
Registered Nursing & Vascular Ultrasound Services
PICC & Midline Services
Let's face it, reliable , safe, vascular access continues to be a unpleasant experience in most patient care settings for staff and patients. These problems include patient's dissatisfaction, varying cost metrics, including extended stay, waste; supplies and time. We can help you and your team now get out of this with education, services or solutions. RNVUS provides ultrasound guided vascular access services where they are needed. Visualization technology is considered best practice, by most medical and nursing organizations. Utilization of ultrasound guidance is considered the "gold standard", for safe, accurate, effective minimally invasive procedures. We have been providing mobile and onsite vascular access services for over 13years wherever patients find themselves. Our accuracy rates for peripheral venous access and central venous access is consistently above 95%. We will continue to do what other's can't...we guarantee our services.

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PICC Line Insertion
Central catheter indications for peripherally incompatible infusions/ irritants, vesicants, vasoactive medications. Measure vein size to approximate catheter to vein ratio of less than 45%. For treatment longer than 14 days.
1. Michigan Appropriateness Guide to Intravenous Catheters
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Midline Insertion
Difficult access patient (DIVA) less than 14 days. More reliable than USGPIV and may be more appropriate in ICU setting
1. Michigan Appropriateness Guide to Intravenous Catheters

Ultrasound Guided PIV insertion.
Difficult access patient (DIVA) with 1 or more attempts Treatment 5 days or less than 14 days (transition to midline). Requires longer peripheral catheter.
1. Michigan Appropriateness Guide to Intravenous Catheters

Ultrasound Guided Extended Dwell Catheters
These peripheral lines are longer than 2 inches but shorter than Midlines. Great for patients who need therapy between Midline and PICC line. Inserted in the forearm with a greater than 5-14 day dwell time. Many have a pressure rating for CT use.. May be referred to as extended dwell peripheral Inserted catheter (EPIV).
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