Gyh

At home

I was always told to do PICC + extension tubing + Clave. I had another nurse who told me I need to do PICC + clave + Extension Tubing +Clave. I can't find anything about this in the procedures/protocols. What is the correct way to set up extension tubing? I didn't think there is a need for clave in between PICC and extension tubing.

Thank you for the info! Thank you everyone for all of your replies! I have made a solid list of IV meds and now studying them.

Thank you so much for all of this info! I am definitely going to spend time studying the protocols/procedures. Thank you for the info! I didn't know Med Surg nurses give IV chemo meds. I am a little shocked. I thought it was for oncology floor.

LOL I bet! Amy IV medications that needed to be titrated following a protocol in your experience? Any IV push or IV medications that are cardiac related?

Thank you for telling me this! I have 3 years of impatient hospice background so I can see me be comfortable giving large doses of opioids.

Did you have to infusions of insulin? Insulin titrations?

I am starting a Med-Surg job soon and I have never worked in the hospital. Nurses who work Med-Surg what are the common IV push and IV medications? I want to review most common IV meds so that it's not too overwhelming when I start the job.

sounds good really appreciate you taking the time to give me this information! I was worried that it would bleed a lot where the PICC line enters the vein.

Do you think it would be safe to remove a PICC line at a patient's house with a platelet count between 4-8? Is there a big risk of patient bleeding from the removal?

When is it not safe to remove a PICC line with low platelet count? Would you remove a PICC line with platelet count of 8-10? At what platelet count does it become safe to remove a PICC line?

Thank you for the info I will definitely try the suggestions! Unfortunately I don't have another nurse to help since I go to patient homes but I will try to use steri strips to steady it more. The PICC came out 2 cm during 2 dressing changes (1cm each drsg change) and the other 4 cm the PICC came out under the drsg before the first dressing change was due. It was placed and was out 3-4cm extra first time I saw it. 1st Drsg change was done early d/t being soiled. PICC line was at 7 cm during my first drsg change which was really shocking to me since it had a statlock and was under the clear drsg. The drsg was wet with serious exudate, biopatch was soaked. Could the combo being a new PICC with not using gauze to absorb exudate cause it to come out by 4 cm? I am used to PICC lines being out 2-4 cm and once in a while moving no more than 1 cm during a Drsg change if any. With this PICC being out 8-9 cm now it feels very far out and flimsy. Coiling might help but I don't know how I can pull it off with out pulling it out more.

I have been a nurse for a few years but recently I had to start doing more PICC line dressing changes. I have a patient with a PICC line that moves every time I take the clear dressing off as if it doesn't want to stay in the arm. As soon as dirty dressing is removed the line will without any reason come out by 1-2 cm. Patient has had a couple of x-rays at this point and the line is out by 9cm. Have any of you had PICC lines that move so much and any words of wisdom to keep it from coming out during dressing changes?