External Jugular Vein Question
Category: Health > Medicine
Asked by: sologenesis-ga
List Price: $200.00
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 access? 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.
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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. Check http://www.oregon.gov/DHS/spd/provtools/dd/nursing_manual/division_47.pdf " "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. http://www.ncbon.com/prac-inscope.asp I suggest you contact Virginia`s board ( http://www.dhp.virginia.gov/nursing/) for specific jugular considerations since all i could find was related to pheriferical access without jugular clarification. http://www.dhp.virginia.gov/nursing/guidelines/90-6.doc "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, Regards,
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