Hello,
Does anyone have information on insertion of PICC on restless/hallucinating patients that may require 2 PICC team members?
As a librarian, I have searched the literature and Google and found nothing. No guiidelines, etc. I am now turning to the professionals here. Anyone?
I did see the discussion here about the 2 member PICC teams and will forward that to my patron.
Thank-you in advance,
Halyna
Halyna Liszczynskyj, MLS
Dir. of Library Services
St. Elizabeth Medical Center
Utica, NY
The 2014 SHEA Compendium on CLABSI now states that the insertion checklist should be completed by someone other than the inserter. This means an assistant is now necessary for all CVAD insertions. If you follow these guidelines, the assistant is present for multiple activities including meeting the patient's needs while the inserter is focused on the sterile procedure. Although a CVAD (a PICC is a type of CVAD) can be inserted by one person, I don't think it is the safest way. There is no way that one person can monitor their own practice and adequately complete the insertion checklist. You have identified another set of patient circumstances where 2 people are necessary. 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
I would suggest that the physician address the patient hallucinations first. Then some sedation for the patient, then a team can have a successful placement with out frightening the patient or the patient thinking they put a "snake" in them. In this type of patient the the physician MUST have their psychological aspects of care managed before a sterile procedure is done while they are awake.
My concern is that they might try to pull it out and break it off.