Our facility has started putting in the extended dwell catheters (Powerglide) out of shear necessity for a longer catheter. Our facility has chosen not to place Midline catheters in the past and do not have a policy so far although that may change. I am aware that an Extended dwell catheter (8cm or 10cm) may or may not be a midline catheter (depending on whether the tip is at the level of the axilla). I am working on policy that will guide placement of the Extended Dwell catheter (placed mainly due to depth of vein). We currently do not D/C patients with these catheters or have a midline policy.
Is an order needed for a longer peripheral catheter or just clear documentation about depth of vein justifiying the catheter length inserted?
If one was to place one of these longer catheter higher in the arm thus defining it as a midline - is an order thus required? If one did not set out to place a midline but only acquire a PIV for acute medical management, is an order required?
Is a consent required for placement of a Midline? What about an Extended Dwell PIV placed out of necessity for vein depth?
I would be grateful for any advice or feedback and any sample policies you may have to help as I try to create these new policies and practices within our facility.