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ann zonderman
Power piccs for home care patients

I see an ongoing problem with occlusion of power piccs...requires repeated nursing visits/ atime  and $ for Cath flow .                 I  urge you folks who place the lines, please use a different line when the patient is to be serviced out of the acute center ...   and do not have ongoing dye studies...   I see dual lumen power piccs for a week of 1xdaily antibiotics ... ??? cant figure that one out.... Please be free to offer your thoughts on this... so I can perhaps understand..

 Any update from manufacturers re power valved catheters coming to the market???

Many thanks

Ann Zonderman, BSN, JD, CRNI, LHRM

Now at Coram Specialty Infusion

Hayward, CA 94545 / [email protected]

ann zonderman
Ann Zonderman, BSN, JD,

Ann Zonderman, BSN, JD, CRNI, LHRM

Ann Zonderman, BSN, JD, CRNI

Sue Witkowski
I have a question. What
I have a question. What makes the power PICC the reason for the problem? What other type of PICC are you seeing that doesn't cause this problem?
Wendy Erickson RN
Double and triple lumen

Double and triple lumen Power and non-Power PICCs are ideal for inpatients requiring multiple infusions/meds/CATs.  And sometimes they may even need PICCs on both arms!  I agree that they are cumbersome for the home patient, but I can't see where power PICCs have any increase in clotting.  BOTH/ALL lumens must be flushed regularly - based on what your protocol is - not just the lumen being used.  Are the patients taught positive pressure flushing or using a injection cap with that feature? 

To my mind, I run the risk of losing the line I have if I attempt to exchange a multilumen PICC for a single lumen one.  When you see a patient who needs only an antibiotic, that may be what they go home on, but doesn't reflect what they received as an inpatient.  I think most of us try to place the line that best serves the patient at the time. 

Wendy Erickson RN
Eau Claire WI

rivka livni
Something must be wrong in

Something must be wrong in the way those catheters are cared for. We have been placing only Power PICCs since July 2005 for both In patiens and Out patients. Our occlusion rate is very low, especially for the out patients but let me tell you it took a lot of education, and I mean a lot, including the CT scan techs, all the staff that is invoved in taking care of the catheters, the hoe health services, the Infusion centers, etc and it really paid off.

For in-patients we need to use Cathflo about once every two months and for out patient, the last time we cathflo somene was March 2007.

It is all about knowing how to care for the catheters.

Rivka, which cap are you
Rivka, which cap are you using in the hospital and home setting?

Cheryl Kelley RN BSN, VA-BC

Gwen Irwin
Bard has the SOLO Power PICC

Bard has the SOLO Power PICC on the market now.  It is valved and saline only.

Gwen Irwin

Austin, Texas

rivka livni
Cheryl, since we are not

Cheryl, since we are not supposed to endorse a particular product on this site, let me just say we use a Positive Pressure Fluid Displacement cap, easy to swab, and if the application is correct (the nurse must "prime" the cap pointing upward w/ NS prior to applying it to the catheter, and after she flushes the catheter, she should NOT clamp the catheter) I found its mechanism very effective. If every nurse does the right thing, there will be very little, to NO occlusions. But it took quite a bit of education.

You can email me: [email protected]

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