RE: Midline guidelines from AVA roundtable

[Dianne Sim]

I agree with you Chris - Midlines are being utilized successfully (in most cases) in SNFs and home care! I would think the long-term care pharmacies and home care people would be the ones to encourage in these studies. The sad comment is that the nursing staff of most facilities are woefully under-educated in recognition of various lines and their care and maintenance. They also seem unaware of their legal liability when they assume the care of a patient with a vascular access device. As we all know, it gets back to education, and I believe this conversational thread will continue for many years until a formalized, universal, vascular access education is mandated in all nursing programs. Aren’t soap-boxes fun!   Regards,    Dianne Sim RN CEO & President   IV Assist, Inc., 2675 Appian Way Pinole, CA  94564 Phone: (510) 222-8403 Fax: (510) 222-8277 Email: [EMAIL PROTECTED]       Confidentiality Notice:  This e-mail and any attachments are intended only for the use of those to whom it is addressed and may contain information that is confidential and prohibited from further disclosure under law. If you have received this e-mail in error, its review, use, retention and/or distribution is strictly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message and any attachments.[v1.0]   -----Original Message----- From: owner-venous@mailsrv1.ohsu.edu [mailto:owner-venous@mailsrv1.ohsu.edu] On Behalf Of Chris Cavanaugh Sent: Wednesday, October 18, 2006 4:05 AM To: Gwen Irwin; [EMAIL PROTECTED] Subject: Re: Midline guidelines from AVA roundtable   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