Nurse Manager of the Vascular Access Team Children’s Mercy in Kansas City
Kathy Grieser, Cook Children’s Hospital, will discuss the use of tissue adhesive to secure and protect PICC lines and PIV’s in the NICU and on inpatient units at a pediatric hospital. Implementation of this practice with PIV’s occurred in collaboration with EMT-Paramedics, RNs and physicians in an inpatient setting and Emergency Department. Case studies will be presented highlighting the hemostatic properties of tissue adhesive on PACU patients, on stabilization properties of a scalp PICC line in neonates and infants and one hospitals experience implementing the use of tissue adhesive.
Jamie Lorenc, Children’s Mercy Hospital, will discuss the multidisciplinary practice change and implementation of tissue adhesive that has occurred within the last year. This will include a discussion of how to implement the practice with physicians, interventional radiology, anesthesia, home care, and clinics. Data from over 1,500 lines will be presented comparing migration rates and infections with and without the use of tissue adhesive. A case study will be presented on the use of tissue adhesive on a patient with highly sensitive skin in the home care setting.