Question re potential med administration through a PICC line; would it be prudent to patch to Base Hospital for direction/permission to administer Gravol for example, in a pt who is declining additional IV initiation but already has a PICC line established and knowledge of how they self-administer their own medications? Thank you.

Question: Can calcium gluconate be given through a CVAD? The patients requiring it (usually dialysis patients) often have difficult IV access, unstable veins and some sort of CVAD in place. If access of the CVAD for administration of fluids and cardiac arrest meds has already been performed, are we still required to start an IO for the calcium gluconate or can it be requested of the BHP to administer through the CVAD with proper flushing before and after?

Question: I was just wondering how CVAD access should be documented on the ACR? There is no specific code for CVAD. Is it ok to document using the Normal Saline code (345) and just specify that it was via CVAD in remarks? Should I always get blood when I aspirate? (I didnt but it seemed to flow well).

Question: On our ROSC protocol, the ONLY route that we are allowed to give a fluid bolus/dopamine is via an IV. Please confirm that we are NOT allowed to do so via IO or CVAD? This does vary from the IV and Fluid Therapy protocol which allows us to do so.