Ultrasound-guided placement on a Bard Site-Rite. PICC tip position is confirmed at the bedside with Sherlock 3CG+. Chest X-ray remains available when the hospital or patient requires it.
PICC insertion
Ultrasound-guided peripherally inserted central catheter placement, including exchange when an existing line must come out. Upper-arm placement is the default. A mid-thigh PICC or midline is available when both arms are restricted, including fistula, thrombosis, or contracture.
Midline insertion
Ultrasound-guided midline placement when central access is not required and a short peripheral will not last.
Difficult peripheral IV
Ultrasound-guided peripheral placement for infants, children, and adults, so a patient who only needs a peripheral does not get a central line.
Assessment and troubleshooting
Line assessment, dressing problems, and troubleshooting. Repair or replacement only when that is the indicated next step.
Weekend and after-hours
Coverage when the Vascular Access team is unavailable. A call is accepted when I am available and declined when I am not.
Cortrak feeding tube
Electromagnetic placement when the facility already has the Cortrak system and tubes. The equipment is not supplied.