The F.A.S.T. one.

  1. I am having the darndest time talking, these Docs and ER nurses, in too not ignoring or D/Cing the IO ( as soon as we get into the ER) that I worked hard to get. They waste time finding a venous access with a crashing patient!
    We use this contraption when we are having a tough time getting an I.V. or subclavian (i.e. Pt has exanguinated). This I.O can recieve 200cc/min of ANYTHING (Blood, fluid, and drugs). I wanted to know if anyone else is having this problem. At Halo-Flight we use the F.A.S.T. 1 manubrium I.O. that is WONDERFULL!! Why are they so darn hessitant??
    Last edit by HLopez on Apr 28, '04
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    About HLopez

    Joined: Apr '02; Posts: 19
    R.N. C.V.I.C.U./ Flight Nurse
    Specialty: CVICU, ER, NICU, Neuro ICU, Flight Nurse


  3. by   UK2USA
    We also use IO. Usually in an emergency after 3 attempts at IV access. They work well don't they? But I agree with you... as soon as you get into a unit with the patient the staff do seem to get a bit twitched, wanting the IO out asap. I guess it is just another chance to impart our greater knowledge and teach them how to handle them.
  4. by   suzanne4
    Looking at from both sides of the picture, and having used both, many nurses and docs that work only in an hospital setting are afraid of them. You don't get a blood return to verify placement and this scares alot of people.

    Over here in Thailand I was showing pictures of what I used to my students and none of them had ever seen anything like that. hoowever, it is quite common to do a cut-down and use a "feeding tube" for a line for IV fluids.
    Yes, a pediatric feeding tube!!!!!!! Should have seen the look on my face when I heard about that..............

    Each person has their own comfort zone, and if they have never used one/seen one then they are unfamiliar with it. Perhaps you could offer to go in and do an inservice to some of the facilites. I personally love them and would never hesitate for one second to use one if needed.

  5. by   UK2USA
    I've also seen cut downs with size 4 NG tubes... but not that often. We also use the same to cannulate a neonatal umbilicus, we see this more often. Anyone else see this?