I discourage the practice of starting peripheral IV's using the u/s at our hospital...unless it is in an emergent situation. If the patient requires an IV using the u/s, how will the their next IV need to be obtained? Would they be better off by placing a PICC or midline? We noticed an increased rate of phlebitis when we started using the u/s to start peripheral IV sites. Could it be in relation to using the non sterile u/s gel...or the inability to apply tension on the vein while holding the u/s ...or using veins that are too deep to be accessed using a peripheral IV catheter. I also ask my nurses to follow up with in 24 hours of insertion to assess if the patient needs some other form of access....and do a site check on theIV. Lynn, am I wrong for being so hesitant with this practice? What does research say? Your feed back would be much appreciated. Thanks, Laura
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