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Name
Health Card Number
D.O.B.
Address IV THERAPY/VENOUS ACCESS MANAGEMENT MEDICAL Orderlies FormDiagnosis___
(1) Peripheral IV
Section 1
ROUTEING insertion pending move to PICC directive below once
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Who needs 3364-110-05-11-peripherally-inserted-central-caformters?
01
Patients who require peripherally inserted central catheters (PICC) for intravenous therapy
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3364-110-05-11-peripherally-inserted-central-caformters are medical devices used for administering medication or fluids directly into a vein.
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