The time to use lidocaine is up to the judgement of the nurse. Using it prior to the cut is necessary, using it for the needle stick is optional. Second, are you sure you are using the best kit(s), catheter, etc for the cost?
Nancy Moureau, BSN, CRNI PICC Excellence, Inc [EMAIL PROTECTED] 1-888-714-1951 ---------- Original Message ---------------------------------- From: "Fry, Cheryl" <[EMAIL PROTECTED]> Date: Sat, 30 Sep 2006 10:15:05 -0500 > >Hi, > I have 2 questions. > 1. When using MST to place PICCS, is it wrong to do the > initial stick with a 22 g. catheter, thread the wire, THEN place the > lidocaine and do the nick? That is how I have been doing it because > previously the lidocaine caused the vein to constrict and I was unable to get > the vein successfully. The way I have been doing it allows me to have > success most of the time. Does INS standards say that we are to prevent ALL > pain? I feel like the pain from the lidocaine is worse than the stick pain of > the 22 g. catheter. > 2. Can anyone give me proof that using MST is better for > the patient-I need to be able to justify the added expense to my assistant > manager so she can justify the added expense to the higher-ups. (I know it is > better for the patient and better for me) As I see it, the added expense > adds up to ONE MST kit per procedure-about $30 here. Yet we are able to place > many more PICCS than before using this technique. I hate to go back to the > dark ages. And I don't think we will ever get an ultrasound machine. > Thanks for your help, > Cheryl Fry CRNI > University Health Care > Columbia, MO > > >
