The #22 is fine. We use to say that they had to have at least a #20, and I still try to insert those if I know they will be receiving blood. The transfusion time may take sl. longer with the #22. We even place on the IV pump if they are infusing slowly......something we would never consider in the past.
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of [EMAIL PROTECTED]
Sent: Thursday, November 03, 2005 5:28 PM
To: [EMAIL PROTECTED]
Subject: Blood Administration


I have an issue I would like some feedback on.  

A patient arrived to our outpatient infusion center from the doctors office with a #22 catheter (in the hand) in place for a blood transfusion.  Our policy states that optimally an 18# G or larger should be used if possible.  The MD states that this catheter is fine to use in front of the patient, and the patient is now refusing another stick.  The nurses don't feel comfortable infusing blood products through the line, and feel that it is inappropriate.


I know that in peds we used to infuse with #22,#24, but this was different volumes over different times....


Please advise.


Lorelle Wuerz BS, RN
Manager Infusion Services
Robert Packer Hospital


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