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Bad Timing--Good Timing

Last Monday I had a tough time with a PICC--no matter what I did with the line or the arm or the neck or whatever,it kept going up the jugular. Finally I gave up,wrapped it up and called IR to let them know to adjust the line. Just then the nurse comes in to see what's happening and lets me know he's going to be leaving for a heart cath in 15".  Terrible timing--it's 3:00PM,he won't get back from cath lab for an hour or more  and will not be going anywhere with the groin lines in once back.

Then it dawned on me--perfect timing! Cath lab is just a fancy fluoro suite,so I went with the patient.  I had one person position his head,another step on the pedal,I got the PICC to turn on the first try,cardiologist to say SVC/RA juncture. Almost too easy.

I figure the odds of that ever happening again are pretty remote.

Nice new site,BTW,Sarah

Kathleen Witt
Since we use the Navigator
Since we use the Navigator we are able to reposition right away while still in our sterile field, however, there are still times when we get those stubborn lines that just don't want to go down for a while. And it always seems to be near the end of the day! I think the longest we have worked to get a line to drop is 55 minutes, but it finally did go!!
An added note for those

An added note for those interested in transducing while positioning PICC

you do need to be placing an open-ended PICC  to be able to transduce

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