I am an IV nurse, seeking some advice. Earlier in the year I posted of a patient I had difficulty sticking who comes to me weekly for their IVs at our clinic. Well the issue dissipated when I found areally great vein and we've been using it for the last 10 or so visits. Its a deep vein, but unlike his other ones its not a roller and its big, takes a 21g easily, a very giving vein.
Well, 2 weeks ago, it infiltrated during the push. Great blood return, about half way through the pt begins c/o burning, I checked for return, nothing. That day I stuck him one more time, got a great flash (as always) and then upon pushing the fluids in (slow - bc he has a tendency to blow easily) it infiltrates, my back up - an IV certified ND came in, gave it 5 more shots and had the same issue- great flash and upond fluids, it would infiltrate. He gave his arms a rest the following week and came in today. I tried old faithful in the RAC and I would get a flash, but upon drawing back to pull some blood into the syringe I was pushing, there was no further return, we use 21/23g butterflies for pushes and blood draws.
Today there were a total of SEVEN sticks (all per patients request bc I give my self a 3 stick rule)....and all had GOOD flash! I took everything slow, I treated each and every vein like a baby...and they ALL blew...
Ok, if this is the only patient of mine this happens too isn't it safe to say its him? Ok, if it is him....why and what can he do, what can I do??
Thanks in advance everyone!