The "Peripheral Access Utilizing Sonographic Evaluation" Study

Exclusion Criteria

• •The patient has a PICC line on the same side as IV placement and has the following:
• •* Has a condition poses risk for DIC, inadequate flow, or infection.
• •* Has been identified as a site for "Save the Vein" protocol implementation, unless permission is otherwise obtained by the patient's physician.
• •* Has a hemodialysis fistula in place on that upper arm side.
• •The patient is expected to require therapeutic agent or procedure that necessitates central venous access such as:
• •* central venous monitoring
• •* Total Parenteral Nutrition
• •* Antibiotic requiring central venous access
• •* Chemotherapy
• •* Vesicants
• •* Medications pH less than 5 or more than 9
• •* Medications of glucose concentrations above 10%
• •* Solution with protein concentrations above 5% (Vascular Access Management, n.d.)
• •The patient already has a central venous catheter access, for reasons other than DIVA, through which therapy can be infused
• •The patient has renal disease and a "Save The Vein" order is anticipated or pending (serum creatinine \>2mg/dL and GFR \<20) for one of the patient's arms, unless permission is otherwise obtained by the patient's physician
• •The patient has a bleeding disorder, unless permission is otherwise obtained by the patient's physician
• •The clinician believes the patient is not a good fit for the study or that the procedure is not appropriate for patient at the given moment