So I know that if you have a trauma or something major come in you should get in an 18, or two. We have a nurse here who is what we all call a trauma junky. Our ER is small and we don't get alot of action, just usually alot of clinic stuff. In the last week I have watched her put a 16 gauge in the hand of a person who was in for ETOH intoxication who needed a banana bag, and an 18 gauge in the hand of an individual whom we were sending out for a cervical CT. Her theory is, "If the vein will take it why not use it?" I say it doesn't matter much since banana bags or IV hydration is set on a pump, usually 125-250ml/hr.
It really bugs me that she doles out IVs this size so frequently when they don't seem needed. She even made a comment about the ETOH pt, who is a FF, that, "Once I knew it was him, I had the 16 all ready to go in his hand."
Does this honestly sound like a problem or is it just my problem?