standard of how many IV attempts - page 2
I have been assigned the task to determine what is the standard of how many IV attempts is appropriate for one nurse (ex. 2 attempts per patient is most common in my experience) anyone have any links... Read More
Jul 6, '03I try twice and get another RN for the 3rd hopefully successful attempt.
Check out the CINA web site for additional info.
Jul 8, '03Our hospital policy states no more than 3 attempts per nurse...
Personally, I don't like to stick more than twice unless it is an emergency...
Jul 8, '03At my facility it's 2 strikes and your out of there too!!
We also have an IV expert list that have nurses names and unit they work on so people know who to call (not that a lot of nurses like it b/c their name isn't on it and that pride ball of their's is too big to SWALLOW!!)
The nursing coordinator can be called also to get someone.. I often go start IV's and draw blood on other floors for people...
I happen to be DARN good at it, but suck at putting down NGT's!
Jul 19, '03Originally posted by teeituptom
I never miss.
Although I am one of the very few top IV starters in my facility...I do have my days and you know it will be one of those days when you use the 2 stick policy.
Anywhere I have worked: 2 sticks for RN#1, 2 sticks for RN#2, 1 stick for RN#3 and then call anesthesia....or the in house doc. I never try more than twice unless the patient begs me to try the 3rd time...and I do have 1 pt that comes in regularly for blood transfusions 2ndary to hemolytic anemia from being on nuclear subs during WWII.......he has had no luck with long term implantable caths and is a notoriously rotten stick. He asks me to try 3 times and then call anesthesia.
Jul 19, '03I don't think my facility has a rule about number of sticks. But, it is a general feeling here that each nurse should only get 2 sticks. We had a patient the other day with tiny veins. My preceptor tried twice, an OB nurse tried twice, and an ER nurse tried once. Then we called an MD, and he put in a central line
Jul 24, '03At my hospital, we have an IV team whose job is exclusively traveling throughout the hospital to start IV's.... it's a wonderful help, but when they get backed up, it can take up to 2 hrs to get one started. For the floor nurses, it's general practice of 2 shots at a start. Most are afraid to call the docs for fear that the attending will send an intern (Yikes!)
Jul 24, '032 attempts here and then either call another or the IV nurse, unfortunately the IV nurse doesn't work nights, in which case all the othere floors call us (MICU) to try. In an emergency the sky is the limit.
Aug 1, '03i'm not sure if our place has a specified limit. i try twice, then get somebody else. our patients cannot be without access so we will go down the line and after three people have failed, we get our attending to try.
aside from that, i personally have been jabbed 13 (yes that says thirteen) times by an anaesthesiologist(!!) with a 16 gauge because the iv started by the admitting doc wasn't "big enough". this man then proceeded to muck up my epidural and i ended up having a ga for my daughter's birth. bitter? just a teeny tiny bit!
Aug 2, '03My hospital doesn't spell it out in exact terms, but if I can't get an IV in after 2 attempts, I call in another nurse. I also will not stick someone AT ALL if I can't find a good vein, or if they're a notoriously hard start---I'll try to get an ER or ICU nurse, or the supervisor to do it.
I can catheterize almost anyone, but I'm not nearly as confident in my IV skills, so I think it's only fair to the pt. to ask a nurse who's better at it to start the IV unless I'm reasonably sure I can get one in.
Just my 2 cents' worth.
Aug 2, '03Two tries, then call the Supervisor, then our CNRA who is awesome.
And he does GREAT epidurals!!
Aug 6, '032 ties for us and then we call in the meds, and if they can't get it they say that "perhaps they patient doesn't need after all"