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AmyEkstrand

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  1. PICC Insertion pointers

    AmyEkstrand posted a topic in Infusion, Intravenous
    Hello all! I have recently started inserting PICC lines at our hospital. I have been successful in inserting 7 out of 8 but have had similar nurses run into the same problem that I had with my first unsuccessful insertion. Would you guys be able to help me out? When I access the vein with a catheter and pull the needle out we are taught to have a nice dripping flow of blood. Then we are asked to insert the guide wire and thread it. As I thread the wire, I meet resistance and it wont thread any longer, so I would take the wire out and try again. But now Ive noticed that I no longer have a steady dripping flow like before. Im wondering if you have any tips on why this would happen or if we may be doing something wrong as another coworker of mine has had this happen a few times. Im assuming it means that the vessel may have collapsed or ruptured but am looking for some seasoned nurses to help me out. Thanks!! Amy RN

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