We use Xcelas (navilyst valved PICC) and only declott one side at a time. That is some good info from Robbin, I will have to make the team aware and watch more carefully with double lumen declotting success vs failure.
Our local INS chapter has a rescheduled (due to bad weather) conference with Genentech on March 10th. I will ask Gail Sanservaro (the speaker) what the latest is.
P.S. I have only made it a 1/3 of the way through Genentech's online course, I guess I should finish before the 10th (LOL)
Peter Marino R.N. BSN CRNI VA-BC Hospital based staff R.N. with no affiliation to any product or health care company.
Click on the resource tab at the top of the page and look around. Here is one that I thought was there already, but is not.
www2.mdanderson.org/app/ir/SACSHTML/DocumentAppendix/Appendix%20G/CLN0859.pdf
Peter Marino R.N. BSN CRNI VA-BC Hospital based staff R.N. with no affiliation to any product or health care company.
Click on the resource tab at the top of the page and look around. Here is one that I thought was there already, but is not.
www2.mdanderson.org/app/ir/SACSHTML/DocumentAppendix/Appendix%20G/CLN0859.pdf
Peter Marino R.N. BSN CRNI VA-BC Hospital based staff R.N. with no affiliation to any product or health care company.
Peter,
When you are declotting picc lines do you declot all ports or the one that is clotted? There is discussion that all ports should be
declotted even though there is blood return from the other ports.
Carol Busch PICC RN
Carol Busch RN,VA-BC, CPUI
PICC/Vascular Access Nurse
We use Xcelas (navilyst valved PICC) and only declott one side at a time. That is some good info from Robbin, I will have to make the team aware and watch more carefully with double lumen declotting success vs failure.
Our local INS chapter has a rescheduled (due to bad weather) conference with Genentech on March 10th. I will ask Gail Sanservaro (the speaker) what the latest is.
P.S. I have only made it a 1/3 of the way through Genentech's online course, I guess I should finish before the 10th (LOL)
Peter Marino R.N. BSN CRNI VA-BC Hospital based staff R.N. with no affiliation to any product or health care company.
It has been my experience that with open ended catheters with a shared tip termination point [specifically PICCs]
(Cathflo) works best when all infusions are stopped [if possible] and all lumens are instilled with tPa at the same time
When I have tried to do just one side or one lumen at a time the end result has been less than satisfactory
in terms of the functionality as measured by the briskness of blood return and flushability
I find that I usually have to return and treat the other lumen(s) anyway.
Robbn George RN VA-BC Vascular Access Resource Department Alexandria Hospital Virginia USA
Robbin George RN VA-BC