We have been using BNS for this purpose for years, and it has served us well. We just took our old P/P and inserted 'Bacteriostatic NS preferred' where we mentioned the option of anesthetizing the site. Our policy still says we can use lidocaine......we left that in because we knew that there were those (most often our anesthesia staff) who would be resistant to switching anesthetizing agents. This way were are all practicing according to hospital P/P.

It does not annesthetize any larger area than the lidocaine does, so I can't imagine it would affect the patient's sensation if the infusion should go awry. Actually (if I remember correctly) the BNS numbing effect only lasts for 2 minutes.....a much briefer time period than the lido.



Alma Kooistra RN, CRNI




----Original Message Follows----
From: "Seaver, Lesha" <[EMAIL PROTECTED]>
To: [EMAIL PROTECTED]
Subject: bacteriostatic NS bleb for IV starts
Date: Tue, 25 Apr 2006 09:56:34 -0500

Our institution is looking at establishing a protocol/guideline for
using bacteriostatic NS bleb for peripheral IV starts, and I would like
to see if there are any of you who have already written a
protocol/guideline that you could share.  Thank you!

Also, our oncology nursing director has asked whether or not the use of
bacteriostatic NS bleb interferes with the patient's ability to sense
problems with the IV therapy----especially with the infusion of
vesicants.  How long does the anesthetic effect last?  Has anyone ever
experienced any problems with this?

Thank you in advance for your input.



Lesha Seaver RN, IV Team

Liberty Hospital

Liberty, MO
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