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Q: External Jugular Vein Question ( No Answer,   1 Comment )
Subject: External Jugular Vein Question
Category: Health > Medicine
Asked by: sologenesis-ga
List Price: $200.00
Posted: 18 Nov 2006 10:46 PST
Expires: 07 Dec 2006 16:37 PST
Question ID: 783804
I work in an emergency room setting in Virginia and am curious about
the placement of peripheral catheters into the external jugular vein,
specifically as it relates to the professional scope of practice of a
registered nurse.

The specific parts I'm interested in are: 

Whether the external jugular vein considered a central or peripheral
vein, by medical/nursing standards.

Is catheterization of the external jugular, not using a catheter long
enough to reach the superior venae cavae, considered peripheral venous

Which states (and their respective Boards of Nursing) have specific
guidelines or policies that address the issue of Registered Nurses
using the External Jugular for peripheral intravenous access.

Thank you for your time.
There is no answer at this time.

Subject: Re: External Jugular Vein Question
From: fairbairn-ga on 23 Nov 2006 19:18 PST
Jugular is ussualy considered a central access, as in non limb
location, caliber-wise, etc.


" "Central venous catheter" means intravenous access inserted into the
subclavian or jugular vein or into a peripheral vein which terminates
either in the superior vena cava or right atrium." (jugular here seems
to indicate both external and internal)

Regarding professional scope, it seems to be included in North Carolina.

I suggest you contact Virginia`s board ( for specific jugular
considerations since all i could find was related to pheriferical
access without jugular clarification.

"In general, it is the position of the Board of Nursing that a
registered nurse may insert and remove P1CC lines upon order of a
licensed physician and that the procedure is within the scope of
practice of a registered nurse. In specific clinical practice
settings, factors to be considered include"

Hope it helps, 


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