Quote from Hellllllo Nurse
Over half of the dialysis pts at my unit have caths. I am very frustrated with surgeons who can't put in a good cath. We send pts to have non-functional caths replaced because the tips are suctioned to the vessel wall when we try to use either side as arterial. The hospitals flush the lines and send the pts back to us saying the lines are fine fine. What they don't understand is that we must be able to pull from at least one line, not just flush.
Oh, how I DO agree !!! :angryfire ..and IF
they even go so far as to attempt a "trial run" before sending the patient back to us, they have these patients in a supine position, in BED. We do not. So while they might run lying down, they sure don't run worth a hoot sitting up !
One of our new patients had a cath that needed a "one on one" for nearly two weeks... could barely
get a 200 blood flow rate. It was strictly positional. The poor man was so frustrated, and rightly so... not to speak of us, who had to run over there literally every two minutes to catch the alarm and ask him to cough, deep breathe, raise his arm, try trendelenburg... you name it. Finally his surgeon agreed to have him come down... two hours drive, mind you. They told us they would dialyze him there that day... do you know the surgeon never even LOOKED at the cath !!! Asked him what the problem was, and that this was for his nephrologist to look into !
He was back the next day... same thing. Well, our nephrologist apparently got on the horn with the surgeon and sent him back. THIS time the surgeon corrected it... come to find out, he had placed the wrong catheter in... and never realized it until he actually looked at it ! SHEEEEEEEEEESH !!! But take OUR word for it...??? Nooooooooooooo.
So they put another cath in (more surgery for this poor little man)... but halleluliah, this one actually WORKS !!! Runs like a charm. Little guy is smiling from ear to ear.. and so are WE !