Feel free to mention any unused central access at any time...

Nurses General Nursing

Published

I had a patient last night who was very busy. Several continuous infusions, several IV meds, in constant need of blood products, and overall very sick. He had a double lumen central line and I was having a very hard time keeping up with his meds and avoiding running incompatible drugs together. I kept telling him we may need to add a peripheral IV, but things would clear up just enough that I could avoid it for a few more hours. Finally when he needed his 4th unit of blood for the night I told him I gave up, and he really needed more IV access and I'd be starting a peripheral.

"Can you just use my mediport?" came his response. I hadn't had a chance to read back in his chart much, but when he pulled his gown to the side, yep, sure as the light of day, there it is, a beautiful unused mediport. He said he didn't mind using it at all.

So patients, if your nurses is frazzled trying to keep up with IV meds, feel free to mention any hiding central access you have ;)

And now I get to keep my trend of never starting a peripheral IV.

Specializes in ICU, School Nurse, Med/Surg, Psych.

I guess I didn't see as many and as wide a vareity of ports that are out there. I didn't realize that it would be such a big deal. I know that staff have a meltdown when an ESRD client can't be gotten peripherally and as a dialysis nurse I have been called to the floor to access their Hickman/Broviack or whatever type of central line or LifeSite for IV use.

Specializes in Vascular Access.
They claimed the Bard PP needed "special" access equipment that they didn't have and didn't know how to use...crap! For one of my surgeries the anesthesiologist said he was considering putting in a central line if all they could get was a 22g IV in...I told him I'd refuse to sign surgical consent if he even gave it another thought! WTH?!?

Sooo...I had MAC anesthesias to put the port in and take it out...and it was used a grand total of TWICE. Hmph!

Bard's Power Port does require a special needle to access it IF it is being accessed for a Cat Scan use.. Otherwise, in homecare or a LTC setting, a regular huber needle can be used. Here is a link.. In this link, you'll see that it states that if you aren't power injecting, any huber needle can be used to access this port.

http://www.bardaccess.com/powerPort/pdfs/MC-0031-03_PowerPort_Nursing_Guide_web.pdf

DD

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