standard of how many IV attempts - page 4

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

  1. by   WhiteCaps
    Originally posted by Retired Nurse
    Just say a quick prayer to St. Anthony. He helps find things. Including veins.
    Cool ! I never thought to ask his help with finding veins tho he really does help find other lost things!!! I'm going to try it next time!
  2. by   PEDSNURSE74
    I work in a PICU and would love to be able to say we only try 2 times.
    I have 25 years Pediatric exp. and there HAVE been times when we tried more than 2 times.
    Ultimately that would be great....but what happens when you, yourself are the best sticker on?????
    None of us want to hurt our patients but we also want them to get well.
    Especially in the peds population it isn't always possible for just 2 times.
    Thanks,
    Pedsnurse74
  3. by   healingtouchRN
    My personal policy is 2 attempts & I am a good stick ( I am one of the ones they call when no one else can) but I do have a friend who is my backup. I call her when I can't get it....I sit down to stick when it's elective (obviously not in a code or a trauma). Sitting down helps my focus, & saves my ol' back too.
  4. by   Mimi2RN
    Originally posted by Retired Nurse
    Just say a quick prayer to St. Anthony. He helps find things. Including veins.
    Good idea, he does help find things but I never thought about veins.

    I always thought it doesn't hurt to say a prayer. Sometimes it's a miracle when you get one in a baby with no good veins!
  5. by   healingtouchRN
    I agree, I say a prayer often so I don't inflict too much pain, these people already suffer enough.
  6. by   wif411
    Oh I can not count the numer fo times I have silently and outloud prayed for the Lord's help to get this vein. Have even Had the pt to pray as I try. It works alot better than to try and "hold your tongue just the right way "as you try.
    God has helped with a many of the proccedures I have done.
    These people especially elderly go through so many losses and then bad health....they need that extra spirtiual uplift.
  7. by   Rapheal
    2 by me, 2 by another RN, then I am calling ER with an SOS. After that it's a call to the house doctor to let them know that we cannot get an IV in. Sometimes they decide to forgo the IV fluids, or sometimes they insert a central line.

    PS. Don't you just hate it when you have finally gotten an IV in on such a hard stick and they pull it out a half hour later. Oh the frustration!
  8. by   gotosleep
    Originally posted by Louie18
    They called me "One-Poke-Lou" and I'd say I hit about 80%.
    I'll leave that alone:chuckle
  9. by   OHIO LPN
    IN OUR FACILITY THE LPNs GET 2 STICKS AND THE RN GETS HOW EVER MANY IT TAKES TO GET IT.
    Last edit by OHIO LPN on Aug 22, '03
  10. by   Nurse Candy
    O.K. I have a question related to this one. I am getting back into nursing after 15 years out of it. I am in home health. I have tried twice now (two times each) to draw blood on little old ladies, and I have been unsuccessful each time. Where does a rusty old nurse go to "relearn" the knack I seem to have lost, without torturing my lovely old patients?
    Candy
  11. by   AnnieMarie
    For guidelines regarding IV pokes--I'd look into the Intravenous Nurse Society and Oncology Nurse Society guidelines. I think that these would be the standards we would be held to in court. I would also consider how many pokes you feel comfortable charting because the attempts # & sites need to be documented.

    In general, I only stick a vein where I think I have greater than an 80% chance of getting the vein, so I might try anywhere from 0-2 times based on their veins & the situation.

    I have found that little old ladies & men can have such fragile veins that sometimes using a snug (but not tight) tourniquet for a very short time works best. Be sure to really anchor the vein with your other hand to prevent vein movement.

    I think the best place for the home care nurse to get experience is to go to a lab and draw blood all day. If that isn't possible, I'd go out with another nurse who has a lot of experience and a lot of lab/IV starts that day & let her/him train you and give you pointers while you do it. Make sure the catheters you are using have sharp needles--sometimes its the equipment that is the problem not the professional.

    I have found that I could not start an IV very successfully if I WAS Hypoglycemic or dehydrated!!

    I wouldn't give up on hot packing. We had all our pregnant dehydrated ladies (home care) with hyperemisis take a shower before we got to the house. This would make the difference between 1 stick versus 2 or 3. I also think the hot packing helps the person to relax.

    Annie
  12. by   storey
    Our facility has a 2 stick limit times 2 RN's. We then call anesthesia.
  13. by   healingtouchRN
    I took an advanced IV course with a nurse who help write these guidelines, more than I ever wanted to know about IV"s! Expensive but worthwhile manual to purchase for a department.

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