We are going to start accepting pts on tpn.... I have been an RN for 2yrs, nervous about it. Word is we can get picc line certfied on-line. Question is, has anyone done it this way before? Or would you?
Thank you for your response!
May 11, '12
by Anna Flaxis
No, you're not wrong. TPN needs to be on a pump.
I imagine the patients will have their PICC lines inserted while in the hospital, and you will be responsible for line maintenance after discharge. The keys for maintaining a PICC are infection control and maintaining patency.
For infection control, you'll need protocols for proper hub scrubbing, cap and dressing changes, tubing changes, and medication storage. For maintaining patency, flushing protocols and de-clotting protocols need to be in place.
"You learned central line care in school" is not good enough. Your facility needs to have policies, procedures, and protocols in place. This is both for the protection of the patients and the nursing staff.
You are not wrong to tell them "No" if they want to push this on you without proper training and education, and implementation of P&P.
Last edit by Anna Flaxis on May 11, '12