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Sandy DAmico
Lab parameters for bedside PICC insertion in LTC setting

Is anyone getting lab parameters in LTC before placing Midline/PICC?  If so, what labs and is there evidence to support this?  I worked for a pharmacy where it was policy to get INR, PT and PTT on patients who are on anticoagulants and a platelet count on everyone else.  

Interventional ...
Lab parameters for bedside Picc insertion in LTAC's.

That is exactly what we require (PT, PTT, INR) as well as a recent CXR to demonstrate surgically implanted devices. The evidence is a bloodly dressing, angry patient and unhappy floor RN's who have to baby sit the bleeding. It's just best practice to do diligence. It's policy at our 5 facilities.

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