Home Health IVs w/new grad nurse - page 2

I'm a middle-aged new grad, looking at job listings, and my immediate thought on a 'Home Infusion RN' listing is that I might not mind doing it, but given one particular experience in clinicals, where I couldn't find ANYTHING on... Read More

  1. 0
    Well of course you CAN miss, it's just pretty unlikely. I just don't get how that's harder than a PIV?

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  2. 0
    Depends on the pt. If it is a pediatric pt with a pediport and an emaciated sunken contracted upper torso and the thing rolls, yeah.....you can miss. Really though, I would say in gerenal, on 99% of pts, portacath access is a snap compared to peripheral IV access. BTW I really admire you guys with good peripherial IV starting expertise. In my 15 year career I have never had to start an IV & it really intimidates me. I worked inpatient Onc for the first 5 years of my career where the pts had central lines mostly and if they didn't, we had an IV therapy team. Now in HH for the past 10 years, we don't do home IV therapy unless the pt has a central line.
  3. 0
    It depends on the patient. I have a patient who is severely developmentally delayed and blind... his parents have to lay on top of him to get him into position to access his port and he still never stops moving. And his port is deep. It's easy to miss on him. Some teenage girls if the ports are underneath their left breast, I'd much rather do a peripheral stick. I do have one patient who has a port-a-cath who I do peripheral sticks on for labs... he doesn't like being accessed when he doesn't have to be and his port is super positional. He's a wicked easy stick so I don't mind. For IV therapy (as opposed to labs) in the home, we only take patients with central lines.

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