We have a checklist that we check off for the steps in the "time out" process . In the section related to site/side verification I have putting non applicable. The reason I put this is because first; the extremity chosen doesnt make it correct or incorrect regarding procedure verification as say a right oopherectomy would. If i put in a picc line in a left arm or a right arm it is still a picc line and still the correct procedure. ( i know the whole thing about selecting appropriate vessels, sizes, and issues with specifically selecting the best extremity to use to decrease complications or specifici to pt situations ) I also wouldnt think even marking the pre planned vein would be needed or used in site verification; the vessel may not be able to be cannulated or we may not be able to thread the picc line in or something.
I am not arguing any point of doing a time out, I am just wondering if we need to be even involving the site/side aspect of it in regards to insertion of a picc line. I guess it is just like a pacemaker, may start out at left side and then move to right to put it in and it doesnt make it 'wrong site or side used".
How are all of you dealing with this? Once again, please dont confuse this question with me questioning the importance of site selection in regards to the clinincal aspect of inserting a picc line. I am only wondering about fully utilizing all aspects of a time out prior to a picc line insertion.
Thanks in advance, Gina Ward R.N., CPAN