YES one of the advantages of using a mid line is no need for the homebound pt 
to get an xray no cost to the pt for the xray. Also no need for venepuncture 
every 96 hrs or more often, labs can be drawn from them if needed and less 
expensive than a PICC


-----Original Message-----

From:  Tim Talbert <[EMAIL PROTECTED]>
Subj:  Re: Midline guidelines from AVA roundtable
Date:  Tue Oct 17, 2006 6:55 pm
Size:  2K
To:  [EMAIL PROTECTED], VICTORIA SALLESE <[EMAIL PROTECTED]>
cc:  [EMAIL PROTECTED], [EMAIL PROTECTED], Alma Kooistra <[EMAIL PROTECTED]>, 
[EMAIL PROTECTED], [EMAIL PROTECTED]

Is the advantage you see for midlines in the home that you can place
them in the home without a CXR?

Tim

>>> "VICTORIA SALLESE" <[EMAIL PROTECTED]> 10/17/06 >>>
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
> > 

--- message truncated ---


Chris Cavanaugh,CRNI


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