Does your facility have midline placement lab exclusion criteria? Our VAT defers PICCs to IR for platelets<50 and/or INR>3.0. We have no lab restrictions for midline placement. Other exclusion criteria such as vein preservation and lymph node removal are the same for both types of line placements. I don't understand the rationale for why the exclusion criteria is different. We place "true" midlines using Modified Seldinger, and not the extended dwell piv's that are sometimes referred to as midlines.
I would agree that the exclusion criteria should be the same for midlines and PICCs, however I would not agree that your lab value parameters requires sending these patient to radiology for PICC placement. Lynn
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861