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Beverly Sharpe
Use of Zingo in pediatric pts
I'm searching for feedback from anyone who is trialing or using Zingo, lidocaine powder.  Is it effective for pain control in IV sticks?  We are considering trialing this product but since it has just been released a few weeks  I am looking for first hand experience with it.
Angela Lee
I have no experience with

I have no experience with Zingo although I have seen the product.  It seems a bit pricey compared to other topical anesthetics, it also seems bulky and potentially a storage challenge.  I don't know about the effectiveness other that it's supposed to be quick.

 There is a delivery method called j-tip available which I am more interested in but haven't had time to investigate.  It uses pressurized gas to force Lidocaine through the skin which is close to what Zingo does, I do believe.  However, it also has other applications such as insulin.  The medication is loaded by the nurse.  I don't know much more at this point but will be looking at this closely.

Good Luck.  Let us know how Zingo works for you. 

Nancy Crouch
Our hospital would like to

Our hospital would like to create criteria for appropriate number of lumens to place.  Our floor nurses are insisting that our PICC nurses place double and triple lumens when the PICC Nurse feels a single or double is appropriate. Does anyone use any guidelines for the placement of PICC.  Like patient on pressors gets a triple, anyone for TPN gets a double, IV fuids or Antibiotics only receives a single, etc.  The floor nurse prefer the "extra port"  just in case.



I have always worked where

I have always worked where this was a decision for the vascular access/infusion therapy nurse consultant. This is why I say that those 2 can not be separated. The patient assessment must include aspects of the infusion therapy including types, numbers, characteristics such as pH and osmolarity and vesicant nature, lengths of therapy and any anticipated changes. Then you have to consider all the patient factors like primary and secondary diagnoses, medical history, social factors, etc. This assessment leads the specialist to determine the number of lumens needed. The primary care nurse is not involved in this assessment. Extra ports can be a serious problem in the making. More lumens and hubs equals more chance of contamination. Greater outer diameter with more lumens equals increased risk of vein thrombosis. I have never practiced by any written guidelines but rather this assessment by the specialist.   


Lynn Hadaway, M.Ed., RN, BC, CRNI

Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257


Office Phone 770-358-7861

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