mrsbratmom 889 Views
Joined: Jun 25, '08;
Posts: 9 (11% Liked)
; Likes: 1
Wow! I am sure that must be hard. We have had a team since 1973 so there are no issues with boundries for us. 40 piccs per month !! good job
That is a hard one. We pull all of our lines, piccs, cvl's, etc. not the nursing staff so we get to assess the line. I would think infection form placement would happen within a few days but infection can be introduced at any point. With cultures being negative, why would they think a line infection???
It sounds like you have great radiologists. All our Picc's are placed with flouro so we do not have tips that are malpositioned and we get confirmation right away. We have been to classes on how to read our own tips and have been "reading with the rads" for a long time. They are just not wanting to officially check us off to release our own tips but yet they pitch a fit when we want a "read now"
Our flushing protocol covers any line, no matter how many lumens, they are all treated the same.
I am thankful for your replies. I am really hoping that our risk managment puts a stop to the radiologists wishes to not read the xrays and that they will work with us to validate us for tip location reads.
Our readiologists are getting annoyed with us as we place our PICC's by flouro and we need a pretty quick read. We are all for reading our own tips to facilitate faster placements. Some days we are placing 6-7 PICC's and need to move along quickly. I just dont want the total responsibility for the read.
Thanks for the reply. It does help. Our meeting was rescheduled with the radiologists for a later time. Our new lead of radiology is asking if we can read our own tips without a radiology read at all. We are all balking at this so just trying to see what the standard is out there.
This forum is different than the other public forums I belong to. Lots of views to posts but very little replys. I have a lot of info I could reply to, I was hoping to find some quick answers as I need a general feel of what others do by tomorrow.
Do you read your own PICC tip xrays or flouro images? Does a radiologist have to sign off on them within a certain time frame? Your experiences would be very helpful.
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