One of our intensivists has begun using Arrow's Slic catheter in their introducer sheath as a medium term access device. I have been unable to find any references to this and have a general discomfort with the idea of leaving an introducer in for extended periods of time. He also wants the placement of the Slic cath to be a general nursing (ICU/CCU) procedure when the PA or Swan is removed from the introducer. At what point does such a procedure become a CVC placement and require full barrier precautions vs. just towels/gloves/mask? Any thoughts or references from the group?
Rob Burr RN