Good morning everyone,
Our facility has added midlines and now AccuCaths to our vascular access options. Current policy is that midlines may dwell for 30 days and PIV's for 96 hours, unless an order is obtained to keep in place. With the addition of the accucaths and knowing the pro's of clinically indicated removal we have started the process of adopting a clinically indicated removal policy versus a time frame.
It was presented, in part, before our nursing care and practice council that oversees and approves all poilcy changes, and we are getting some puch back. There are concerns re: infection and whether the change is needed as we can call a physician for an order to retain a good line anyhow. Based off of research, it seems like the infection point is moot, and calling on every patient seems burdensome and a waste of time.
Does anyone have any advice on how to sell this to the council or any experience with implementing this at your facility?