Forum topic

Hello everyone!  This is my first time writing and not just reading and learning.  I would very much appreciate the top few references anyone could suggest for a situation I ran into yesterday when trying to teach a patient and spouse who were going home on 6 weeks of bid Vanco.  The PICC nurse had placed the initial line and identified problems.  She then passed it on to IR where the original line was pulled and a second attempt was made, with great difficulty.  The doctor was unable to pass the line past a point in the subclavion, identified what he called good colateral circulation with good blood return, and left the tip there for use.  I was very concerned about the high risk involved, spoke to the attending MD about it twice, and was blown off the same number of times.  I spoke to the patient and spouse (also a long time nurse) as diplomaticly as I could, but attempted to make my concern very clear.  The spouse/nurse agreed to approach the second attending MD today about  trying to place a line in the other arm, which is what I was praying for.  I would very much like to go back to the MD involved with articles in hand to back my concern and hopefully stopping this from happening in the future.  Please help!