Phlebitis and a stupid idea - page 2

Ive always read that venipuncture to the foot has a high rate of phlebitis,and recently , at the LTC facility where I work, phlebitis occured to someone with an IV to her foot. Wouldnt it be a... Read More

  1. by   Agnus
    A MD order is an absolute must where I work.
    There are time no one can get a line in a patient. We notify the doc. Then it becomes his problem. I've not seen an order for a lower extremity IV though. They usually order a central, PICC, or no IV, or give an order to leave in an old IV past the usual change date.
  2. by   sjoe
    An MD order is always required at the VA where I did med-surg and was on the IV team, regardless of the reason for it. They were very rare, in any event.
  3. by   neuroRN
    You have to have an order for a foot IV at our facility, which I think is a smart idea. Not only is the phlebitis rate higher, but people with poor circulation (diabetes, PVD, etc) can have even worse consequences.
  4. by   deespoohbear
    We also have to have an order for a foot IV, but if we get to that point I am pushing for a central line....Think I have done one foot in 8 years and that was in an emergent situation where immediate IV access was needed...otherwise we go ask the doctor for a central line...