Secondary Logo

Institutional members access full text with Ovid®

Share this article on:

Selection of Single- Versus Double-Lumen Peripherally Inserted Central Catheters and the Influence on Alteplase Use

Byrne, Dia, MSN, RN, ACNS-BC, OCN®; Penwarden, Linda, MN, RN, AOCN®

doi: 10.1097/NAN.0000000000000269
Features

The purpose of this article is to share the efforts of one institution in reducing risk of central line-associated bloodstream infections (CLABSIs). The aim is to review alteplase use as a marker for peripherally inserted central catheter (PICC) occlusions, which may increase risk of CLABSIs. The discovery that alteplase use increased with the number of PICC lumens allowed for exploration of ordering and placement practices. Following education, placement of double-lumen PICCs decreased.

St. Luke's Mountain States Tumor Institute, Meridian, Idaho (Ms Byrne); and St. Luke's Mountain States Tumor Institute, Boise, Idaho (Ms Penwarden).

Dia Byrne, MSN, RN, ACNS-BC, OCN®, is a clinical nurse specialist in outpatient oncology at St. Luke's Mountain States Tumor Institute in Meridian, Idaho.

Linda Penwarden, MN, RN, AOCN®, is an oncology clinical nurse specialist in outpatient oncology at St. Luke's Mountain States Tumor Institute in Boise, Idaho.

Corresponding Author: Dia Byrne, MSN, RN, ACNS-BC, OCN®, St. Luke's Mountain States Tumor Institute, 520 South Eagle Road, Meridian, ID 83642 (byrned@slhs.org).

The authors of this article have no conflicts of interest to disclose.

© Copyright 2018 by Infusion Nurses Society