Hi all !
I am reaching out to see what other teams are doing as far as documentation goes. Until recently, when a PICC was placed at the bedside using ultrasound and 3CG, we printed out the confirmation of the EKG waveforms to be scanned into the medical record, and placed a note. If an xray was needed, we placed a note as well with the reading from the radiologist. All other related documenation, such as vein used, max barrier, blood return, etc. was done on a flow sheet.
We were notified at the beginning of the year that to get reimbursed for PICC or Midline insertion (ultrasound guided peripheral insertion for that matter ) that we needed to have a picture of the proposed vessel, the needle entering the vessel, and finally the catheter residing IN the vessel. The 3 CG was still printed as well.
Has anyone else moved to this form of documention? I can understand the picture of the proposed vessel, but the other 2 steps? If we have 3CG, isn't that confirmation the catheter is in the vessel? We do PICCs and Midlines by ourselves, it is very difficult to obtain all this while trying to keep your eye on the needle, the patient, and your surroundings. Not to mention that alot of the time you can't actually see it!! We use Bard products, so attempting to do this using the Powerglide is near impossible, just because of the way the insertion process is.
Anyone else doing this?