comments about patient's w/ IV's?

[johnson0424]

Ok I have been out of the hosp for 4years but we got this admission a dialysis patient that was being admitted to have his inpatient dialysis. There was no order for an IV and he was on telemetry and the nurse i was working w/ said "oh we always put IV's in everyone"..But i did not. I am confused though b/c at my last hospital if they had a telemetry monitor they had to have IV access(common sense) but I asked the MD and he didn't want an IV so we didn't start it but I thought it was kind of weird that she stated"oh everyone gets an IV"..I wouldn't want to be stuck if I didn't have to...Ya know?

[perfectbluebuildings, BSN, RN]

Sorry, I realized I didn't answer your question!! I think most often, it is resp. failure in kids way before anything cardiac comes up and hopefully you can correct that quickly w/o needing an IV. Someone will correct me if I'm wrong. Most of our kids, including resp, DO get IVs with the exceptions listed above. Clear as mud probably... sorry!!

[HappyNurse2005, RN]

22 is sufficient for most needs, including a large volume bolus and blood transfusion.

really? i've always been told/always used a 20g for blood.

[elthia]

really? i've always been told/always used a 20g for blood.

My apologies, a 20g is most appropriate for blood, a 22g is sufficient for all other needs...thanks for catching that. However a 22g can be used to transfuse blood if unable to obtain access with a larger bore, but this is not preferred.

[christvs, DNP, RN, NP]

All pts on tele need IV access because an emergency situation might arise.

[she.lpn]

where work many of our frequent Dialysis patients who come in once a week because they are illegal/no insurance and can not recieve outpt dialysis do not get an IV when they are on Tele. The docs who know them during admit write for it. But even if not it is not our standard to put one in on them. Even though any other tele pt must have an IV.

[LA,T-BONE]

At my hospital all tele admits either have one when they hit the floor from ER or get one when they arrive to the floor for emergency situations. I don't know if this helps but I also know they sometimes have nothing to stick. Look up policy and ask charge nurse.