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Daily Review of Line Necessity with Prompt Removal of Unnecessary Lines
6/18/2005 9:48:33 PM
User Comments on Daily Review of Line Necessity with Prompt Removal of Unnecessary Lines
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Total Posts: 2
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Re: Daily Review of Line Necessity with Prompt Removal of Unnecessary Lines
5/16/2007 11:15:02 AM
what is the EBM recommanded duration of keeping a CVC in place it is required for long term use(a routine CVC).any suggested bundles for indwelling cather when they require to remain there.
regards
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Re: Daily Review of Line Necessity with Prompt Removal of Unnecessary Lines
12/26/2007 3:17:27 PM
Is there a tool anyone is using to evaluate the medical necessity of a central line other than simply asking the question?
For example: reason for CVC, no options for peripheral access
Thank you
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Re: Daily Review of Line Necessity with Prompt Removal of Unnecessary Lines
6/10/2008 11:08:31 AM
Hi Susan,
Did you locate a tool for review of central lines?
I am looking for the same.
Thanks,
Jacqui
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Total Posts: 10
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Re: Daily Review of Line Necessity with Prompt Removal of Unnecessary Lines
6/27/2008 5:27:12 AM
Dear Susan and Jacqui,
I am the Director of the Improving Outcomes for High-Risk and Critically Ill Patients Learning and Innovation Community at IHI. I checked with my teams about your question and Virginia Mason shared a screenshot with me of their Cerner electronic system as it relates to this subject. There is a yes/no box for whether the patient has a central line and then another yes/no about whether it is necessary. Next to the "necessary" part there is a list of "Central Line/PICC Indications/Needs" and they are as follows:
Medications/IV Solutions infused safely only through central line
Hemodynamic monitoring
No peripheral access possible
Need multiple IV ports (no peripheral access possible)
I hope that helps. I will let you know if I hear from other teams.
Good luck!
Kelly McCutcheon Adams, LICSW
Director
Institute for Healthcare Improvement
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