PICC ACE

Latest Activity

1. VBG in a limb and PICCs

   PICC ACE replied to maloneys's topic in MICU, SICU

   There are a number of studies which confirm the accuracy of CVP's from a PICC line,so don't worry about that. Most open-ended catheters are labelled for pressure monitoring. Valved PICCs like...

2. What would you do? ...stop TPN or not

   PICC ACE replied to IheartICUnursing's topic in MICU, SICU

   Stop the TPN,resuscitate the pt. No big deal. General rule of thumb is that if you have to stop TPN for whatever reason,start D10% at the same rate as the TPN. Watch blood sugars and treat them as...

3. New CL placement technology

   PICC ACE replied to Jarveson's topic in Infusion, Intravenous

   I,too,would be interested in hearing of your idea and helping in any way I might. PM me.

4. Research study on Prevalance of Phlebitis among patient with Peripheral Vascular Cath

   PICC ACE replied to angelynapeter's topic in Infusion, Intravenous

   This should be a fairly straight-forward study,especially since it sounds like you are limitting it to one floor. First of all,do plenty of Googling and medline research so you don't waste time...

5. Do you like your IV Pump?

   PICC ACE replied to Vicki_RN's topic in Infusion, Intravenous

   I hate Alaris. The med library and programmability are good features. The actual mechanics of the set-up are bad,however. We have innumerable problems with air alarms--the design of the tubing is such...

6. Malpositioned PICC line question

   PICC ACE replied to MNRN2009's topic in Infusion, Intravenous

   This situation exemplifies two additional aspects of central line placement. First of all,the statement "line OK to use" or "line in good position" is useless. How does a rad know that a line is OK to...

7. Malpositioned PICC line question

   PICC ACE replied to MNRN2009's topic in Infusion, Intravenous

   Any central line,including PICC's,can indeed cause arrythmias if placed too deep. The tip of the line may "tickle" the heart tissue enough to trigger something. If the radiology read was to pull back...

8. CVP's before x-ray line confirmation

   PICC ACE replied to JayVArn's topic in MICU, SICU

   Agree with all the above postings on attaching a transducer--no problem at all to do so. Furthermore,it is also our practice to draw labs from a line that has yet to be x-rayed. Just no infusion of...

9. "High Alert Medications"--How are you dealing with them?

   PICC ACE posted a topic in CCU, Coronary, Cardiac

   The ISMP recently put out an updated list of what they have determined to be "high-alert" medications. That is,medication which have a "heightened risk of causing significant patient harm when they...

10. Anyone else studying for CCRN exam?

    PICC ACE replied to deeDawntee's topic in CCU, Coronary, Cardiac

    Dang--that was one hard-a$$ test! Passed with 118 correct. I used the Dennison book and the Ahrens book. Will agree with above comments on Dennison book and CD--book is WAY too much and in outline...

11. PICC placement for a pt with high INR

    PICC ACE replied to piccchick7's topic in Infusion, Intravenous

    Pt's with high INR's,low PLT's,on an anticoagulant gtt,in DIC,etc are certainly at higher risk for bleeding from a stick. However,the thing to keep in mind is the location of the vessel to be...

12. SICU Nursing Perspective: Compartment Syndrome

    PICC ACE replied to catamounts303's topic in MICU, SICU

    catamounts... I have a brief powerpoint on abd. compartment syndrome. PM with your email addy if you want a copy.

13. Chlohexidine bathing to reduce catheter-related blood stream infections

    PICC ACE replied to PICC ACE's topic in MICU, SICU

    Proper line care and proper site care will go a long way to reduce CRBSI's---this has been well documented and I'm sure that facilities that are ignorant of the CDC guidelines and IHI bundles are in...

14. Question for the seasoned PICC nurses...

    PICC ACE replied to nyteshade's topic in Infusion, Intravenous

    Nyteshade- Looks like no one has actually succinctly answered your original question,so without further ado.... If your pt's line flushed easily and gave you a good blood return (roughly and...

15. Chlohexidine bathing to reduce catheter-related blood stream infections

    PICC ACE replied to PICC ACE's topic in MICU, SICU

    Thanks for the replies,c0n.. and Neo.. Why the MWF Friday schedule? Any specific concerns using it daily?