I was unable to open because I have a different version of publisher. I am interested in what the article says. By chance could you put this in word?
Maggie Monahan RN, MSN,CCRN St Francis Hospital Columbus GA -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Chris Cavanaugh Sent: Saturday, September 30, 2006 1:10 AM To: 'Nauman, Tanya' Cc: 'venous' Subject: RE: Midlines-use in your practice Tanya, I gave a roundtable discussion on this at the AVA conference, I have attached my handout for you. This may not help much with your MD, but more to give you some information. Midlines are great for homecare and LTC patients, pts who are on just one type of therapy. They are not appropriate for ICU, where multiple drugs are given. They are peripheral IVs,. Use the INS standards as to what can be given via a peripheral IV, then show him a list of pH for the drugs commonly given in your ICU. You and all nurses are held accountable for these standards in court, so that should be your reasons for not having the ICU nurses placed midlines for Vanco, dopamine, etc. Lynn Hadaway did a great article on Vancomycin for the INS journal a few years ago which addressed problems with this drug and why it needs to be given via central line. You may also want to show him the AVA tip placement position paper. I hope this helps. Chris Cavanaugh, CRNI -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Nauman, Tanya Sent: Friday, September 29, 2006 3:11 PM To: [EMAIL PROTECTED] 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. 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