how to document insert picc line

[BettyPalen]

Good Afternoon

On the Kardex, how do I document a doctor order for Insert Picc line? Is it documented under IV Therapy, under Levin or Ostomy. The doctor order sheet also included a medication order for D 5 1/2 NS W/ 2 meq KCL @ 100 cc/hr which I know is documented as medication on the 7 day MAR and as complete under IV Therapy. I need to know for a HUC assignment.

Thanks

Betty

in Winnipeg, Canada

[KelRN215, BSN, RN]

A PICC line is an IV, so it belongs with IV orders. It is not an ostomy.

[akulahawkRN, ADN, RN, EMT-P]

A PICC is a vascular access device... and should be charted/documented in the same area as a PIV or a Central Line. If, for some reason, the Kardex separates Peripheral and Central lines, I'd think the PICC would "fit" in the Central Line section.

That's my take on it. Haven't seen a Kardex in a few years, so my memory of such things is a bit fuzzy...

[NicuGal, MSN, RN]

We add it under lines, drains appliances (LDA) in EPIC. It then populates under IV. Haven't used a Kardex in a while. Put it under IV or radiology if going to IR.

[HouTx, BSN, MSN, EdD]

Check the facility's policy and follow it. One very important factor is to make sure that all caregivers can recognize that it is a PICC line rather than an "ordinary" IV. That's why some organizations use a distinctive tag/label for the site &/or infusion line.