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What is Sherlock 3CG Tip                Confirmation System?

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What is Sherlock 3CG Tip                Confirmation System?

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It is a technological innovation that allows for real time identification of peripherally inserted central catheter (PICC) placement into the superior vena cava (SVC) (Bidgood, 2016). This machine transmits by magnetic tracking device onto a screen for correct placement during insertion. Final positioning is determined by ECG changes visualized immediately. ECG P waves are changed as the PICC line tip goes toward the right atrium and sino-atrial node (Bidgood, 2016). Information is transmitted onto a screen for nurse to see during PICC placement.

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Peaked P waves = confirmed      placement

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Peaked P waves = confirmed      placement

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-Barton, A. (2016). Confirming PICC tip position during insertion with real-time information. British Journal of Nursing, 25(2), S17-S21.

-Bidgood, C. (2016). Improving the patient experience with real-time PICC placement confirmation. British Journal of Nursing, 25(10), 539-543.

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- No delays in start of treatments due to X-rays (Bidgood, 2016).
-Visualized migrating of catheter to internal jugular or contralateral subclavian vein. (Fast identification of malposition) (Bidgood, 2016).
-Decreased chances of infection due to multiple attempts of correct positioning.
-Improved patient satisfaction and experience (Barton, 2016).
-Ability to avoid radiation because with this system, X-rays are not needed for confirmation (Bidgood, 2016)

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Sherlock 3CG cannot be used with patients who have the following:
-a pacemaker
-atrial fibrillation or other cardiac arrhythmia (Barton, 2016).

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Sherlock 3CG Tip Confirmation System allows the specially trained nurse to place a picc line safely while avoiding needless radiation exposure to the patient (Bidgood, 2016). This saves time for staff and the patient. Treatment is not delayed because the PICC line has not been deemed as safe to use (Barton, 2016). This technology allows the professional inserting the PICC to know immediately if it is drifting to the wrong area and if optimum tip placement is achieved. Because of this immediate knowledge, the patient is able to avoid multiple attempts at correct positioning, which may include multiple sticks, and delay of care. In my opinion, 3CG Sherlock Tip Confirmation System is a current innovation that improves delivery of patient care and increases patient satisfaction.

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               Sherlock 3Cg Tip Confirmation System

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               Sherlock 3Cg Tip Confirmation System

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Elizabeth King
NURS 5324.064
October 7, 2017