I love the reversed tapered catheters!  In my opinion it does prevent a
whole lot of bleeding at the insertion site and allows us to place a
bio-patch on at the time of insertion.  If the patient has a lot of
bleeding at the time of insertion, then we gauze.  We have not had an
increase in phlebitis or DVT's.

Michelle Hansen, RN
Northeast Baptist PICC Nurse
office 297-2422
pager 235-9779

>>> "Lynn Hadaway" <[EMAIL PROTECTED]> 10/18/2006 2:52 PM >>>
I am not aware of any studies on this design feature. This feature 
was added a few years ago by many manufacturers based on the fact 
that there may be some bleeding immediately after insertion. As far 
as I have seen, this is a design feature that is also a marketing and 
sales tactic but there is no clinical evidence to support pro or con. 
If someone knows of something that I don't, please share it with us. 
Lynn

At 3:58 PM -0400 10/11/06, Laura Cook RN wrote:
>Does anyone know if there are any studies out here on reverse 
>tapering of PICC lines and an increase incidence of DVT's?  If a 5 
>french PICC tappers to 7 french at the hub.....wouldn't the patient 
>be more likely to develop phlebitis?
>
>Any thoughts on this?
>
>
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-- 
Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com 
office 770-358-7861



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