As an expert
witness and someone who reviews a lot of medical cases, I can say that accessing
vessels, using ultrasound, with the old style, over the needle OTN Excalibur
type needle, is a breech of the standard of care. It is not appropriate to
access a Brachial vein with the OTN large gauge needle, risk is too high. If you
are using ultrasound you need to be using MST access only.
They may
call MST slice and dice, but I call it safer practice with less risk of
nerve damage.
Nancy Moureau, BSN,
CRNI
PICC Excellence,
Inc.
888-714-1951
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kokotis, Kathy
Sent: Friday, October 20, 2006 3:26 AM
To: [EMAIL PROTECTED]
Subject: slice and dice the new term for MST
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kokotis, Kathy
Sent: Friday, October 20, 2006 3:26 AM
To: [EMAIL PROTECTED]
Subject: slice and dice the new term for MST
I now have a new term
A nurse going un-named who has name recognition in a
national organization is calling using micro's slice and
dice
She states we don't slice and dice our patients here we
use the excalibur it is safer for the patient. Sure that old 14/16 gauge
is way safer? Especially if you hit an artery or a nerve. I'm sure
IR doc's want to switch away from micro as they are slicing and dicing all day
long
She uses 60% midlines as well for everything under the
sun and lots of them
I'm tired of it sometimes - slice and dice is MST
technique - I hope you get a chuckle on that one!
kathy
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