Midlines do serve a purose, usually better in the home setting. They are good lines if used appropriately, even for a month. The hospital setting may not be appropriate because non IV people may get it mixed up with a pICC very easily. But in home care, midlines are great for the appropriate meds.
Victoria Sallese VAT Johns Hopkins Hospital ----- Original Message ----- From: [EMAIL PROTECTED] Date: Saturday, October 14, 2006 7:57 pm Subject: Re: Midline guidelines from AVA roundtable To: Alma Kooistra <[EMAIL PROTECTED]>, [EMAIL PROTECTED], [EMAIL PROTECTED], [EMAIL PROTECTED], [EMAIL PROTECTED] > BS and Poppycock........................... > Tired of you people that continually make those that use Midlines > feel that they are bad practitioners. > > OK, Put your money where your mouths are........ Show us how > many Midlines you have placed.... How many you have had that have > had complications.... and then show us your PICC Stats as well. > Show us. I have seen thousands of Midlines go a month without > complication. Give me a reason to cross over!!! > Give me a reason to stop defending their use!!!!! And give me > your proof..... > Not some article based on Bias. An article not written by someone > associated with a particular Company such as Navigator or Sherlock > that wants every line placed to be a PICC so that they hawk their > wares. Show me!!!!!!! > > Show me your Data!!!!! And I will stop arguing for Midlines. I > know the Standards so please don't send me those. > > You everloving Lightning rod. > Randy > > PS. Alma sorry that it was your email responded too. No offense > to you. > > -- > Randy Ross R.N., B.S.N. > IV Nurse Consultant, > President & C.E.O. > IV's Etc... LLC > Vascular Access > & Consulting > Ph: 317-541-6463 > Fax: 317-894-7709 > Email: [EMAIL PROTECTED] > Website: www.IVsEtc.com > > -------------- Original message ---------------------- > From: "Alma Kooistra" <[EMAIL PROTECTED]> > > 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. > > > > > > > >
