I have found over the last year this topic interesting
Some of the conversations discuss trading down catheter size to reduce other complications like DVT.Â
As you can see I am not a firm believer in this theory.Â The idea of trading down the number of lumens a patient needs for therapy or the size of the lumens fails to make sense to me.Â I cannot tell you how many times I hear from staff RN's why did they place a single lumen PICC I need a dual or why did they place a dual and I need a triple.Â
Time to talk to the staff RN's and discuss what the patient needs.Â If the patient needs three lumens and the PICC is too big than call an MD to place an acute care line.Â
The PICC RN is making a decison and is not the RNÂ even giving the meds or doing the blood draws.Â That is like saying to a chemo patient I think you need a Hickman and they need a port.Â
I believe in multi-disciplinary decision making.Â Is it not the choice of the PICC RN or MD exclusively.Â There are other clinicians here and they should not have to take what you just give them because that is what the vein will accommadate or that is what the INS rules state.Â Change lines than don't use the PICC line.Â Don't trade down on what the patient needs.Â All you need is the patient to have a dual lumen PICC and short peripherals both.Â That works for me how about you????Â Talk about low flow and higher complications.
Bard Access Systems