Death by Arterial Line? - page 4
I was told when I was being precepted to NEVER silence the alarm on my arterial lines, no matter what, because if the line was to disconnect the patient could literally bleed to death through the... Read More
Nov 21, '06that had to be one of the hugest risk infections ever! sounds like some people need to practice there blood drawing skills, lol. laaaaaaaazzzzzzzzzzzzzzzyyyyyyyyyyyyyyyyyyyyyyyy.
especially if the patient wasn't ventilated, lordy....
Nov 22, '06Had a issue today with a art line myself. Went to start a new peripheral IV, ( pt has multi iv's and Nicardipine drip and no Central line). I went to the arm with the A-line and pt restraint was wet and it wasn't earlier. I immediately took off the restraint to see the site. The aides were stocking drawers in the room. I asked one to go get me some 4x4's and my preceptor. My pt A-line was cracked. There was a hole in the catheter. My preceptor stayed with the pt while I went to get one of the intensivets team docs. The fellow came over and took a look and we immediately went over wire and repaired the line. I can see why it is so impotrant to set those alarms. BUT THIS ALARM DIDN"T GO OFF. It was me just starting a IV because one had gone bad. What would have happened if I didn't keep up with my restraint checks? So I am all about alarms. I am one that will go investigate any alarm going off, you need to assess when the alarms are chiming.
As for leaving the line just to draw blood and not connected to the transducer is very dangerous.
I also had a A-line that I looked and noticed that it was backed up with blood and had a dampened wave. We checked all the connections and a connection was loose. Alarm didn't go off. So I ALWAYS make sure my alarms are set.
Dec 19, '06"But the night shift nurse who I gave report to was clearly frustrated with me for pulling it. She said I should have simply kept it all connected but taken it off the monitor entirely, for blood drawing purposes. "
I agree with a lot of what has been said. Keeping a line for frequent ABG's (have you seen an arterial site after multiple sticks-soon you can't find the artery anymore) is definetly a reason to keep a dampened art line. Widening the alarm parameters is the way to go. Disconneting it from the monitor is waiting for trouble, I've had my own experiences where pt's would have bled out if it were not for the alarm.
But one thing I must say about the nurse you gave report to. Even though she may have more experience than you, stick by what you know. Always put the patient first. Don't let the fact that she has more experience than you waver your confidence in what you know to be right.
Dec 25, '06A little off topic, but not too much. I'm a firm believer that its not the lines themselves that cause infection but the fact that nurses are not cleansing the ports before IV pushes and IV tubing not being changed per protocol.
For example: Pt A's IV tubing is laying under his back, his pad is soaked with urine but the nurse just whips that tubing out and pushes that Digoxin with nary an alcohol swab in site. Urine being the least offensive of the "fluids" that the tubing has laid in all day. ::::shiver::::