Pt. on our unit is a 25 yr. old female dialysis pt. She has a thrombus in her IJ, cephalic, and basilic vein of ® arm. Has fistula in her (L) arm with left hemodialysis cath present. She had a...
Have seen experienced PICC nurses do both bevel up and bevel down for PICC insertions with u/s and freehand #20 angiocath. Please shed some light on which way is better?
I usually position the pt.'s bed at a 30 degree angle, but I have seen other PICC nurses position higher than this. I am curious as to what other experts use for pt. positioning and whether a higher...
Am I correct in saying that a triple lumen power picc has a higher incidence of DVT risk? What are the risk factors associated between the 5 FR. size double lumen vs the 6 FR. triple lumen cath?...
I am finding I do better inserting Picc's using no needle guide, just a #20 angiocath and the U/S screen. I feel as though when I use the silver needle in the microintroducer kits my wire can get...
I am very new and learning the ropes to picc placements. I am having trouble seeing the needle on the screen enter the vein. In regards to the site rite u/s machine does the angiocaths show up less...
I am just starting to insert PICC's. Our facility uses power picc's and pasv's. Most everyone uses a #20 angio under u/s. A few use the steel needle that comes in the kits. I can access the vein...
I am still in orientation with regards to placing PICC's. I heard a ICU nurse say a patient was not a canadiate for picc placement because he had a + BLOOD CULTURE for strep. I thought all the more...
Has anyone heard of Infusion Knowledge and instructor Mickey Hawes? They have a class coming to my area that I am interested in. I have been a working R.N. for 25 years and frequently do the...