I have been wondering what hospitals are doing for "best practtice" with occlusion management where they do not have the benifit of a IV team. I am confident that nursess can learn to adminster a dwell time intilation and reassess for occlusion clearing.
The reason being is that I keep hearing that the cost associated with possibbly "over treating" where adequate flsuhing or confidence in flushing a PICC line underestimates if the just needs a little "boost" or is really showing sogns of occlusion. Partial or complete occlusions are possible being over treated?
I tend to beleive that an ounce of prevention (avoiding delay in treament or reduce line infection) it is cheaper to instil a dose of TPA and therfore the argument is not reasonable to not assume that it is reasonable for a ward nurse to treat a possible occlusion in the setting where IV teams do not exist.