piccemrn1

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1. central line blood sampling

   piccemrn1 replied to piccemrn1's topic in Infusion

   If the patient is in the ICU and on special infusion ie, vanco, heparin, or any other infusate that can "skew" lab data, we are always careful to label this line as such and draw from a separate line. However, if you know of any data that supports la...

2. PICC reaction vs infection

   piccemrn1 replied to JOPICCRN5's topic in Infusion

   Actually, if the inserter infected the patient, literature strongly suggests the infection will manifest with 24-48 hours. Any time beyond that, it can be line manipulation, lack of hand hygiene or access technique. If an infection is suspected, chec...

3. central line blood sampling

   piccemrn1 replied to piccemrn1's topic in Infusion

   You have been extremely helpful. You are awesome, and thank YOU!

4. Can non-licensed person start an IV?

   piccemrn1 replied to carol72's topic in Infusion

   You might want to check with your State Board to identify what your scope of practice is. It will be even harder to swallow if you get called to court. In California only an RN can push meds through an IV. "because the doctor said to" will not save y...

5. PICC placement for a pt with high INR

   piccemrn1 replied to piccchick7's topic in Infusion

   INR of 3 is therapeutic for so many patients.

6. Question for the seasoned PICC nurses...

   piccemrn1 replied to nyteshade's topic in Infusion

   this is rather late, however, my facility does not approve use of "midclavicular" catheters, d/t catheter whip, etc. and I am pretty sure INS states a picc line must be placed in the distal 1/3 of the svc. as stated above by another comment we will t...

7. central line blood sampling

   piccemrn1 posted a topic in Infusion

   I am in the process of updating our P&P for PICC Insertion and Maintenance in the hospital. I have done extensive literature searches regarding blood sampling from central lines. What I have concluded is: 1. don't draw coags from a line that has ...