This was so good! I have never had a clinical nurse educator in a hospital. So I have to self teach. It’s a crazy time in nursing. There was one nurse educator but she was per diem.
Hey Welcome to Caring Casa! Awesome 😀I really want to offer videos that are valuable to my viewers and you so please share with your fellow friends. Thank you so much for watching, stay tuned for the next one 🫶
You can actually use the Basilic,Brachial or Cephalic vein .The Cephalic vein is the least desirable of the veins to use because it not only tends to be more difficult to thread,it has the highest complication rate of the desirable veins. Also you can’t throw the NS pre-fill onto your sterile field UNLESS they specifically state the entire syringe is also sterile and not just the fluid pathway.The NS pre fills used for routine flushing are not sterile only the fluid pathway is, and of course the NS in that pathway. It even is printed on the package
Can you clarify something when doing Saline flush, Antibiotic push, Saline flush, Heparin flush, do you need to pull back on Syringe for blood return for each of these 4 steps before pushing liquids into the pic line? And what to do IF a bit of blood does flow back into the pic line when you are done with all steps?
This was really good - thank you! I was looking for a video on changing the dressing but didn't fine one in your list of videos. Do you have one on this? If so, could you send it to me? Thank you!
Bless your heart I just got done with my 6 week i.v at home and drains for sepsis and had 2 surgeries after. I hope you recover soon the sepsis recovery is a long road.
Wow - I am so sorry you got sepsis and your rough experience with a PICC line. Glad that chapter is over for you - wishing you health and warm wishes Xx,Tina
Hi Sandra Patient is awake for a PICC line placement. The area is numb before the procedure the bedside nurse can premeditate with pain medicine prior to procedure. When you removed it did you notice any ectopy? Like PVCs? By the way thanks for watching!
PICC lines are only inserted by specially trained RNs and providers, it is not something a typical bedside nurse would ever insert without additional education and mentoring. It is done at the bedside, but requires sterile technique. They are generally 30 cm -55 cm long in adults. We find a vessel first and then measure for each particular patient's size and wing span. We then cut the PICC according to our measurement, prior to insertion. This is a minimally painful procedure, the patient is awake as long as they are an adult, and not a special needs adult or a child. We use ample lidocaine along the needle track prior to inserting the actual needle used to access the vein. The only other uncomfortable part is the insertion of the introducer, but we also numb the skin again prior to that. If you are the patient's nurse, DO NOT PRE-MEDICATE THEM UNTIL THE CONSENT IS SIGNED if they are signing for themselves.
Is that stat lock in seperate kit now? I haven’t seen that one in the past, may be new to my facility. I had a patient with the stat lock on but the new kit didn’t have a new stat lock to apply
Hey! Great question. The stat lock is used by most manufacturers may very by facility! But is great for securing the PICC line. Thanks for watching!!! 🤍🤍🤍
I keep reading all these reports that inserting a PICC line doesn’t hurt. BS!! So much BS!! In 2015, nurses started trying to insert a PICC line on me in the hospital hallway on the way to my craniotomy surgery. I was crying and my sheets looked like a chainsaw massacre happened. Finally, the surgeon came over and told them to stop, and do it after I was under. I could have kissed him square on the mouth! I still have nightmares about that.😬
This was so good! I have never had a clinical nurse educator in a hospital. So I have to self teach. It’s a crazy time in nursing. There was one nurse educator but she was per diem.
Glad you found “Caring Casa” Welcome, happy to have you along! 🤍🤍🤍
@@caringcasaI used a PICC Line for about 8 weeks because they assumed I had an infection and needed IV Antibiotics
Wow...
Love your channel! I’m doing stuff in home health I never had to do in the hospital. Your videos help!!!
Thank you so much!!!!
Thankyou for sharing this
Found your channel just now n I'm loving it.
Thankyou for sharing basic things that no one actually tell us accurately
Hey Welcome to Caring Casa! Awesome 😀I really want to offer videos that are valuable to my viewers and you so please share with your fellow friends. Thank you so much for watching, stay tuned for the next one 🫶
You can actually use the Basilic,Brachial or Cephalic vein .The Cephalic vein is the least desirable of the veins to use because it not only tends to be more difficult to thread,it has the highest complication rate of the desirable veins. Also you can’t throw the NS pre-fill onto your sterile field UNLESS they specifically state the entire syringe is also sterile and not just the fluid pathway.The NS pre fills used for routine flushing are not sterile only the fluid pathway is, and of course the NS in that pathway. It even is printed on the package
I had a PICC line in my neck for plazma transfusion it didn't hurt but the stitches 🪡 were completely painful when they were securing it in place.
Can you clarify something when doing Saline flush, Antibiotic push, Saline flush, Heparin flush, do you need to pull back on Syringe for blood return for each of these 4 steps before pushing liquids into the pic line?
And what to do IF a bit of blood does flow back into the pic line when you are done with all steps?
This was really good - thank you! I was looking for a video on changing the dressing but didn't fine one in your list of videos. Do you have one on this? If so, could you send it to me? Thank you!
Thanks, really helped me with what I was reading last night
Wonderful!!! I’ll catch you on the next one -Tina
5:1 ratios between Pulmonary Artery Wedge Pressure and Central Venous Pressure PAP:CVP cvp = (2-6 mmHg)
Whats that in cm H2O?
Yep know all about these bc regular ivs blow. It sucks but you don’t have to get poked again with needles.
one of the best videos ever! thank you so much!
Woohoo! Thanks much appreciated 🙌🏼
I wouldn’t mind one for immunotherapy…took 6 pokes to get my IV in just the other day!
I currently have a picc inserted for the administration of IV antibiotics. Fortunately it shouldn't take to stay in for too long though.
Thanks for sharing! Hopefully the PICC line comes out soon! Wishing you a speedy recovery.
Tina
Very good teaching
Much appreciated!!! Thank you so much
Have one inserted now. It’s an odd feeling upon inserting. Picc nurse had a hard time inserting in correct vein. I have for 6 weeks for sepsis.
Wishing you a speedy recovery and hope this finds you well! Thanks for watching as your very appreciated!!! 🤍🤍🤍
Bless your heart I just got done with my 6 week i.v at home and drains for sepsis and had 2 surgeries after. I hope you recover soon the sepsis recovery is a long road.
When can the patient resume normal activities with her arm from which her PICC is removed?
Nicely done.... short and sweet
Thank you Jason!!! 😉
@@jasony8002 hey! Def future plans will add to list! Thank you 🤍🤍🤍
@@caringcasa Make a video for me lol, I need new material to watch ...
Thank you for the new video of the EKG blocks you are getting better and better like a fine wine ;)
@@jasony8002 thank you 😊
I appreciate your enunciation 😊
Thank you
How come everytime I get a PICC line it stops giving blood after a day or two?
I would follow up with your provider that placed the line!
Another great video 🎉thank you for the great content.
Had this done a few months ago I had sepsis and had to have i.v for 6 weeks to recover and this was absolutely so painful and brutal being put in.
Wow - I am so sorry you got sepsis and your rough experience with a PICC line. Glad that chapter is over for you - wishing you health and warm wishes
Xx,Tina
@@caringcasa Fully recovered for the most part and several surgeries later. Thank you for your well wishes and same to you.
Awesome thank you.
You're welcome!
Is the patient awake when you do this or asleep? How painful is it? I’ve pulled one out but not put one in.
Hi Sandra
Patient is awake for a PICC line placement.
The area is numb before the procedure the bedside nurse can premeditate with pain medicine prior to procedure.
When you removed it did you notice any ectopy? Like PVCs?
By the way thanks for watching!
@@caringcasa thanks. I think I looked it up after I posted. And no I didn’t see anything. Just a long line.
PICC lines are only inserted by specially trained RNs and providers, it is not something a typical bedside nurse would ever insert without additional education and mentoring. It is done at the bedside, but requires sterile technique. They are generally 30 cm -55 cm long in adults. We find a vessel first and then measure for each particular patient's size and wing span. We then cut the PICC according to our measurement, prior to insertion. This is a minimally painful procedure, the patient is awake as long as they are an adult, and not a special needs adult or a child. We use ample lidocaine along the needle track prior to inserting the actual needle used to access the vein. The only other uncomfortable part is the insertion of the introducer, but we also numb the skin again prior to that. If you are the patient's nurse, DO NOT PRE-MEDICATE THEM UNTIL THE CONSENT IS SIGNED if they are signing for themselves.
thanks for the information
caring is there an email where individuals questions can be asked to get an opinion? Regarding PICC LINE
You should be first asking your PCP about this.
Is that stat lock in seperate kit now? I haven’t seen that one in the past, may be new to my facility. I had a patient with the stat lock on but the new kit didn’t have a new stat lock to apply
Hey! Great question. The stat lock is used by most manufacturers may very by facility! But is great for securing the PICC line. Thanks for watching!!! 🤍🤍🤍
Most central line kits do not come with stat locks, you must add it.
is this used for hemodialysis ?
Hi
No not PICC lines
Enjoyed the content!!
Thank you 🫶🫶
Good contents for medical students! thanks^^
Glad you found it helpful- thank you!!
Thank you
Loveupi😂
Ok. I am in the front
I keep reading all these reports that inserting a PICC line doesn’t hurt. BS!! So much BS!! In 2015, nurses started trying to insert a PICC line on me in the hospital hallway on the way to my craniotomy surgery. I was crying and my sheets looked like a chainsaw massacre happened. Finally, the surgeon came over and told them to stop, and do it after I was under. I could have kissed him square on the mouth! I still have nightmares about that.😬
And dont forget: always make sure the patient has recieved the appropriate dose of dihydrogen monoxide prior to any procedure.
DO YOU HAVE MORE VIDEOS
They are all on TH-cam … thank you so much for watching!!!