At our organization the picc nurses do a timeout before placing a picc. We do not do it with anyone but ourselves. Should we be doing this with another nurse? We work independently so we would have to call another nurse into do this with us. Does anyone do timeouts and if so, are they with another nurse or alone? Thanks!
absolutely get the primary nurse caring for the patient to join you for a time out.
We always have a second nurse and both signatures are required on our "time out" document used for all bedside procedures. It only takes a few moments to have the primary nurse come in and verify and certainly can prevent a disaster if we would place it in the wrong patient.
We always have a second nurse and both signatures are required on our "time out" document used for all bedside procedures. It only takes a few moments to have the primary nurse come in and verify and certainly can prevent a disaster if we would place it in the wrong patient.
If we have two Vascular access Team members present, we both verify and one signs the timeout space. If placing PICC by ourselves we get the patient's primary nurse for that day to get the two person timeout done. That nurse signs the timeout section.
Tracy W. Ivory, RN, BSN, CRNI, VA-BC
Faxton-St. Lukes Healthcare
Always have two nurses. And remember the patient is supposed to be able to tell you what procedure is being done. Even if it is just a "special IV" because of limited understanding and another has actually signed the permit. It only takes a moment to call in the patients nurse or the team leader (as called at our facility). We do ours on the computer at the bedside so I will sometimes have all the checkmarks made and have the RN look at them and the chart I am in and then she can just type in her name if the floor is very busy.
Always have two nurses. And remember the patient is supposed to be able to tell you what procedure is being done. Even if it is just a "special IV" because of limited understanding and another has actually signed the permit. It only takes a moment to call in the patients nurse or the team leader (as called at our facility). We do ours on the computer at the bedside so I will sometimes have all the checkmarks made and have the RN look at them and the chart I am in and then she can just type in her name if the floor is very busy.
All PICC nurses should be aware that SHEA guidelines recommend an empowered observer during central line insertion. Joint Commission dinged one of our local picc teams for inserting without an observer.
Here is link to those guidelines
www.dhhr.wv.gov/oeps/disease/AtoZ/Documents/SHEA_IDSA%20CLABSI%20guideline%20checklist.pdf
Yes, we added a Tech to our picc placement.
We only have two Vascular access Team members. We both verify and sign the timeout space. If placing PICC by ourselves we get the patient's primary nurse to get the two person timeout done. That nurse signs the timeout section. However now I need to point out the SHEA/IDSA recommendations to my administration.
Tod McCrory, RN, BSN, CCRN, VA-BC
Vascular Access Management.
I work in a 131 bed hospital with average daily census of 90-100. Any of you who have more than one member on your team have a similar size hospital?