Reply To: Newly Placed Line Securement

  • Kimberly Duback

    Member
    May 15, 2018 at 3:29 pm

    Please see responses below in bold

    ​1) Are new PICCs/CVLs sutured? StatLocks?   PICCs are never sutured, use StatLocks  CVCs are often sutured.
    2) Does the answer to #1 depend on the line type? see above
    3) Does the answer to #1 depend on the inserting provider? Yes, often with CVCs
    4) Who places PICCs/CVLs in your facility? Variable- VAD Team for PICCS, Pediatric Intensivists, IR, Surgery
    5) Has your facility had issues with bleeding lines? If so, have improvement methods been effective? Which?  Not a consistent issue that I am aware of (outside of CV surgery patients or the NICU at times).  We switched to the GuardIVa patch from the biopatch and the GuardIVa does have clotting properties so that the dressing doesn’t have to be changed as frequently if there was some oozing at the site

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    Kimberly Duback, MS, APN, PCNS-BC, CPN, CPHON
    Advanced Practice Nurse
    Advocate Children’s Hospital
    Illinois
    United States of America
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    Original Message:
    Sent: 05-15-2018 11:02 AM
    From: Kelly Horn
    Subject: Newly Placed Line Securement

    See responses in red.

     

    General question for the group as I’m not sure it’s been addressed for a minute.

    In your facility:

    1) Are new PICCs/CVLs sutured? StatLocks?   PICCs are never sutured, use StatLocks or 3M dressing 1657 securement dressing which actually works very well to hold PICC in place.  CVCs are sutured.
    2) Does the answer to #1 depend on the line type?
    3) Does the answer to #1 depend on the inserting provider?
    4) Who places PICCs/CVLs in your facility? PICC team in Special Procedure Unit, bedside PICU RN, IR all place PICCs. Depending on type of CVL some are placed in PICU (femlines at last resort, subclavians in PICU, Broviacs per surgery.
    5) Has your facility had issues with bleeding lines? If so, have improvement methods been effective? Which?  We have many bleeding PICCs,, but have started using StatSeal which has helped tremendously reducing the times we have to change the dressing for the bleeding.

     

    Kelly Horn, MSN, RN, CPON

    Clinical Educator/Charge Nurse

    Pediatric Medical Surgical Unit

    McLane Children’s Medical Center

    Temple, Texas 76502

    office 254-935-4416

    cell 254-718-7722

    MS-CH-1205

     

     


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    Original Message——

    Hi all,

    General question for the group as I’m not sure it’s been addressed for a minute.

    In your facility:

    1) Are new PICCs/CVLs sutured? StatLocks?
    2) Does the answer to #1 depend on the line type?
    3) Does the answer to #1 depend on the inserting provider?
    4) Who places PICCs/CVLs in your facility?
    5) Has your facility had issues with bleeding lines? If so, have improvement methods been effective? Which?​​

    Thank you for the responses!

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    Chris Donaghey, MSN, RN, PCNS-BC, CPN, CPHON
    Clinical Nurse Specialist – Riley Cancer Center
    Riley Hospital for Children
    Indianapolis, IN
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