I developed an algorithm for Vascular Access Device Selection that I am willing to share. Let me know your email and will send. Cindy Hunchusky,RN, CRNI/Texas Health Fort Worth Hospital/PICC Team
Cindy, I am working on a presentation for Vascular Access choices and am collecting any and all algorithms that I find. Please post it here or e-mail to me at [email protected].
BARD has a good poster for it. Our company uses INS for guidelines. Short info for everyone:
PIVs- last up to three days, for fluids resus, meds, antibiotics, blood products and place as needed and in emergencies .
Midlines- lasts up to a month in our facility, for non-vesicant meds, blood products, good stable line for sedation needs for burn tubbing/dressing changes, no consent needed and no chest xrays for confirmation
PICCs- less risky than temporary CVLs, need consent, require chest xray for confirmation, better than under fluoroscopy or if you have a sonosyte to guide placement of it, for vesicants (PCN, TPN/IL, Vanc, meds with pH of less than 5 and greater than 9 and osM dependent), can lasts up to a year versus tem lines that lasts 2 weeks to months (depending on indiv hospital policies)
CVLs- done as emergency needed line, came as PICC line but site location is ofcourse different.
BARD has a good poster for it. Our company uses INS for guidelines. Short info for everyone:
PIVs- last up to three days, for fluids resus, meds, antibiotics, blood products and place as needed and in emergencies .
Midlines- lasts up to a month in our facility, for non-vesicant meds, blood products, good stable line for sedation needs for burn tubbing/dressing changes, no consent needed and no chest xrays for confirmation
PICCs- less risky than temporary CVLs, need consent, require chest xray for confirmation, better than under fluoroscopy or if you have a sonosyte to guide placement of it, for vesicants (PCN, TPN/IL, Vanc, meds with pH of less than 5 and greater than 9 and osM dependent), can lasts up to a year versus tem lines that lasts 2 weeks to months (depending on indiv hospital policies)
CVLs- done as emergency needed line, came as PICC line but site location is ofcourse different.
Kathy Kokotis
Bard Access Systems
I am not endorsing the attached algorithm but I have a IR MD and RN who developed this tool
kathy
Kathy Kokotis
Bard Access Systems
Cindy Hunchusky, BSN, RN, CRNI
Cindy, I am working on a presentation for Vascular Access choices and am collecting any and all algorithms that I find. Please post it here or e-mail to me at [email protected].
Thanks Karen McKeonRN, CRNI
Philadelphia,Pa
Karen McKeon Williford RN, CRNI
Can you send it to me also. [email protected]. Thanks
My email is [email protected]. Please send we would love to see it. Thanks!
Could you please send me the algorithm too. I could not see this as an attachment anywhere.
Thank you,
Luana Philpott, RN, PICC Team Coordinator, Sutter Lakeside Hospital
Luana Philpott
Robbin George RN VA-BC
Cindy Hunchusky, BSN, RN, CRNI
BARD has a good poster for it. Our company uses INS for guidelines. Short info for everyone:
PIVs- last up to three days, for fluids resus, meds, antibiotics, blood products and place as needed and in emergencies .
Midlines- lasts up to a month in our facility, for non-vesicant meds, blood products, good stable line for sedation needs for burn tubbing/dressing changes, no consent needed and no chest xrays for confirmation
PICCs- less risky than temporary CVLs, need consent, require chest xray for confirmation, better than under fluoroscopy or if you have a sonosyte to guide placement of it, for vesicants (PCN, TPN/IL, Vanc, meds with pH of less than 5 and greater than 9 and osM dependent), can lasts up to a year versus tem lines that lasts 2 weeks to months (depending on indiv hospital policies)
CVLs- done as emergency needed line, came as PICC line but site location is ofcourse different.
Thanks,
Joel
BARD has a good poster for it. Our company uses INS for guidelines. Short info for everyone:
PIVs- last up to three days, for fluids resus, meds, antibiotics, blood products and place as needed and in emergencies .
Midlines- lasts up to a month in our facility, for non-vesicant meds, blood products, good stable line for sedation needs for burn tubbing/dressing changes, no consent needed and no chest xrays for confirmation
PICCs- less risky than temporary CVLs, need consent, require chest xray for confirmation, better than under fluoroscopy or if you have a sonosyte to guide placement of it, for vesicants (PCN, TPN/IL, Vanc, meds with pH of less than 5 and greater than 9 and osM dependent), can lasts up to a year versus tem lines that lasts 2 weeks to months (depending on indiv hospital policies)
CVLs- done as emergency needed line, came as PICC line but site location is ofcourse different.
Thanks,
Joel
This is one that our hospital addapted from several other hospitals.
Rose Galyan RN, BSN, CRNI
Speciality Practice Nurse
Vascular Access Team
Indiana University Hospital Bloomington
[email protected]