Can anyone share with me your lab guidelines for VA nurses to place PICCS? Do you fell they are necessary as a policy or just a procedural guideline. Are there any national standards? How do you handle patients with labs out of guidelines for bedside placement who are unable to travel to IR? any specific policies are appreciated also. My team feels that each patient is taken on a case by case basis and risk vs benefits outweigh hard and fast lab values, as long as overseeing MD is aware and all is documented. thanks all!
"Lab parameters" is a very broad topic. Can you be more specific about what you are asking? Coag studies, or something else? There has already been many discussions about coags before PICCs on this forum so searching the messages may help. 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
All procedures are reviewed on a case by case basis. ....Need vs Want vs Outcome...must be considered.
So bottom line: "No Cookie Cutter" parameters.
Totally agree. Each patient situation is different, so I would have a problem using rigid set parameters. Even though an INR may be very high, the PICC is still a better option than other CVADs, just one example. 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 have set parameters currently in a policy and want to remove them and put in the proper verbage about taking each patient on an individual basis, not sure how to word in a policy. Any suggestions? I did look up previous posts and found them helpful. thanks all!
Cheryl E. Aldo, RN, BS VA-BC