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I start all my own IV's working at the hospital system I am at now. We do have to help each other sometimes, if there is a difficult stick. However I am one that others go to for help. We do have PICC team on days to insert PICCs.
I have also worked where there was IV therapy that also did PICCs, but they were so busy sometimes so I would start my own if I could. We had to be checked off by them to start IV's and hang blood.
I would rather start my own if I can and call them if I need a difficult stick, not for them to do IVs for me all the time.
I chose the option "we have IV therapy," because we do have an IV team at the hospital. However, we are required to try twice to establish IV access unless they have a history of being a difficult stick (dialysis patients, for example) and only then are we allowed to call the IV team. This is the protocol on night shift, at least, it is slightly different on days.
The IV team also is merging with our former PICC team and does PICC insertions Monday through Friday, day shift only. They also do the dressing changes on the central lines. So, my "vote" was only partially correct, while we do have an IV therapy team, we also have the opportunity to start IV's as we almost always have an new admission, an IV needing rotating, or a confused patient yanking theirs out!
We have an IV therapy team that is wonderful. Our hospital started the IV therapy team as another step in preventing infection. The fewer times a patient is stuck, the fewer sites for infection to enter the body.
There are a few of the IV therapy team that are dedicated to inserting PICC lines, but they are only there during the day and every other weekend.
Usually there's less than a 15 minute wait for a new site, but occasionally they are back-logged and we might have to wait up to an hour (this is on night shift). They are also responsible for central line cap and dressing changes, PICC line dressing changes, as well as attending all codes.
The only downside (for me personally) is that I graduated 2 years ago and except for about 10 IV starts during school clinicals, I've not had an opportunity to start any IVs to develop any IV skills.
When I traveled to hospitals where there were IV teams, I still started my own. Faster, and the IV nurses appreciated the help. (of course, I cleared with them first that it was ok that I do so)Do you start IVs where you work? I'm doing a travel contract at a hospital that has IV therapy and most nurses don't start IVs there. I had to start a couple of IVs there other day for other nurses because IV therapy was too busy.I guess if you work in a place with IV therapy, you just don't start IVs. I'll include a poll with this thread.
FireStarterRN, BSN, RN
3,824 Posts
Do you start IVs where you work? I'm doing a travel contract at a hospital that has IV therapy and most nurses don't start IVs there. I had to start a couple of IVs there other day for other nurses because IV therapy was too busy.
I guess if you work in a place with IV therapy, you just don't start IVs. I'll include a poll with this thread.