RE: ? Problem with introducer

[Glenn and Dayna Holt]

I have had this trouble off and on.  I find if the skin is thick or the nick is not sufficient then the introducer is likely to fray a little.  Once it has frayed it is nearly impossible to insert.  I have found that by gently twisting the introducer as it enters, and going slowly, I can usually prevent any fraying and the introducer goes in easier.  I have this trouble more with the 3fr than with bigger introducers.   Dayna Holt, RN Children’s Hospital San Diego, CA -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Susan Fullana Sent: Sunday, October 29, 2006 3:41 AM To: Nancy Sullivan; [EMAIL PROTECTED] Subject: Re: ? Problem with introducer   Nancy,      Try this:  Separate the introducer into two parts. Slide the grey part in and out a few times. Then, put it back together with the black part and attempt to insert. This is how I perform all of my MST PICCs and most of the time I totally avoid the need to use the scalpel. Nancy Sullivan <[EMAIL PROTECTED]> wrote: My question for the day. We use Bard introducer, with groshong piccs. In the past two weeks, it seems I have been having an increasing problem with getting the introducer into the vein. No trouble accessing the vein or threading the  guide wire, but when it come to advancing the introducer through the skin, I have been having major problems.  Small nick in the skin, able to get light gray part into skin and then I hit the brick wall. Haven't changed my technique. At first I thought it was just the large fatty arms, with deeper veins, but last evening, the last two piccs placed, presented me with this problem.  Is anyone having this problem now or in the past? Any suggestion as to what my problem might be. I  probably have a 99% success rate with picc insertions and this problem is troubling me. Thanks for any suggestions and for your time as I ramble on. Nancy Sullivan RN __________________________________________________ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com Susan J. Fullana