RE: Re-x-raying PICCs

[Ward Gina]

That is exactly how we practice as well Janine.  Gina From: [EMAIL PROTECTED] on behalf of Janine Pritchett Sent: Thu 10/12/2006 2:01 PM To: Cordell, Laura; [EMAIL PROTECTED] Subject: RE: Re-x-raying PICCs In our Infusion Suite, we have patients that fit into that category.  We have initial documentation of the PICC tip along with a copy of the insertion record.  This lists the amount external.  When the patient returns, we check the current amount external with our records and if nothing has changes, we proceed with the patient’s therapy.  We always check for blood return of course.  We do not repeat CXR unless there has been movement in the line that would put the tip in a potential area for problems (i.e.: tip was in proximal SVC and has now moved 1-2 cm’s out so we would re-x-ray). Janine Clinical Supervisor Tacoma General Infusion Services Mary Bridge Children’s Hospital Infusion Clinic and IV Therapy (253)403-2549   From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Cordell, Laura Sent: Thursday, October 12, 2006 8:05 AM To: [EMAIL PROTECTED] Subject: Re-xraying PICCs   At our facility, outpatients coming in for medication therapy through their piccs must have a location confirming CXR if the picc is not being accessed every 24 hours.  We now have a patient coming into our ambulatory care unit for medication administration every 7 days via his picc  and the nurses are not happy about getting a CXR each time.  What are the rest of you doing? Thank you, Laura   Laura Cordell, CMSRN, Resource Unit Clinician CNA Educator Central Washington Hospital Ext:2626 Cell phone: 509-433-4801       Confidentiality Disclaimer: This e-mail message, including attachments, may contain confidential or privileged information and is for the sole use of the intended recipient(s). If you are not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this message or any attachments is strictly prohibited. If you have received this e-mail in error, please immediately contact the sender by reply e-mail and destroy the message. "MMS <multicare.org>" made the following annotations. ------------------------------------------------------------------------------ NOTICE: This e-mail and the attachments hereto, if any, may contain privileged and/or confidential information. It is intended only for use by the named addressee(s). If you are not the intended recipient of this e-mail, you are hereby notified that any examination, distribution or copying of this e-mail and the attachments hereto, if any, is strictly prohibited. If you have received this transmission in error, please immediately notify the sender by email or telephone and permanently delete this e-mail and the attachments hereto, if any, and destroy any printout thereof. MultiCare Health System, Tacoma, WA 98415 (253) 403-1000. ==============================================================================