It has been suggested that we do that as well--It seems to me to be not only an off label practice but one that could prove hazardous if used mistakenly as a PICC for administration of irritants or CT contrast power injection--Surely there must be a good 4FR catheter designated as a Midlne that can be inserted using US
Robbin George RN VA-BC
Lynn Hadaway, M.Ed., NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Office Phone 770-358-7861
Bard makes the PER Q Cath. It is a silicone catheter. Arrow also has one that is made from polyurethane. They are both 20cm long. You would need to put an MST kit on the field to use ultrasound for insertion. They are very comparable in price. I like the look of the per Q cath--it looks very different and I believe would stand out better--but it is made of silicone. Doesn't chloraprep break down silicone??? I have a question out there about that.
As far as cutting down a power injectable PICC for midline--I would never do it. If CT power injectes through it and it blows out the vein in the axilla region--it'll be a mess!!! And a potential lawsuit.
I totally agree!! we use Bard midlines too, but we have guidlines, such as 5 days of solumedrol for MS, kefzol iv for 5 days, etc. we also use power piccs from Bard, we do not cut them either, yes you are right picc will still be on hub and this in return would confuse staff. Thanks for sharing!!
Lorrie, RN, CRNI, IV TEAM
Owensboro Medical Health System
Cheryl Kelley RN BSN, VA-BC