Charting examples for doing iv infusion

[Blondie2274]

I was wondering if anyone could give me an example of what or how I should chart when doing a vancomycin picc line infusion. I've been an LPN with home health for about 5 years now, primarily doing wound care. I just got a patient with daily vanco infusions X's 3weeks and for what ever reason I'm struggling with what all I should chart. I've never really had an issue with what to write, if anything I've always wrote more than most. If anyone could help me out with this I would be truly grateful. Also, need suggestions on teaching instructions for the cg's.

[I<3H2O, BSN, RN]

I would chart: PICC line in LUE. Purple lumen with blood return, flushed with 10ml normal saline using push/pause method. Vancomycin 1gm/250ml infused via purple lumen at rate of 250ml/hr per pump. Purple lumen flushed with 10ml normal saline followed by 5ml of heparin 10u/ml using push/pause method. PICC site is without edema or erythema. Pt. reports no adverse reactions to medication. I would teach about care of site, do not get wet, watch for signs of infiltration (if they are self infusing), side effects of medication.

[Blondie2274]

Thank u so much. That definitely helps.

[mac-rn]

I agree with the above information about charting but my concern is does you nursing board allow you to mess with PICC lines? In the state that I work the LPN's are only able to flush IV lines or insert lines that are below the antecubital area. Therefore PICC lines are outside of their scope of practice.

[I<3H2O, BSN, RN]

In my state, an LPN can do meds through a picc.

[Blondie2274]

Yes we are allowed. We did have to take a special training on drsg changes and infusions for them tho.

[SDALPN]

My state allows us to work with picc lines as an LPN. The schools here teach it since its in our scope of practice.