picclineman

i need some help from the expert infusion nurses. There is a habit i notice from a lot of nurses regarding IV tubings. After disconnecting the IV tubing from the access, i.e PICC, the tip of the tubing is reconnected to one of the hubs of the same IV...

Thanks for the passionate response. I definitely appreciate it. I see where you are coming from. I am just trying to understand where a non IV nurse come from, how they rationalize there actions and so i will know how to help them. I respect their re...

I think i also know what you have just lectured me on. I have a CRNI certification and familiar with the INS Guidelines. I appreciate your lecture. What i was looking for was a rationale why looping would not be acceptable if the nurse does the 15 se...

I realize it is an unacceptable practice, however i have not found a good rationale why it is unacceptable. When nurses clean that injection site using the 15 seconds scrub, leaves it to dry before flushing it and it is found acceptable, why not loop...

You can use a sterile glove to cover the transducer with gel on it.. You also use saline flush vs sterile gel, it gives you the same clear picture of your veins...

Has anyone taken the Vascular Access, Board Certification exam? Were the questions really for a board certified vascular access professional?

In the 15 years i have done PICCs and midlines, i have used PICC catheters and trim them to become midlines per INS definition. The PICC catheters are trimable catheters , so i do not see any reason why not. Of course, your rep is going to tell you n...

That is an inservice in and of itself. Thanks

The pharmacy that provides IV infusion products usually have their own IV nurses as employees. They earn a salary much like working in a hospital. Most hospitals have their own vascular access team. It is extremely difficult for us registered nurses ...

I think the best way to do it is to take the nurse practitioner program and concentrate on interventional radiology where your internship will be in interventional radiology and concentrate on IR proceudres which would include vaccular access.

As long as the line is placed contralaterally to the pacemaker, i guess is okay and i do it all the time. Cardiologists can give you an order but if it is your policy not to do it then i guess you are right. You should have shown the cardiologist the...

i was given a memo from navigator that says it is not contraindicated for pacemaker. I did try it on a patient with pavemaker and the aptient was ok. So update your info.

AAchoa1, It is good that you are able to identify the tip in the azygous vein but other bard users say that the sherlok does not identify when the tip is in the azygous vein. I do not doubt that you know what you are doing but as far ar Bard is conce...

it depends on where the tip of this PICC was originally. If the tip was SVC/RA junction and it migrated 3 cms, you still will be in the SVC area. If you were left sided PICC and the tip was proximal SVC 3 cms will place your tip in the innominate vei...

There was an article about blood draws from the INS magazine about changing the caps first prior to blood drawing. Part of the reason wasm the old cap could be harboring bacteria. But yes i think drawing with the use of ten /twelve cc syringe is a be...

you will still know when your tip is in the jugular vein WITHOUT sherlock or naviagtor. Use your ultrasound. So the sherlock/naviagtor is really useful to help identify your line is in the rpojection of the SVC RA region/contralateral/retrograde. Thi...

How does the sherlock show when the tip of the PICC is in the azygous vein. This is my question. As far a effectiveness, it depends on who pays for it. If i were to pay for it, i will not use it. If the hospital pays for it, i go for it. The only tim...

I would like to ask the opinion of the PICC experts out there. How does the sherlock system manifest/show when the tip of the PICC is in the azygous vein. I am under the impression that the tip locating machine are directional in nature, in other wor...

my point is is it worth spending 99% to solve a one percent problem? You can look at it from different angles. I agree with you that problems happen when you least expect it. But what i am trying to drive at is if the sherlock or corpak wire technolg...

If we as nurses or bard and corpak cannot use the PICC after insertion with use of the sherlock or corpak, what is the point of using this product. this becomes just an additional expense to the already high expense for inserting a picc. My experien...

I have started to use the corpak electromagnetic CVC tip placement device. This is by the way a competition to the shelock system.The device is wonderful. It is one hundred % accurate. I tested all the patients i saw with a chest xray to confirm tip ...