Chris,
   I believe what Gwen asked for, and I would also like to see, was stats to show your success and how you collected that data.  Success should be documented also.  We collect all of our info on PICC's here.  I can tell you every success story as well as unsuccessful placements and why they were unsuccessful.  Also what we did to correct the problem, and what type of line the patient actually ended up with so that we do not make the same mistake in the future.
 
Gwen,
   Correct me if I am wrong.
 
Heather Nichols RN BSN CRNI
Infusion Services
University of Louisville Trauma Institute
530 S. Jackson St.
Lou. Ky. 40202
(502)562-3530

>>> "Chris Cavanaugh" <[EMAIL PROTECTED]> 10/18/2006 7:05 AM >>>
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 yo u 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 p lease 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< BR>>> 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



-----------------------------------------------------
Confidentiality Disclaimer

This message, including any attachments, is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law, including PHI (Protected Health Information) covered under the Health Insurance Portability and Accountability Act (HIPAA) of 1996.  If you are not the intended recipient(s), you are notified that the dissemination, distribution, or copying of this message is strictly prohibited.  If you receive this message in error, or are not the named recipient(s), please notify the sender or contact the University of Louisville Health Care I.S. helpdesk at 502.562.3637 to report an inadvertently received message.

-----------------------------------------------------

BEGIN:VCARD
VERSION:2.1
X-GWTYPE:USER
FN:Nichols, Heather
TEL;WORK:562-3530
ORG:;IV specialist
EMAIL;WORK;PREF;NGW:[EMAIL PROTECTED]
N:Nichols;Heather
TITLE:RN
END:VCARD

Reply via email to