Re: Appropriate number of PIVC before alternative route is considered

[Michael Wishart]

Thanks for the clarification, Holly. I forgot to read the subject!

I am not sure this is the latest version, but my 2016 INS guidelines says this:

I. Short Peripheral Catheters
A. Choose a short peripheral catheter as follows:
1. Consider the infusate characteristics (eg, irritant,
vesicant, osmolarity) in conjunction with anticipated
duration of infusion therapy (eg, less than 6
days) and availability of peripheral vascular access
sites. 1-7 (IV)

Not a high level of evidence, but should guide how many PIVC’s you should anticipate before considering other options. Will also depend on your local PIVC resiting policy.

Cheers
Michael

Michael Wishart | Infection Control Coordinator, CICP-E

St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au

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[2019 conference email signature]

Subject:

Dear Brains trust,

Thank you for all your advice.

I just wanted to clarify, that it is not the number of attempts but the number of PIVCs the patient has i.e 3 PIVC before you consider another form of access for e.g. PICC line.

Holly

Holly Dodd
Infection Prevention and control Clinical Nurse Consultant
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076
Monday- Thursday

p: +61 2 9847 9433 | f: +61 2 9473 8053 | m: +61 408468470 | e: Holly.Dodd@sah.org.au
http://www.sah.org.au

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