We generally refrain from placing a midline in anyone who has a potential of
>1 week of IV therapy, no matter how benign the infusate. Personally, I
think that anyone sick enough to need access >1 week probably should have a
PICC. That's pretty 'out there' I know, and that philosophy is not written
in policy at my facility. I just think it makes good sense, and since I
insert nearly all of the lines it's pretty easy to enforce.
Alma Kooistra RN, CRNI
----Original Message Follows----
From: [EMAIL PROTECTED]
To: [EMAIL PROTECTED], [EMAIL PROTECTED], [EMAIL PROTECTED]
Subject: Re: Midline guidelines from AVA roundtable
Date: Sat, 14 Oct 2006 12:31:44 -0400
Yes, I have seen the same thing.
Leigh Ann
-----Original Message-----
From: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Sent: Sat, 14 Oct 2006 10:28 AM
Subject: Re: Midline guidelines from AVA roundtable
This is a little off the original subject, but I have not seen a midline
that has lasted the length of treatment yet. Just yesterday, a patient came
to the ED with a midline that was placed 2 weeks ago. It was leaking at the
insertion site. I spoke with ID and they said he needed 10 more days of IV
antibiotics and no, we couldn't change him to PO. Originally, I was talked
into the midline because they weren't sure if he needed 2-3 days or 2-3
weeks, with the promise from both the MD and the PA that if the treatment
lasted 2 weeks, the patient would be readmitted. Being the patient advocate
I am, I opted for a midline.
Long story short, I ended up putting a PICC in him yesterday in the ED.
This just reconfirms my belief that midlines are relatively useless except
maybe in CMO cases. Almost every midline I've inserted for home care has
come back through the ED for replacement. Does anyone else feel the same
way or have the same experience?
Not trying to start an argument, just wondering if anyone else is having the
same results with midlines as me.
----- Original Message ----
From: Chris Cavanaugh <[EMAIL PROTECTED]>
To: [EMAIL PROTECTED]
Sent: Saturday, October 14, 2006 6:54:25 AM
Subject: Midline guidelines from AVA roundtable
For those who could not open the original document posted, here is one as a
word document. Thanks
Chris Cavanaugh, CRNI
3606 Molona Dr.
Orlando, FL 32837
407-928-9297
________________________________________________________________________
Check out the new AOL. Most comprehensive set of free safety and security
tools, free access to millions of high-quality videos from across the web,
free AOL Mail and more.
