Why does a hospital need RNs which are unable to do anything else but starting IV's?? - page 3

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  1. by   Enabled
    Originally posted by PhantomRN
    I personally love the IV team. It frees me up to do other things while they find a vein and stick em. At our hospital most, not all, of the IV team will hook up a patients antibiotic or IV line if it is all set up in the room for them. Which is nice.

    I don't expent them to do patient care for me. I figure they did their time on bedside nursing and are now IV team and they dont have to help me. It is nice of them if they want to do it, but it is not in their job description, at least at my hospital.
  2. by   Enabled
    Girl, I would have loved to have had an IV team anywhere in the 18 years I did hospital nursing. Even in the last two years I spent on the floor(disabled) we were trained to put in PIC lines. Well, if you have a team you have to have someone cover for up to an hour. You don't think the nurse who has the patient is goin to watch yours as she has her own load. It is difficult especially on 3-11 as we had a minimum of 7 patients and were pulled away. It wasn't fair to the staff on my floor either. It would always work out that the "super" supervisor was detained and the patient needed it yesterday. When I first started on the floors the first night I had several horrors. The first was I could not aspirate a subclavian and notified the doc. He said the first thing you don't say "push it in about an inch or so" NO WAY I had my first call to the supervisor and she told me to dc the site. Then I had a 90+ bilateral AKA who went over the side rails and pulled everything out. It looked like there had been a massacre there was so much blood. I didn't think someone had that much. I got good at putting 18s in little ol ladies. The last patient had yelled the entire week. Then on Sunday evening at 4A I noticed something but not sure what. It was QUIET. We all went rushing in and she had an apical of 35 by doppler. All in a shifts work. And I wanted to be a nurse You betcha I miss it so much. There have been days that I have just cried because I missed my repeat offender patients and their families. The floor I worked on was respiratory so they had no veins and diabetics and with the flopping of sugars you need a line. Well, why is it always when you need it it has been either pulled out, not working or never had one.
  3. by   Enabled
    Howdy neighbor, I wish we still had an IV team but I don't remember having one from the time I started at Worstoff in 89. It was the staff nurses who were taught how to do a medline and PICC and access an infusaport. Jest Perished still has a team from 6a I think till 10p That way they change all the medlines every 5-7 days depending on the patient.
  4. by   Enabled
    Since we didn't have an IV team one of my cachetic patients on mimimal IV fluids 1gtt/24hrs it seemed had to have a site according to his attending. By the way I wouldn't send a dead animal to him or he would swear it was alive and further revive. Anyway, we did all the sticks we were allowed so we then called the idiot and he said if we couldn't get it to call anesthesia to put it in. Well, anesthesia came up and put a 24 in walked out of the room and submitted a bill for over $500. The anesthesiologist also do not know how to tape a site down so that it doesn't come out. Well, it wasn't long, less than 24 hours and the same thing. Anesthesia refused. The attending told the family that we were basically for lack of a better word killing him since he did not have an IV line. His next patient in her mid 40s was getting loopy by the day. Well, the tech went in and asked her some questions while she had a moment and from her family she had what was probably the sign and symptoms of a UTI and she had become septic. Well, with her loopy he ordered a neuro, psych, and any other consult he could. There was never an order on admission for a urine. The tech spoke to him about it as we want whatever is best for the patient and no way could it be a UTI at her age she would still be with it. Well, one of the consults came in and I didn't see him so the tech approached and asked about getting a UA and C+S. Well, the consult didn't want to get involved with the attending by ordering it. He gave in and ordered it. In a coupleof hours we had a Bacti count of 4+ and too numerous to count. The idiot again was called for antibiotics and he said he would see her the next day. In the mean time she is getting worse. Once the antibiotics were started within 36 hours she was completely back to normal and at 48 discharged home. Where do we get these idiots? He comes in to see his patients at 2 am. He from what we have heard is in the office till 8p, goes home with the family for a while and when the kids go to bed he does his rounds. The cologne is enough to kill anyone.
  5. by   dianah
    Hmmmm, sounds like you needed a good PICC line or someone to donate veins, and just let that guy stay home or whatever! (and I know what you mean about the cologne!!!! WHEEEEEWWW!!)
    Actually, I posted about LOCAL anesthesia - injecting about 0.1cc sub-Q (a little wheal) just where you'll enter the skin w/the IV needle.
    What an experience w/the anesthesiologist! Most of ours are VERY helpful (we use a lot of CRNAs too) - and very busy.
  6. by   anitame
    Dianah,
    On our L & D unit we have standing orders that we can use Lido prn for IV starts. I've never used it, I'm afraid it's gonna obscure the site. Sometimes the patients ask for it. I usually say they're gonna feel a stick either way, might as well get it done in just one poke instead of 2. Most people are fine with this. Anyone use Lido routinely?
    Anita
  7. by   Enabled
    Originally posted by anitame
    Dianah,
    On our L & D unit we have standing orders that we can use Lido prn for IV starts. I've never used it, I'm afraid it's gonna obscure the site. Sometimes the patients ask for it. I usually say they're gonna feel a stick either way, might as well get it done in just one poke instead of 2. Most people are fine with this. Anyone use Lido routinely?
    Anita
  8. by   Enabled
    Anita, I have used lidocaine in the past and have also been on the other side of it as a patient. I have found that it burns much more than the discomfort of a stick and unless someone really needs to use it I don't as it can cause vascular spasm at the site, cause the vein to roll. I would personally not have it done to me and state so if I am able to.
  9. by   dianah
    That's interesting, Disabled, about the lido causing vascular spasm. The Radiologists maintain that, as well as numbing the site, the lidocaine helps prevent spasm when they're getting access for an angio. I have to go research it now!!
    I certainly wouldn't use the lido if a patient wished me not to, and I don't use it on each and every IV start. I do offer it for the more painful sites/more frightened pts, and then I warn them about the stinging/burning (talking to them the whole time, to help distract). I've received positive feedback from the pts I've used it on; wouldn't continue using the lido if I got negative feedback from the pts.
    As for obscuring the site, I inject only 0.1cc or so, just a TINY wheal, to numb the skin entry. Some pts do feel when the vein is accessed (I don't numb THAT much, that deeply).
    Great BB, to be able to exchange ideas/info/experiences.
    Cheers! -- Diana
  10. by   ernurse728
    I find my IV team semi helpful. As an ER nurse there aren't to many people that I can't get a line in...and most of the time if someone in our department can't get the line then the IV team usually doesn't get one either. But they are a big help in accessing portacaths and such when pt's with that access come through the door and they are able to wait rather then us trying to find a vein that is good enough to use since there poor veins are usually destroyed.
  11. by   Enabled
    ernurse728, I have worked in 5 hospitals in my career and only 1 had an IV team. That was when infusaports started coming out in large numbers. I in fact had one after I had a gastric bypass because I kept getting dehydrated. I didn't make it to the first flushing as I had developed MRSA in the wound and it would not heal over so it had to be removed. Now it is one in a million who can get a line on the first or second or third try.
  12. by   live4today
    I loved working in hospitals that had their own IV Teams! The bad part about it is they usually only worked from 0700 to 1900 hour, leaving the last half of second shift and all of night shift to fend for themselves.

    I love to start IVs on people! Sticking them with any kind of needle always made me feel very proud to be a nurse... :chuckle
  13. by   meandragonbrett
    When I was w\a CRNA the other day, he told me that the reason that the lido burns when giving it before starting a line, is b\c it's being pushed too fast. He said that if you push it very very very slow, it doesn't burn, and all of his patients concured with him after getting the lido SQ.

    Brett

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Why does a hospital need RNs which are unable to do anything else but starting IV's??