I have definitely used e-learning and the Internet to educate myself and my colleagues. I place peripherally inserted central catheters as one of my jobs. In that, the latest research show that mid-clavicular lines should be a thing of the past due to their increased risk for increased clotting/thrombosus, which was a simply 2 1/2 page online CEU I recently completed. This was not known by even experienced PICC nurses and was brought to their attention for a change in practice. I have encouraged the nurses I work with (as a second job in an ICU) to review their pt’s morning X-rays’s, to assess proper placement and to question the order that allows Mid-Clavicular lines to be allowed as practice. A simple X-ray assessment of the line could prevent a healthy lawsuit and more importantly save your pt’s life.

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