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ken baker
Midline to PICC Percentage

Please share with me the percentage of midlines to PICC lines your are inserting at your facilities. Thanks!

Jennifer Schwartz
No midlines , about 700 piccs

No midlines , about 700 piccs a year 

Jenn

ken baker
Why no midlines?

Why no midlines?

aileen rogers
FY 16-17 688 PICCs and 181 ML

FY 16-17 688 PICCs and 181 ML; FY 17-18 601 PICCs and 93 ML

Aileen Rogers RN VA-BC

Aileen Rogers RN BSN VA-BC

IV Team Resource Nurse

 

 

 

 

 

ken baker
Thanks 

Thanks 

Gina Ward
Picc vs Midlines

 

We started placing midlines approx 2 years ago.    Our goal was to have an alternative IV access device for pts when no access was attainable yet a Central line was not indicated. 

We have had great success at doing such.  Now , mind you,  corporate was pushing for everyone to get a midline and not a central line to keep the CLABSI  numbers down.  We  have not used the midline as a replacement for a central line, but utlize it when it is whats best for the pt, not whats best for our numbers or potential numbers.   In doing so we have actually added a larger pt group to our workload, as there are many more pts who benefit/need a midline that we were not involved with when inserting only PICC lines.  So....on that note....   $ $$ wise we ended up spending more since purchasing many more midline kits, in addition to a lesser quantity of PICC Line kits.

Here are our totals this year so far.

393 PICC lines inserted and 939 Midlines inserted   so....   42% Piccs/58% midlines

by the way we are a 110 bed rural hospital

Thanks,  Gina Ward R.N, VA-BC

 

 

Gina Ward R.N., VA-BC

ken baker
Thanks Gina,

Thanks Gina,

Do you guys place any ultrasound guided IVS?

Gina Ward
yes, once we mastered the art

yes, once we mastered the art of free handed midlines we also do us guided ivs.    i did needle guide picc lines so long, it was very hard for me to get a line using ultrasound without the needle guide.

We have found that when using us for iv starts it is bette to use the longer iv caths, such as the extra 1 3/4" iv in the kits . 

Because some pts dont even really need a midline , a peripheral will do..    

Gina Ward R.N., VA-BC

JackDCD
the problem we see now Ken,

the problem we see now Ken, is the the increase in Midlines presents a whole set of problems. IMO, a Midline is a catheter designed to replace the peripheral. NOT to replace a PICC. It's a strange situation we are seeing now that I for one DON'T agree with. Get the central line out replace it with a Midline . In short, Midlines will not meet the needs that hospital admin think it will.

So, that means bad access more sticks. So, it's not a good trend, however, I'm afraid a trend that will continue. But purely for infection prevention. Infections occur the same was as a PICC so why the change?.....follow the money

 

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