RN-NANA#1 632 Views
Joined: Sep 23, '05;
Posts: 1 (0% Liked)
I started working in Pre-op and PACU over 12 years ago. At that time I had minimal IV starting experience. An anesthiologist started helping me learn new and better techniques, one of which was giving a local before starting an IV.
At first it made it harder for me to hit the vein on the first stick,but with practice and time it didn't make a difference. That seems to be one of the biggest complaints I've heard from other nurses, that they have more trouble seeing and feeling the vein under the local.
Another difference is that NS9% can be used and be just as effective as using lidocaine, it's what I used for years and so did the anesthesoligist, other than for art lines or for centeral lines.
Over the years many patients began requesting me to start their IV's because I was the only nurse that used a local. I received a lot of feedback from patients as to how much better their experience was with less fear of the IV stick. I agree that there are cases that using a local is not always a good idea, usually when you have patients with very fragile veins, and especially veins that are just below the surface of the skin as you run the risk of nicking the vein trying to inject the local.
I hope this helps some of you newbies and even us more experienced nurses.
Isn't what we are, what we do, and what we represent all about doing what we can to make our patients more comfortable and any experiences they have the least painful and fearful as possible. For me it is and always will be.
BEST OF LUCK TO ALL OF YOU!
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