Quote from Daisy4RN
Yes, but why would you want a PIV if the pt has a port. I worked in Onc and we always used the port whenever possible to save the pt from many unnecessary
sticks thus pain. The only reason not to would be a suspected infection (and in the 10 years I worked Onc only saw 1 infection) or no nurse to access the port (not trained). But as always know your facilities P/P.
Instances were we start IV and don't use port:
1. Port was placed outside of our hospital and we can't confirm it is a power port for a scan
2. Port does not give blood return. Absolutely nothing goes in the port other than TPA or dye for a portogram. No chemo, no fluids, no scans, no nothing unless we get a blood return.
3. Medicine incompatibility (very rare).
4. Anesthesiologists tend to not use the port. Unsure what our actual P/P is about that so I will look it up.
5. Infection and/or clot.
6. Last, but not least, patient request. Strange, but it does happen.