I was wondering what the outcome was of the web conference to discuss the above. I know there was an article in JVAsc Access in 2014 stating it was safe to administer intermmitent Vanco via midlines. Then, I read of upcoming video conference and discussion via Lynn Hadaway blog. I know the new Standards have come out but I have not been able to purchase then due to a printing error.
I do know the last group of standards would not make the use of Vanco via Midline acceptable as it has a PH below the indicated leverl.
We are getting ready to start using Midlines in the near future and I appreciate any feedback.
Thank you!
There is no definitive answer because there are no new studies. pH is not now, nor never really was, the only factor to be considered when planning for vascular access. pH became the sole factor for many nurses and that was not the best approach. While pH alone is not documented to cause intraluminal vein complications like phlebitis or thrombosis, it is still a significant factor when the subcutaneous tissue is exposed to fluids/medications with extremes of pH. This is identified in the new standard on infiltration/extravasation. In the new standards on VAD Planning, the section on midline catheters has 5 statements and is supported by 12 references. The first standard state to consier infusate characteristics in conjunction with anticipated duration of treatment. So this is now and will be until there is more research, a judgment call based on a thorough patient assessment of all factors. Lynn
Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861