When dealing with life and
death (which we did frequently in the ER) or having shutdown in CCU or finding a
vein for giving contrast in CT I have used the antcubital area. This is what I'm
talking about. These are the patients that usually need more than one
piv. Laurie
From: Lynn Hadaway [mailto:[EMAIL PROTECTED]
Sent: Fri 4/21/2006 12:50 PM
To: Laurie Hill; [EMAIL PROTECTED]
Subject: RE: 2 IVs in one hand: Question for group
The antecubital area is **never** an acceptable site for a PIV unless it is
a real emergent situation and no other site can be found. Lynn
At 9:55 AM -0700 4/21/06, Laurie Hill wrote:
I guess I am curious about any responses to Ann's question because, it's been a few years, but when I used to work in ER and CCU and the pt needed more than 1 piv, I made it a point to put them in the same extremity so the other would be available for bps and lab draws...especially if the pt had rotten veins because they could so easily blow...if I had to put them in both extrem. I would put one in the anticubital area so I could at least use that forearm for bps. Laurie (now a diagnostic imaging procedure nurse and picc team member)
From: [EMAIL PROTECTED] on behalf of Lynn Hadaway
Sent: Fri 4/21/2006 8:09 AM
To: Ann Marie J. Frey; [EMAIL PROTECTED]
Subject: Re: 2 IVs in one hand: Question for group
Sorry but I don't even recall that such a statement was in a previous
version of the standards. I have also seen the time when it was
mandatory to have 2 sites in the same arm. Lynn
At 8:31 AM -0400 4/21/06, Ann Marie J. Frey wrote:
>Does anyone have evidence based info or remember the standard of care
>where it mentions not to place two PIVs in the same extremity? I know
>the basis for this is that veins all join eventually, so imcompatible
>solutions, could, in effect, mix in the vein and cause phlebitis or
>other complication. The INS Standards of Practice used to say this
>statement, but I can't locate it now. Does anyone know where I can find
>this info? We seem to have some MDs that think this is OK practice.
>Thanks in advance,
>Anne Marie
--
Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
--
Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
