!Wendy Erickson RN********************Confidentiality Notice********************
PICC Service Coordinator
Luther Midelfort - Mayo Health System
Eau Claire WI
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Michael Drafz RN, OCN, CRNI
Clinical Lead Vascular Access Service
Sharp Memorial Hospital Metropolitan Campus
San Diego, California
