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I'm truly glad for really sparking off a good discussion on the matter. I've never worked in an area where we could do a CL, and the chances of that being approved any time soon are about slim and none... and slim just died...
It's just another tool in the tool bag, and if your area has need for it, make sure your providers know how to use it. If there's no real need for it... why have it there? I would much rather spend time educating Paramedics how to access pre-existing central lines safely/correctly and be able to use it on a routine basis (instead of requiring OLMC for access OK) than spending that time doing CL placement education.
It's just another tool in the tool bag, and if your area has need for it, make sure your providers know how to use it. If there's no real need for it... why have it there? I would much rather spend time educating Paramedics how to access pre-existing central lines safely/correctly and be able to use it on a routine basis (instead of requiring OLMC for access OK) than spending that time doing CL placement education.