Re: CT Scans

[dmam]

We have had this same problem for over a year. There has been no policy from 
radiology, nursing or the I.V. Team. I have taken matters into my own hands. I 
insist that an order be written that states where the I.V. must be placed, the 
name of the test (usually CTPA) and (most importantly)that it be removed when 
the Pt. returns to the floor. Basically, it's only to be used as a procedural 
catheter.
When there is not an appropriate vein to place a 20ga. angiocath. I write a 
note in the chart stating that I'm unable to place the catheter and that the 
Pt. is a poor candidate for such a catheter. I also suggest that an alternative 
method of venous access be obtained for the test.
This gets me off the hook, but some Pt.'s still must under go the wrath of an 
intern or resident who feels their skills and expertise are above mine.
Peter Marino RN BSN

We have had this same problem for over a year. There has been no policy from radiology, nursing or the I.V. Team. I have taken matters into my own hands. I insist that an order be written that states where the I.V. must be placed, the name of the test (usually CTPA) and (most importantly)that it be removed when the Pt. returns to the floor. Basically, it's only to be used as a procedural catheter.

When there is not an appropriate vein to place a 20ga. angiocath. I write a note in the chart stating that I'm unable to place the catheter and that the Pt. is a poor candidate for such a catheter. I also suggest that an alternative method of venous access be obtained for the test.

This gets me off the hook, but some Pt.'s still must under go the wrath of an intern or resident who feels their skills and expertise are above mine.

Peter Marino RN BSN

Same problem here.  Some of the problem alleviated with power PICC, but still a very big problem.  They just do not understand that the Infusion Nurses cannot make a vein materialize on some patients.  Very frustrating!     Heather Nichols RN BSN CRNI Infusion Services University of Louisville Trauma Institute 530 S. Jackson St. Lou. Ky. 40202 (502)562-3530 >>> <[EMAIL PROTECTED]> 5/6/2006 9:00 PM >>> Marcella In our hospital we are getting the same requests. We have no choice but to place a line when possible. As we all know there are some pts for whom we can not do this. So far we have not been able to open a constructive dialogue with radiolog about this issue. Carol Gosselin Providence Ri ----------------------------------------------------- Confidentiality Disclaimer This message, including any attachments, is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law, including PHI (Protected Health Information) covered under the Health Insurance Portability and Accountability Act (HIPAA) of 1996.  If you are not the intended recipient(s), you are notified that the dissemination, distribution, or copying of this message is strictly prohibited.  If you receive this message in error, or are not the named recipient(s), please notify the sender or contact the University of Louisville Health Care I.S. helpdesk at 502.562.3637 to report an inadvertently received message. -----------------------------------------------------