I am newer to home infusions. I have a L and D background. I feel stupid asking, but you don't know if you don't know, right? I have a patient that prefers his IV in his left AC. I've never had a problem with his IV before, but yesterday it blew as soon as I got my flashback. The other side did the same thing! His mother asked me if I could come back tomorrow and try again, she said she didn't feel comfortable with me "poking" him again. So my question is can I try to start his iv in his AC again? Is 24hours enough time for the vein to heal? At this point can I go below yesterday's try? I've never tried to go about the AC before. Any knowledge would be greatly appreciated. I've never had this happen before and I'm a bit devastated 😞
I would explain to this patient that having an IV catheter in the ACF is not a good idea. The damage to the smooth bed of endothelial cells causes the start of phlebitis and thrombosis secondary to its location and arm bending. Many times when patients know why you don't want to use the ACF vessels, they will work with you.