PICC and Midline Catheters

PICC and Midline Catheters infusion RN's Deb Bucher RN BSN CRNI. Dawn Finch RN CRNI. Marianne Hansen RN BSN CRNI. Karman Youngblood RN BS CRNI. infusion Pharmacist Kathy Cimakasky Pharm D. Tamara Migut RPh Intravenous Decision Tree Does patient need No No need for IV. IV access? access. Yes Is therapy Obtain MD order appropriate for No for CIS consult peripheral infusion ? for central line PICC vs. Chest Yes Obtain MD. Does patient have Yes order for CIS. history of difficult IV consult for start and/or does Midline /PICC. therapy consist of placement. multiple blood draws? No Is therapy Is therapy Is therapy planned Yes greater than 3 No greater than 4. for greater than 3 days but less weeks? days? than 4 weeks? No Yes Yes Obtain MD. Place Obtain MD order order for CIS. peripheral IV. for CIS consult consult for for Midline .

phlebitis such as Vancomycin and Nafcillin • Therapies lasting longer than 4 weeks ... absence of continuous infusion and daily when line not in use . Sterile Dressing Change ... • Daily visual monitoring for any decrease in symptoms. Phlebitis Scale Grade 4

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  Visual, Infusion, Phlebitis

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