Our institution is going through an entire culture change in relation to early vascualr planning.Â I am meeting resistance with staff that patients on Vancomycin should recieve a PICC sooner than later and have stated that patients should recieve no more than 1-2 doses PIV (this covers the surgical prophylaxis patients).Â For vesicant administration IVP (chemotherapy) it is our policy to not use a PIV that is more than 24 hours old, we also require that chemo infusions greater than 60 mins require a central line.Â I have two questions.
1. Is the term vesicant for chemotherapy based on pH just like antibiotics and gtts?
2. If a patient is recieving a vesicant medication (ex. Vancomycin)Â through a PIV would it be prudent to change the PIV daily to reduce the risk of extravasation?Â