Pt. on our unit is a 25 yr. old female dialysis pt. She has a thrombus in her IJ, cephalic, and basilic vein of ® arm. Has fistula in her (L) arm with left hemodialysis cath present. She had a PICC in the right arm 2 weeks ago. Right arm has 4+ e...
Have seen experienced PICC nurses do both bevel up and bevel down for PICC insertions with u/s and freehand #20 angiocath. Please shed some light on which way is better? Thanks:uhoh3:
I usually position the pt.'s bed at a 30 degree angle, but I have seen other PICC nurses position higher than this. I am curious as to what other experts use for pt. positioning and whether a higher angle decreases chances of PICC going up the neck....
Am I correct in saying that a triple lumen power picc has a higher incidence of DVT risk? What are the risk factors associated between the 5 FR. size double lumen vs the 6 FR. triple lumen cath? Thanks in advance!
I am finding I do better inserting Picc's using no needle guide, just a #20 angiocath and the U/S screen. I feel as though when I use the silver needle in the microintroducer kits my wire can get hung up. I go through the vein and slowly pull back ...
I am very new and learning the ropes to picc placements. I am having trouble seeing the needle on the screen enter the vein. In regards to the site rite u/s machine does the angiocaths show up less than the needle in the microintroducer kits? Any ...
I am just starting to insert PICC's. Our facility uses power picc's and pasv's. Most everyone uses a #20 angio under u/s. A few use the steel needle that comes in the kits. I can access the vein with the #20 but sometimes the guidewire will not t...
I am still in orientation with regards to placing PICC's. I heard a ICU nurse say a patient was not a canadiate for picc placement because he had a + BLOOD CULTURE for strep. I thought all the more reason for him to have long term antibiotic's and ...
Just curious about this as a vein finder. Does it work? Are there better ones on the market? Or does the ole fashion way of palpation work just as good!
Has anyone heard of Infusion Knowledge and instructor Mickey Hawes? They have a class coming to my area that I am interested in. I have been a working R.N. for 25 years and frequently do the difficult I.V.'s at night. I would like to become PICC c...