Our hospital recently decided that needed to be a protocol and not just in the policy. A policy is not an order in the absence of a physician. However, if they sign off on a protocol that is. (That's the story we are given by our risk.)
Jan Hull, BSN CRNI ADM SDC / Emenhiser Center Lebanon Community Hospital 541-451-7851 fax 451-7520 -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Alma Kooistra Sent: Tuesday, April 25, 2006 11:34 AM To: [EMAIL PROTECTED]; [EMAIL PROTECTED] Subject: RE: bacteriostatic NS bleb for IV starts 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 Liberty Hospital Confidentiality Notice: The information contained in this e-mail transmission is confidential information, proprietary to the sender and legally protected. Its purpose is intended for the sole use of the individual(s) or entity named in the message header. If you are not the intended recipient, you are hereby notified that any dissemination, copying or taking any action in reliance on the contents of this information is strictly prohibited. If you received this message in error, please notify the sender of the error and delete this message and any attachments. Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.
