Home Health IVs w/new grad nurse

  1. 0
    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 this guy's arm or hand, what do you do in that situation? You're by yourself at their house. To save a bunch of you from responding 'well, you just gut it out and get it done somehow' ... yeah, I understand that, but again, there are some very difficult patients to start or change IV's on. Just wondering if anyone has any special advice there.

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  2. 12 Comments...

  3. 0
    I was under the impression these pts had PICC lines or porta caths ??
  4. 0
    99.999% of the patients we infuse in the home have PICCs or ports or the occasional central line. It's extremely rare to have a peripheral line in the home. My agency at least, I have no idea what others do.
  5. 0
    Thanks for the replies!
  6. 0
    I have never seen a peripheral line in the home and my agency will not take a patient who needs infusions without permanent access. The vast majority of my patients have ports, double lumen broviacs or PICC lines. Ports and CVLs more so in the oncology population and any child who goes home on IV antibiotics has a PICC line.
  7. 0
    I've been in home care for 11 years and I haven't put in a peripheral IV in 11 years.
  8. 0
    I get many PIV patients,and one particular one was a very hard stick that even her MD was surprised we were able to get anything in.
    If i can't get it in after 2-3 tries,they send another RN to try. I also brought a vein light I use and sometimes it helps. The majority of the patient's have a PICC,Hickman or port.I think Port accessing is worse for me then placing PIV.
  9. 0
    Why is port access worse than a PIV? You can't miss.
  10. 0
    I work in a hospital setting but I have had outpatients come in for IV antibiotic infusions and go home with PIVs. I'm sure in a HH setting you'd have protocols if you needed peripheral access and couldn't obtain it.
  11. 0
    Quote from lovingtheunloved
    Why is port access worse than a PIV? You can't miss.
    You most definitely CAN miss with accessing a port.

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