PICC ACE

PICC ACE

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All Content by PICC ACE

  1. Intravenous Valve Systems

    PICC ACE replied to RN CRNI's topic in Infusion, Intravenous

    We switched from Interlink to Clearlink in January. I like the idea of everyhting being Luer-connected rather than the TinkerToy approach of Interlink. The Interlink injection caps were terrible for...

  2. PICC programs

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

    Try this link--the presentations are all very good.

  3. Starting IVs on old sick people

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

    Two clues in what you wrote. First,when you say you take out the failed angio and the site is "right over the vein",that's a possible problem. Try going in the SIDE of the vein,not the top.Next,bad...

  4. Midline venous catheters

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

    Here's some info on midlines:From Nursing 2000 "SUITABLE FOR many patients who need I.V. therapy for 2 to 4 weeks, midline catheters can remain in place longer than peripheral I.V. catheters-up to 4...

  5. Bard triple lumen power picc vs double lumen??

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

    There is conflicting data on catheter size and thrombus development. There are many other variables than cath size at play,to wit vein size,basilic vs cephalic vs brachial,left vs right side,above...

  6. how many access devices

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

    OK,I'll give this a shot.... Subcutaneous: Insulin and pain med pumps,clysis,etc. Venous:1. Good ol' peripheral IV's in dozens of shapes,sizes and colors. 2. Midline catheter. 3....

  7. Picc Question...technique

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

    blsmom--When you say you "go through the vein and pull back" do you mean you go in one side of the vein and then out the other? The name for this is "double-walling" and is not something to make a...

  8. Returning wasted blood to a line?

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

    The literature is vague on this subject. One study,however,did show that blood drawn up for the waste,when analyzed,showed significant clotting. The risk of injecting these clots back into the...

  9. site rite 4 and 5...help!

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

    Angiocath tips are not designed to show up well on US,but they do. The tips of the needles in the microintroducer sets generally have a specially textured end that does show up well on the screen....

  10. External Jugular vein question

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

    EJ is a peripheral vein. Can use it for a PIV or central line in unusual circumstances. Can't recall if the INS standards mention this vein. Pretty sure ACLS training says it's a

  11. IV Assessment on Admission

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

    There are a number of places that use early assessment with good results. It bases referrals to the IV/PICC team based on known poor access as well as other factors---diagnosis...

  12. Femoral Central line

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

    If they are well enough to get out of bed,they aren't sick enough to have a fem line! The femoral site has horrendous infection and thrombus rates and if the patient is improved enough to the point of...

  13. PICC question

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

    Positive blood cultures are a relative but not absolute contraindication for a PICC,so you need to look further into the situation and weigh the risks and benefits of both placing and not placing the...

  14. Questions for PICC nurses

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

    If the wire comes out messed up,the most likely cause is that you weren't in the vein to begin with. I rarely use an angiocath,and especially not with US. If the vein is very shallow (less than 0.5...

  15. Question about post carotid endarectomy

    PICC ACE replied to kk2000's topic in Cardiac

    Is this a "normal" thing,no. Can it happen,yes. There are a couple of potential issues with swallowing after a CEA. First is the general swelling in the region that you noted externally--internally...

  16. $$$ How are you paid? PICC RNs & IV RNs

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

    A PICC nurse should be on the same level as an ICU nurse. Similar expectations of knowledge level,specialization and liabilities. Consider this--some outside PICC contractors charge up to $150 per...

  17. Ultrasound for art lines

    PICC ACE posted a topic in Certified Registered Nurse Anesthetist, CRNA

    Is any one using US for arterial line placement? I am working on some things in my hospital and would like to hear from those who are doing so.

  18. Maximum Heparin doses with Central Lines

    PICC ACE replied to dmrn722's topic in Infusion, Intravenous

    Speaking of evidence-based...the push/pause technique is ones of those things that sounds good in theory but isn't supported by data. An old wives'/nurses'

  19. Ultrasound for art lines

    PICC ACE replied to PICC ACE's topic in Certified Registered Nurse Anesthetist, CRNA

    critical care medicine. 31(2):481-484, february 2003 levin, phillip d. mb, bchir; sheinin, olga md; gozal, yaacov md abstract: objective: to assess the role of a portable ultrasound device in the...

  20. arterial blood gas

    PICC ACE replied to moonbeamsmom's topic in Pulmonary

    Two things-first,it's OK to numb the area of your stick with some Lidocaine. If your facility will allow Lido for IV starts,they should also OK it for ABG's. Might try EMLA or something similar if...

  21. NS for IV starts

    PICC ACE replied to sister--*'s topic in Infusion, Intravenous

    As others have noted,it's actually bacteriostatic saline you'd use. What I've noticed is that they are about equal in efficacy,but that the effects of the Lido last longer than the bacteriostatic...

  22. BD instye autoguard angiocaths- difficulty

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

    La compania no les mandaron un representante para entrenarles!? Que falla. I not only give the cath a full twist I also give it a little push forward to make totally sure that seal is broken,then...

  23. PICC line flushes

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

    Flush first to establish patency. Then draw up the waste. Then draw up the lab samples. Then flush again. Heparinize if needed,but not all catheters or systems need Heparin. The usual flush amount is...

  24. pop technique

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

    Oh,boy. The responses I got to this article on another forum were 110% against it. This was an in vitro study with some (well,OK, more than a few) problems with it. The authors got flamed pretty...

  25. pop technique

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

    I've never done this myself but I posted your question on a venous-access specialty site and will get back to