Hematoma ???

  1. I'm a new LPN and RN student. Many times when I try and get my IV stick my Pat winds up with a 'lump' in their vein. Hematoma?

    WHAT am I doing incorrectly?
  2. Visit Scoobiedoo profile page

    About Scoobiedoo

    Joined: Jan '07; Posts: 40; Likes: 8
    Cardio-Pulmonary Rehab
    Specialty: ER, Med-Surg, EMS


  3. by   taramayrn
    Are you "blowing" the vein? You shouldn't have a lump or anything if the cathalon is in the vein.
  4. by   Scoobiedoo
    It was during a 'practice' session. I got blood and then removed the angio. After taking it out it blew up like a 2 peas.
  5. by   taramayrn
    You obviously weren't in the vein or you had perforated the vein during your IV start.
  6. by   AnnieOaklyRN
    you either A: didnt completely thread the catheter in the vein (insert it a litte more after the flash) or B:went through both sides of the vein.

    Some older people that are on anticoagulants require less pressure by either not using a turnequett (sp) or using a BP cuff instead becaue their veins blow the minute you touch them with a needle.

  7. by   UM Review RN
    Also with the elderly, don't withdraw the needle too quickly.

    Sometimes it just takes a half a second more to get a blood return.
  8. by   twinmommy+2
    Sounds like you went through the vein instead of into it. It happens often and don't let it scare you off. Just keep practicing!