I also very rarely require sedation of any kind. Occasionally we'll have an
ICU patient whose thinker is damaged and the nurse will offer the ativan,
but I've never outright asked for any. I can talk the patient through. If
the patient threatens bad behavior ("I scream when I have pain") I tell them
I will leave the room and come back to place their PICC when they are
prepared to act like an adult. I've never had to leave the room......they
back down pretty quickly when they see I'm not going to play that game.
It's a different story with peds pts obviously.....but I rarely do those.
Alma Kooistra RN, CRNI
From: "Lynn Hadaway" <[EMAIL PROTECTED]>
To: "Kilbourne, Susan" <[EMAIL PROTECTED]>, [EMAIL PROTECTED],
[EMAIL PROTECTED]
Subject: Re: Ativan with PICC placements
Date: Tue, 26 Jun 2007 19:30:11 -0400
I have never had to use any medication for sedation during PICC placement.
In fact, most patients do not have any problems during insertion. For peds,
even child life therapist can eliminate the need for sedation. So your use
of Ativan might be excessive. I am curious to know why and how this practice
got started. Lynn
At 3:50 PM -0700 6/26/07, Kilbourne, Susan wrote:
I have recently been challenged by a physician on our use of IV Ativan with
PICC placement. Our team often will ask for an order prior to PICC placement
just in case the patient is anxious about the procedure. I was surprised
when I did a recent audit to see that they have been using Ativan in 53% of
our PICC placements. I am curious what other teams are doing. Is this
standard of practice or have we gone too far on this?
Sue Kilbourne
Asante Infusion Services
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Lynn Hadaway Associates, Inc.
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