dmurph615

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1. Abdominal IV

   dmurph615 replied to dmurph615's topic in General Nursing

   Here's an interesting article: The American Journal of Emergency Medicine "A new site for venous access: superficial veins of portal collateral circulation" And another: Thoracic or Abdominal Wall Veins Are Acceptable Sites for Intravenous Access -- ...

2. Abdominal IV

   dmurph615 replied to dmurph615's topic in General Nursing

   Rationale? You really want a rationale for why a peripheral line is safer than a central line? It's a more invasive procedure, higher risk of infection, etc.. And obviously the doctor saying it's okay isn't what I needed to start the line, but resear...

3. Abdominal IV

   dmurph615 replied to dmurph615's topic in General Nursing

   There is no rationale other than they've carried clip boards too long, they are behind the times and choose to stay behind the times...

4. Abdominal IV

   dmurph615 replied to dmurph615's topic in General Nursing

   Keep in mind I work at a government facility where things aren't exactly the same as private practice, EJ access was sketchy, the doctor and I looked, but the doctor decided against it due to the patient swaying his head back and forth constantly (tw...

5. Abdominal IV

   dmurph615 replied to dmurph615's topic in General Nursing

   Correct, except IOs are not permitted, and I can't start a central line, so I did what needed to be done to get fluids and meds in, then let the ICU figure it out from there.

6. Abdominal IV

   dmurph615 replied to dmurph615's topic in General Nursing

   I agree, our facility does not permit IOs (ridiculous I know) and EJs can only be placed by a Physician. This Physician looked at the EJs but the patient was moving his neck back and forth so much it wouldn't have lasted a minute. The abdominal IV wo...

7. Abdominal IV

   dmurph615 replied to dmurph615's topic in General Nursing

   Keep in mind, at my facility IOs are not permitted (I know, ridiculous), and EJs can only be performed by Physicians (which this patient didn't have very good EJs), so the Physician was okay with this location. But the Nursing Supervisor decided to t...

8. Abdominal IV

   dmurph615 posted a topic in General Nursing

   Recently in our Emergency Department we had a patient going to the ICU who is a frequent flyer, substance abuser, with very difficult veins. Multiple attempts at a peripheral IV were attempted in the hands, forearms, antecubitals, feet, and legs, unt...