Tinabelle

Kayern, You were right, it was r/t the patient developing a hematoma. Last week I saw the Dr. that gave me the order...turns out it was because they pulled the epi just before the ivc filter placement. She explained to me that the risk of a hematoma in that area could mean permanent paraylysis for the patient. Makes sense. Thanks for your input.:)

My patient had signs/symptoms of a PE. He went down for a catskan and it was confirmed the PE was in the right lung. The resident called me with the results and told me to order a stat ptt and ivc placement. IR quickly called to make sure patient had been NPO and did not receive any heperin. I explained this to be true. I was then told to wait 6 hrs after filter placement to start the new Heperin Drip that had been ordered. My question..Is 6 hrs standard?

:) Thank you!

The scenario is... I have a patient with a double lumen PICC. I know I must stop the IV fluids for 15 minutes before I draw the blood so that the sample is not diluted by the Saline. The Saline is connected to the blue port, the TPN connected to the red. Do I stop both? Secondly, our IR dept always places a Stat Lock when placing a PICC. Our policy is to change the dressing 24hrs post then Q 7 days. My question is should I change the Stat Lock and Biopatch the next day or just the Biopatch?