IV League
Where can clinical staff find the official policy on intravenous medication administration, and what is this policy called?
What is IV Therapy Adult
What type of needle must be used to access a traditional implanted venous access port?
What is a right-angle, non-coring “Huber” needle?
Citation: IV Therapy Adult Policy, Page 15
What are three common reasons a PICC line is used in adult patients?
What are long-term IV therapy (≥5 days), limited venous access, and administration of irritating or hyperosmolar solutions?
Citation: IV Therapy Adult Policy, Page 11
Where can short peripheral catheters (SPC's) be placed in adult patients?
What is the hands or arms of adult patients.
*Specific order is required to start a SPC in lower extremity of adult patient and are contraindicated in diabetic and/or sickle cell patients.
Where is a traditional implanted venous access port typically placed?
What is a subcutaneous pocket in the anterior chest, abdomen, thigh, or upper arm?
Citation: IV Therapy Adult Policy, Page 15
What must be verified before using a PICC unless an FDA-approved positioning system is used?
What is tip location via chest radiograph?
Citation: IV Therapy Adult Policy, Page 11
What is the maximum length of a SPC used in adult patients?
What is 3 inches or less.
Which healthcare professionals may access and de-access implanted ports after demonstrating competency?
What are RNs, MLPNs, Radiology Technologists, and Paramedics in the Emergency Department?
Citation: IV Therapy Adult Policy, Page 15
Which licensed professionals may insert and remove PICCs after completing training and demonstrating competency?
What are Registered Nurses (RNs)?
Citation: IV Therapy Adult Policy, Page 11
According to licy, which personnel are authorized to insert and discontinue a short peripheral catheter (SPC)?
What are RNs and LPNs with documented competency for both insertion and removal, and NAIIs may remove SPCs and change dressings after demonstrating competency.
cite:IV Therapy Adult Policy, Page 8
How often must dressings and non-coring needles be changed for accessed implanted ports?
What is every 7 days or sooner if loose, soiled, or contaminated?
Citation IV Therapy Adult Policy, Page 16
Name two relative contraindications for PICC placement.
What are upper extremity edema and history of unresolved deep vein thrombosis (DVT)?
Citation: IV Therapy Adult Policy, Page 11
According to policy, what are the absolute contraindications for placing a short peripheral catheter (SPC) in adult patients?
What are the lower extremities of diabetic or sickle cell patients, the arm on the side of a mastectomy with axillary lymph node dissection, and the presence of an active AV fistula or graft for dialysis?
cite: IV Therapy Adult Policy, Page 7
What must be done before de-accessing a port if blood return cannot be obtained?
What is restore patency before de-accessing, per the de-clotting CVAD policy?
Citation: IV Therapy Adult Policy, Page 20
What should be done if a PICC has more than 4 cm of catheter external to the insertion site?
What is consider replacing the PICC to prevent pistoning and infection?
Citation: IV Therapy Adult Policy, Page 11