Nurses General Nursing
Published Oct 31, 2009
CCLOUD9
11 Posts
Hey all!
I am currently taking an informatics class in a RN to BSN program. One assignment I have is to discuss, through evidence based practice, anything from my facility and compare it with facilities across the country.
As a new grad, I've been practicing my IV starts (and I'm getting pretty good!). At my facility, to start an IV we use BD products. Particularly the "insyte autogaurd." This product has been used at our facility with great success. According to the BD company website, bd.com, this product was designed to increase first-stick success and effectively reduce needlesticks. It has a patented BD Autoguard™ push-button shielding technology which prevents from accidental needlestick injuries.
It was also designed to reduce hit-and-miss insertion by immediately confirming entry through a unique notch in the needle flash. When you insert the syringe, if you are in the vein, you will see immediate flash back of blood in the chamber. This lets you know you are in the right spot and it is ok to start advancing the catheter.
Our facility has shown this product to be as effective as the manufacturers claim it to be.
I've had great success with this product! I'm interested to see what your facilities use. Has evidence shown it to be effective?
Thanks for your input everyone,
Christina, RN
:loveya:
Angels_wearScrubs
74 Posts
At my facility, to start an IV we use BD products. Particularly the "insyte autogaurd." This product has been used at our facility with great success. According to the BD company website, bd.com, this product was designed to increase first-stick success and effectively reduce needlesticks. It has a patented BD Autoguard™ push-button shielding technology which prevents from accidental needlestick injuries. It was also designed to reduce hit-and-miss insertion by immediately confirming entry through a unique notch in the needle flash. When you insert the syringe, if you are in the vein, you will see immediate flash back of blood in the chamber. This lets you know you are in the right spot and it is ok to start advancing the catheter. Our facility has shown this product to be as effective as the manufacturers claim it to be.
I didn't know there were infomercials on allnurses!
Anyway, I'm pretty sure the hospital I have clinicals at uses BD also...
Hey "angel wears scrubs". No infomercial. Just evidence based practice.
Christina RN
wtbcrna, MSN, DNP, CRNA
5,126 Posts
Hey "angel wears scrubs". No infomercial. Just evidence based practice. Christina RN
lol.....anecdotal evidence based on medical manufactures sponsored research isn't really evidenced based practice, but I am glad to hear that you have found an IV type that you like. We are all often best with the product we start/learn with. I personally like IVs with short catheters without a double lumen. I think they are the easiest to thread and have less chance of hitting a valve or small bifurcation in the veins plus these kind of catheters have less impendence to flow.
CASTLEGATES
424 Posts
Ditto!
I've never heard of evidence based infomercials
One company is no better than another; it's a personal preference. I prefer the old fashioned ones, myself.
Acosmo27
302 Posts
exactly. And the facility that Im currently doing my ED preceptorship in has the BD. I actually do not like these, I prefer the ones that click back, as in you withdraw the needle at the same time as you thread the catheter and the needle clicks once its in the secured chamber (vs. threading the catheter than clicking the white button to withdraw the needle)... sorry if this doesnt make sense, I dont know the brand of the ones i like though. sorry.
Ditto!I've never heard of evidence based infomercials One company is no better than another; it's a personal preference. I prefer the old fashioned ones, myself.
ifyouwereme
44 Posts
you mean i get to blame the product, not my nerves? awesome!
PostOpPrincess, BSN, RN
2,211 Posts
We use it; don't like it.
I like the ones on the anesthesia cart. Very sharp, and very, very accurate.
Expensive.
mcknis
977 Posts
i personally like the standard IVs and can not stand these new ones like you are discussing. I absolutely abhore them. i am glad that there are those out there that like them, but when I trained on them in clinicals back in school, i felt like I was using a spear to stick the pt, instead of an actual IV needle.
RedCell
436 Posts
The 14G 1.25" Cathlon is my favorite peripheral intravenous catheter. WTBCRNA, I believe this would meet your standards. With a 325ml/min flow rate it is often better than a cordis do its short length. Like an AMEX card, I never enter the OR without one. In reality though, I think that any EBP review would find that once you get good at sticking the needle in the vein, it really doesn't matter whose product you use.
Fiona59
8,343 Posts
Universally loathed in my hospital. From educators down to the floor staff
tatara
102 Posts
Venflon and biovalve