I did not read anyone advocating for Midlines use in hospitals or anyone 
looking for the INS to change their guidelines.  Many of us succesfully use 
midline in long term care(nursing homes) and homecare within the INS 
guidelines.  Who would publish a study of lines being used properly??? 


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

From:  Gwen Irwin <[EMAIL PROTECTED]>
Subj:  Re: Midline guidelines from AVA roundtable
Date:  Tue Oct 17, 2006 9:53 pm
Size:  3K
To:  [EMAIL PROTECTED]

Randy,
I hear you about midlines being a viable choice for venous access.  I too 
believe that midlines have a place in our assessment of the patient that 
needs venous access.  I have a midline study approved by our IRB, but am 
unable to do the study, due to staffing and the manpower to complete it.  I 
have tried for 3 years to complete it without success.  Currently, we are 
not doing midlines.  That doesn't change my mind that they are a viable 
option.

I have to challenge you to provide all of us that don't use midlines to SHOW 
US THE DATA!  If you have thousands without complications, please share the 
data.  Please publish your outcomes.  Don't defend their use, prove that 
they are an option!  Outcomes that you are supporting would be the change 
factor of current INS standards about midlines.

I would love to see this information!

Gwen Irwin
Austin, Texas

----- Original Message ----- 
From: <[EMAIL PROTECTED]>
To: "Alma Kooistra" <[EMAIL PROTECTED]>; <[EMAIL PROTECTED]>; 
<[EMAIL PROTECTED]>; <[EMAIL PROTECTED]>; <[EMAIL PROTECTED]>
Sent: Saturday, October 14, 2006 6:32 PM
Subject: Re: Midline guidelines from AVA roundtable


> 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

--- message truncated ---


Chris Cavanaugh,CRNI


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