Dear Candee,

I think the following article would be of great value to you, your managers and DON in addressing your questions.

Ryder M. Peripheral access options.  Surg Onc Clinics N AM. July 1995;4(3):395-427.

While this article is now 11 years old, it provides the underlying principles, concepts, and consequences of catheter tip position and analysis of outcomes of the literature at the time.  The information in this article, the underlying concepts and the algorithm for device selection have been validated and still stand to the test of time.

Marcia Ryder PhD RN
Research & Consulting: Healthcare-acquired, Biofilm-related Infections and Vascular Access
San Mateo, CA

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