Our hosptial leadership is really coming down with big directive to reduce the number of PICC lines, any central lines. They are looking hourly at our % versus other hospitals in our division, we are having to explain in detail daily why and how each pt still has the line.
Recently I had a conversation with the Chief Medical Director regarding INS stance on Vanco via Midline from the INS standards . He is saying getting Vanco is not an indication for a Picc line. If we know it will be short term, less than 6 days we will try to give peripheral or midline if needed, but if we know it will extend greater than 5 days we go or a PICC line.
so.....now they are trying to continually pull up articles to say the INS standards are not correct or valid and expect me to change our practice. I basically told them , that INS standards are what I am held accountable to and that is how I will base my clinical decisions. That I will not make a change in my practice everytime a new article is released. When INS reviews these articles and the body of evidence if and when it is appropriate then they will make a change in their standards and we will adjust our practice accordingly.
I wanted to attach this new article and get any input from anyone else. This article/study states that Vanco, regardless of the length of time is fine in a midline. I personally find many areas of vague data collection or information posted but wanted others input.
thanks in advance, Gina Ward R.N., VA-BC