GailAnne

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1. A short PICC line ?

   GailAnne replied to combinate's topic in Infusion, Intravenous

   I agree with Texas! and IVRUS, the subclavian is totally inappropriate, as is using a PICC as a midline. This leads to potential confusion and complications. There are midline catheters and they...

2. SQ Lidocaine Administration/PICC Placement

   GailAnne replied to moonbeam1125's topic in Infusion, Intravenous

   We also use a 5ml amp but use a 1ml syringe. I rarely give more than 0.4-0.5 ml. We do have a spare needle incase we need to freeze in another area, either because we change our approach or have to go...

3. How to deal with catheter issue when insert a PICC line.

   GailAnne replied to fangguixiao's topic in Infusion, Intravenous

   A couple other things to consider..... Some types of catheters will want to go north, or contra-laterally at first. Just use a little patience, it seems they are more pliable as they warm up in the...

4. Question about PICC insertion experience

   GailAnne replied to sorlando's topic in Infusion, Intravenous

   It can take anywhere from 30-100 PICC insertions before people feel truely competent. Remember, it's not so much of an issue when things go right....it's the ability to quickly run all the possible...

5. Flush and blood return

   GailAnne replied to nursemomof3boys's topic in Infusion, Intravenous

   To look at this very simply, a PICC is a pipe, if it's clogged or partly clogged, then the fluid will either go down very sluggishly, or not at all....no different than if the pipes off your kitchen...

6. New PICC nurse needs help......PLEASE

   GailAnne replied to LCLARN's topic in Infusion, Intravenous

   You may want to check out IV-Therapy.net as well as this site.

7. New PICC nurse needs help......PLEASE

   GailAnne replied to LCLARN's topic in Infusion, Intravenous

   Do you mean that you have only tried 4 PICC insertions total? If so, aren't you still working with an experienced PICC insertor? Yes, you are correct to remove needle from an artery ASAP and hold...

8. PICC placement for a pt with high INR

   GailAnne replied to piccchick7's topic in Infusion, Intravenous

   Another agreement with the last 2 posts. In fact I just, this week, inserted a PICC on a person who was at 5.4. Barely bruised. Of course, the brachial vein wouldn't be top choice on these people! I'm...

9. PICC Placement

   GailAnne replied to IVT-G's topic in Infusion, Intravenous

   Is the rad saying it is "in" the azoyous vein or "at the level"? It looks like they are saying "at". That's similair to saying at the level of the corina or at the level of T7 for example. If this is...

10. IR *wants* to place PICC's.. now what??

    GailAnne replied to RN Randy's topic in Infusion, Intravenous

    When you say that you are "interested" in PICC insertion, do you mean that you are not currently trained? It takes anywhere from 40 to 100 insertions to feel really comfortable with all that can...

11. PICC Line Certification Course Info Needed

    GailAnne replied to MWilliamsRN's topic in Infusion, Intravenous

    You may want to try a private course, such as through PICC Excellence Inc or Lynn Hadaway Associates Inc. There are others as well. Try looking for links on the AVA or INS sites. Good

12. picc line & blood clots

    GailAnne replied to sweetyjen's topic in Infusion, Intravenous

    Motdog, it's great that you have an ultrasound, with use of Basilic (and then Brachial at times) veins away from the ACF, you should see a drop in the rate of thromous. We rarely have a known...

13. Problem with blood withdrawal Hickman Line

    GailAnne replied to cannulation's topic in Infusion, Intravenous

    First question would be, where is the tip? Is it really in distal SVC or RA/SVC? If it's back at a curve it could easily be up against the vein wall. (which also means you are giving the TPN against...

14. PICC lines and Dilantin

    GailAnne replied to smahccrn's topic in Infusion, Intravenous

    Dilantin and silicone PICCs are a problem (can't speak for polyurathane ones). I've seen them turned to cement with one dose, regardless of flushing, when a minibag is used. If you MUST use the PICC,...