This was so good! I have never had a clinical nurse educator in a hospital. So I have to self teach. It’s a crazy time in nursing. There was one nurse educator but she was per diem.
You can actually use the Basilic,Brachial or Cephalic vein .The Cephalic vein is the least desirable of the veins to use because it not only tends to be more difficult to thread,it has the highest complication rate of the desirable veins. Also you can’t throw the NS pre-fill onto your sterile field UNLESS they specifically state the entire syringe is also sterile and not just the fluid pathway.The NS pre fills used for routine flushing are not sterile only the fluid pathway is, and of course the NS in that pathway. It even is printed on the package
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Can you clarify something when doing Saline flush, Antibiotic push, Saline flush, Heparin flush, do you need to pull back on Syringe for blood return for each of these 4 steps before pushing liquids into the pic line? And what to do IF a bit of blood does flow back into the pic line when you are done with all steps?
Wow - I am so sorry you got sepsis and your rough experience with a PICC line. Glad that chapter is over for you - wishing you health and warm wishes Xx,Tina
Bless your heart I just got done with my 6 week i.v at home and drains for sepsis and had 2 surgeries after. I hope you recover soon the sepsis recovery is a long road.
Hi Sandra Patient is awake for a PICC line placement. The area is numb before the procedure the bedside nurse can premeditate with pain medicine prior to procedure. When you removed it did you notice any ectopy? Like PVCs? By the way thanks for watching!
PICC lines are only inserted by specially trained RNs and providers, it is not something a typical bedside nurse would ever insert without additional education and mentoring. It is done at the bedside, but requires sterile technique. They are generally 30 cm -55 cm long in adults. We find a vessel first and then measure for each particular patient's size and wing span. We then cut the PICC according to our measurement, prior to insertion. This is a minimally painful procedure, the patient is awake as long as they are an adult, and not a special needs adult or a child. We use ample lidocaine along the needle track prior to inserting the actual needle used to access the vein. The only other uncomfortable part is the insertion of the introducer, but we also numb the skin again prior to that. If you are the patient's nurse, DO NOT PRE-MEDICATE THEM UNTIL THE CONSENT IS SIGNED if they are signing for themselves.
I keep reading all these reports that inserting a PICC line doesn’t hurt. BS!! So much BS!! In 2015, nurses started trying to insert a PICC line on me in the hospital hallway on the way to my craniotomy surgery. I was crying and my sheets looked like a chainsaw massacre happened. Finally, the surgeon came over and told them to stop, and do it after I was under. I could have kissed him square on the mouth! I still have nightmares about that.😬
Is that stat lock in seperate kit now? I haven’t seen that one in the past, may be new to my facility. I had a patient with the stat lock on but the new kit didn’t have a new stat lock to apply
Hey! Great question. The stat lock is used by most manufacturers may very by facility! But is great for securing the PICC line. Thanks for watching!!! 🤍🤍🤍
