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Mon, 04/16/2007 - 21:33

Kelly Smith

arm circumference

My facility is looking at our practice for the maintenance of picc lines, including the measurement of arm circumference.Â Currently we measure arm circumference 10 cm's above the antecubital space, and we measure at insertion, and with each dressing change.Â We used to markÂ the measurement line with a marker, but have stopped doing this and feel ourÂ hospital staff should be able to measure 10 cm's up without difficulty.Â What are you all doing inÂ regard to this?

Tue, 04/17/2007 - 22:01

lynncrni

According to the INS SOP,

According to the INS SOP, take the baseline measurement when it is inserted, forget the routine measurements, and repeat if there is signs and symptoms of a problem. Routine measurement has not been show to produce any benefit, and takes valuable nursing time. Lynn

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

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

Thu, 04/19/2007 - 05:44

Nadine Nakazawa

There are no clinical

There are no clinical studies that I am aware of that correlate arm circumference measurements with outcomes. Venous thromboses become symptomatic when veins are 90% occluded. We stopped doing measurements about 10 years ago when Gail Sanvisvero (former President of AVA, thenNAVAN) pointed that out to me.

Nadine Nakazawa

Nadine Nakazawa, RN, BS, VA-BC

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