Me, too. And they don't all come at the same time. They are reappearing over a period of days.
Leigh Ann
-----Original Message-----
From: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED]
Sent: Thu, 19 Oct 2006 9:49 AM
Subject: RE: Midline guidelines from AVA roundtable
Is something wrong with the listserve?? This is at least the 6th time that I've received this series of e-mails!!
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Heather Nichols
Sent: Tuesday, October 17, 2006 10:12 AM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED]; Alma Kooistra; [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: Re: Midline guidelines from AVA roundtable
Randy,
I have a good anger management counselor you might want to try. It helped me immensely. I have also told you repeatedly (not that I feel we need to prove anything to you, some things are basically just obvious) that you could come to U of L to see our stats and our practice. The invitation was given just last week I believe, but I do understand your concern. Some people do things they do not really know how to do, don't they? We should always insist on evidence and accredations to ensure things are done right, to directly benefit our patients, not our pocketbooks.
The invite still stands, you may visit whenever you like, but we do not do midlines here at all. Too many misconceptions in years past. Have a good week.
Heather Nichols RN BSN CRNI
Infusion Services
University of Louisville Trauma Institute
530 S. Jackson St.
Lou. Ky. 40202
(502)562-3530
>>> <[EMAIL PROTECTED]> 10/14/2006 7:32 PM >>>
Infusion Services
University of Louisville Trauma Institute
530 S. Jackson St.
Lou. Ky. 40202
(502)562-3530
>>> <[EMAIL PROTECTED]> 10/14/2006 7:32 PM >>>
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 mak es 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 lea king 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 midl ines 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.
>
>
>
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 mak es 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 lea king 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 midl ines 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.
>
>
>
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