I recently placed a PICC in a pt in the late afternoon and forgot to pull the wire. It was left overnight, being removed at ~0800 the following day. It was a 5fr dual lumen Graoshong PICC and that port was not used all noc. Does anyone have any data on an increased rate of infections for pt's who have had the wire left in?
Also, I do not have u/s (It is in the budget for next year) so I have to start an IV before I can place a PICC. We had a VERYÂ hard iv start, and it took me and another 30+year nurse 20 sticks to start an IV.Â After we started the IV, I created my sterile field, cleaned the hubÂ of the catheter with cloraprep after removing the "dirty" items, keeping everything sterile, changed my gloves again, and attempted to thread the wire. I couldn't get a PICC in, but my question is Does starting the iv before getting sterile compromise the pt at all with re: to infection?
Â I have spoken with the wonderful person who trained me and she assures meÂ that it's happened before and though not ideal, it is not a 'huge' risk. As far asÂ starting theÂ IV, she said it is anÂ acceptable practice. Â Thank you so much. AnnaMarie