katierobin23 3,429 Views
Joined Dec 31, '12.
Posts: 150 (44% Liked)
Being a PICU nurse, I've learned the harsh truth which is that some kids will die no matter how hard we try to save them. I'm so sorry you're going through this, but know that you did everything you could have done to help him.
Day two on orientation in the NICU (my first job as a nurse), I assessed an IV all morning and didn't see anything wrong with it. The site wasn't red or leaking....but the leg was swollen, badly. The baby was getting Hyperal and Lipids (TPN) which tears apart veins and tissue really bad...learned that quickly. I wasn't assessing the leg compared to the other one, so I saw a chunky baby leg and didn't think anything of it...but this was a premie with chicken legs. By the time it was caught, the baby lost most of the skin on the top of his foot and everyone who saw it said it was the worse they'd ever seen. My preceptor felt awful because she didn't check behind me and I was brand new...but I felt worse. It was horrible. It was probably only three hours worth of TPN that had infiltrated but it was so rough.
Now I watch my IVs like a HAWK! I'll pull it and restart it in a heartbeat if I don't like it!
Also, I've become a big advocate for putting in a PICC for long term TPN, which is standard protocol, but not always done in a timely manner.
Also, about starting IVs, I never learned about it in school..never did the fake arm thing. We were told our hospitals would want to train us themselves and/or would have an IV team to do them.
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