I totally agree. Too much room for error! We discourage PIVs placed with U/S, except in the most emergent situation.If the patient is that difficult to access, a Midline or PICC (as appropriate) should be inserted. Regards,
Dianne Sim RN CEO & President IV Assist, Inc., 2675 Appian Way Pinole, CA 94564 Phone: (510) 222-8403 Fax: (510) 222-8277 Email: [EMAIL PROTECTED] Confidentiality Notice: This e-mail and any attachments are intended only for the use of those to whom it is addressed and may contain information that is confidential and prohibited from further disclosure under law. If you have received this e-mail in error, its review, use, retention and/or distribution is strictly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message and any attachments.[v1.0] -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Lynn Hadaway Sent: Wednesday, May 17, 2006 8:46 AM To: Laura Cook RN; [EMAIL PROTECTED] Subject: RE: ultrasound for peripherals I believe you are definitely on the right track for all the reasons you mentioned. There are no published studies yet of catheter outcomes when US has been used. I also agree that if veins are this difficult to locate and access, another type of vascular access is indicated both for clinical and financial reasons. Sure wish someone would publish on this! Lynn At 10:39 AM -0400 5/17/06, Laura Cook RN wrote: >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 > > >----------------------------------------- >This message and any included attachments are from CaroMont Health >Inc. and are intended only for the addressee(s).The information >contained herein may include trade secrets or privileged or >otherwise confidential information. Unauthorized review, >forwarding, printing, copying, distributing, or using such >information is strictly prohibited and may be unlawful. If you >received this message in error, or have reason to believe you are >not authorized to receive it, please promptly delete this message >and notify the sender by e-mail with a copy to [EMAIL PROTECTED] -- 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
