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discontinuation of femoral lines by nursing staff

Hi,

I was wondering if anyone has staff pulling femoral lines.

Thank You

lynncrni
This would be the same as

This would be the same as any other CVC and is done by nursing with documented competency in the procedure.  

 

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

www.hadawayassociates.com

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

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

  I agree thanks for the

 

I agree thanks for the response, people's reactions  have differed greatly.

Blanche

CHRISTINE SCHNEIDER
OUR IV TEAM TEAM PULLS
OUR IV TEAM TEAM PULLS FEMORAL LINES. ONLY OUR ICU RNS OR IV THERAPY RNS CURRENTLY DO AT OUR HOSPITAL.
Michael Horrigan
Our critical care RN's will

Our critical care RN's will pull femoral lines after they complete the competency.

Mike Horrigan RN

Heather Nichols
   We allow staff nurses
   We allow staff nurses to pull lines here, but I wish we didn't. We do however competency theses nurses yearly, but they still do not do it often, so what you do not do a lot, you sometimes forget, and that scares me.  I have seen some pretty scary things around here, and some that make me go HMMMMMMM....... what were they thinking????  I like the idea of the ICU and IV nurses doing it.  I may attempt this.  Wish me luck.
lynncrni
I think you have a valid

I think you have a valid concern about things not frequently performed. CVC removal appears to be a benign procedure, however I have been the expert in several lawsuits about serious complications occurring from CVC removal.  

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

www.hadawayassociates.com

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

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

Carole Fuseck
Lynn, may I be so bold as to

Lynn, may I be so bold as to ask what the complications were?  Just curious because I would also believe my staff to be well-trained but now wonder if there are other considerations I should discuss or emphasize.

 Thank you,

Carole

 

lynncrni
Parodoxical air emoboli,

Parodoxical air emoboli, meaning that the air went to the brain causing severe brain damage. Patients now living in a nursing home unable to care for themselves. The issues are what constitutes an "occlusive" dressing - TSM with gauze and ointment or gauze & tape with ointment. No clear definition on dressing material, but no question that ointment is necessary to seal tract. Also, how long should be patient be required to remain flat after removal. I have found 3 references - 1 hour, 30 minutes, 10 minutes but none are evidence based, other than professional opinions. Lynn 

 

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

www.hadawayassociates.com

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

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

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