I totally understand the hesitance in placing a Midline in acute facilities. We have seen so many mistakes made in the acute setting that the risk management people at a couple of our hospitals have decided that Midlines posed too much of a problem on several occasions and were not to be placed. Dianne Sim RN CEO & President
IV Assist, Inc., 2675 Appian Way Pinole, CA 94564 Phone: (510) 222-8403 Fax: (510) 222-8277 Email: [EMAIL PROTECTED] Confidentiality Notice: This e-mail and any attachments are intended only for the use of those to whom it is addressed and may contain information that is confidential and prohibited from further disclosure under law. If you have received this e-mail in error, its review, use, retention and/or distribution is strictly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message and any attachments.[v1.0] -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Nancy Moureau Sent: Tuesday, October 17, 2006 1:14 PM To: [EMAIL PROTECTED] Subject: RE: Midline guidelines from AVA roundtable Midlines can be appropriately used in any care setting. A facility with a high level working understanding of vascular access would be able to effectively and safely use midline catheters. Nancy Moureau, BSN, CRNI PICC Excellence, Inc. 888-714-1951 www.piccexcellence.com [EMAIL PROTECTED] -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of VICTORIA SALLESE Sent: Tuesday, October 17, 2006 8:18 AM To: [EMAIL PROTECTED] Cc: Alma Kooistra; [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED] Subject: Re: Midline guidelines from AVA roundtable 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. > > > > > > > >
