Ann,
    I understand the need for a short peripheral IV site, but not the largest size possible in the worst vein imaginable.  My mom is suffering severe repercussions due to this scenario.  I will not mention the specific name of our peripheral IV catheter, but I do know the flow rate difference between an 18 gauge and a 20 gauge is only 45cc/min.  I do not know anyone whose life would be saved by this small amount.  I do however know several patients that would benefit from less pain on insertion of a 20g instead of an 18g.  These doc's always want documentation to back up whatever nurses say, but in this case, they have absolutely NO documented info to back this up. I need to do more research here, and believe me, I'm NOT letting this go. 
 
Heather Nichols RN BSN CRNI
Infusion Services
University of Louisville Trauma Institute
530 S. Jackson St.
Lou. Ky. 40202
(502)562-3530


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