Do RN's insert EJ's at your hospital - page 2
Hello all. We are working with the PICC placement nurses to develop a competency for EJ insertions. I wonder what size catheters, length included, taht you have seen used for this. Does anybody have a link to good policies for... Read More
- 1Mar 9, '12 by juan de la cruz GuideWhen I worked in the ED as a staff RN, we were placing EJ's using a G18 Angiocath on patients with difficult arm venous access. These are considered PIV's and are subject to the 3-day limit of use. I've worked in ICU now as an ACNP and I've never seen a staff RN place an EJ. They typically ask us NP's or residents to place them. I personally prefer placing a PICC or an IJ CVC myself which we routinely do as NP's.
- 0Mar 25, '12 by flexisealI've never seen a nurse do it in the ICU. If I can't get a line and they don't want to put a central line in I just ask the doc to please place an EJ.
ER nurses though, sometimes I see them put IVs in the chest, haven't seen EJ though by a nurse.
But it is a peripheral...so you still have to treat it like a PIV.
- 0Mar 26, '12 by 1018rnI have on occasion, mostly due to my prehospital experience, and most times the other nurses looked at me like I was crazy. In small hospitals without someone available for emergent central ir PICC line insetion, it is invaluable, usually easy and quick. A regular 16 or 14 gauge needle works well.
- 0Mar 27, '12 by chuckzWhen I worked in the MICU we didn't place them, only peripherally. I work in the ER now and yes, we do put in EJ's. Seriously, I'll place a line anywhere I can to get access in certain situations. I've placed them in toes, calves, upper chest, shoulders and just about anywhere else I can think of.
EJ's are used as a last resort though. I just keep it in the back of my mind that I can get one in if I need it.
- 0Mar 29, '12 by brainkandy87Yup, we can place EJ's. I nearly always use an 18g. I've only had one pt who I used a small gauge on and that was because I seriously doubted an 18 would fit without occluding the vein. I do them in the ER and did them when I worked on the floor. Most of the floor nurses won't do them (thank god.. most of them are bad enough at putting an IV in the arm), but there's only a handful of ER nurses that don't do them.