Hi all PICC RNs, I got a lot of useful information from this site. so thankful !Would someone tell me how to access deep, small vein using ultrasound during PICC insertion ?Any input is greatly...
HI Dear Iluvivt , Yes, The vein is deep greater than 2.5cm below the skin . I measure vein with tourniquet on . The vein diameter is 0.75 to 1cm . First ,I thought the vein deep, my needle angle would...
Hi Zoidberg,I am a PICC RN . any vein, basilic, brachial.It is big enough to place 4 FR but half size than regular vein . The depth is due to excess tissue .
My co-worker placed a PICC for a patient who suffers osteomyelitis and needs long term antibiotic. The insertion site started a little leaking fluid after 4 days placed. I did assessment. Pt no c/o...
Thank you so much IVRUS. The leaking fluid was clear,not like chyle (a milky appearance ,a mixture of lymphatic fluid and chylomicrons).Why it is greater chance to develop chyle if access at left...
I am a new PICC line nurse with three successful insertions.On 4th patient, I had a problem continuing put catheter in . My preceptor took over.Finally ,we got blood return and whole catheter in but...
I am a newly PICC line nurse and learned a lot from this website . Thank you everyone ,specially those who answered my questions.I appreciate all you help. One day I started a peripheral IV for a...
Thank you everyone for your input. It still flush w/o complication when I inserted IV to the hub,but my previous preceptor ,now my coworker told me that is not good because It will be infiltrated...
I am a new PICC line nurse with three months experience.I had one patient yesterday.Catheter all the way in ,no problem, blood return good.X-ray ordered.It shows catheter went to another side instead...
Hi Asystole RN, Thank you so much for your information.From radiograph ,nothing looks odd.We did try again from left arm . We got down right way but too deep. We pulled back 2 cm.X-ray showed catheter...