Rabid_Panda
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So you've noticed the push for midlines recently as well then. I know our infection control LOVES them. IV access is also a pain at my facility as well. I was an LVN for a long time before becoming an RN and there is definitely a lack of IV proficiency in newer nurses.
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My facility policy is midlines are OK for pressor use in emergent situations but central line access needs to be started ASAP. Can't use midlines for blood draws at my facility.
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I don't like them much myself. My facility makes it too easy for the floor staff to call for a midline placement without ever attempting PIV access. We try our best to minimize midline insertions but there is a strong push from hospital administration to remove central lines and insert midlines instead. The floor staff seems to perceive that midlines "are just like peripheral IVs" because that is what is being fed to them from hospital administration. I have seen poor care of IVAD in general at my facility. Everything from slapping on more readers to loose dressings to unclamped/uncapped lumens to leaving IVAD connected to non infusing IV lines. It's frustrating. My take is administration wants central lines out ASAP so any BSI are not reportable as CLABSI so they don't really care as long as they don't have to report it as hospital acquired and lose money.
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I have noticed an increase in the number of midline insertion requests at my hospital, to the point that we'll more than 50 percent of our patient census has either a midline or PICC/CVC (although the vast majority are midlines). We get told that BSI associated with midlines don't get reported thus the push from hospital administrators to change PICC/CVC to midlines quite often. Patients who don't have any IV medications get midline requests as well for "IV access" even though there was no attempt at peripheral IV access. Has anyone else has this happen in their facility?
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I just took the HESI today for the LVN-RN Bridge. I was told before I left the exam room that they would be contacting me in one week. It wasn't too bad actually.