RE: secure IV

[Lynn Hadaway]

Title: RE: secure IV

Catheters that allow one to feel the pop when the vein is entered may be increasing the chance of vein damage. Think about what that pop feeling represents - the vein wall resisting the stylet/catheter entry causing the nurse to apply more force and possibly more trauma. No pop means that the sharp stylet is slicing through the vein wall with less resistance. While some may be dependent on the pop feeling, I think the sharper ones are better for the patient. Lynn

At 8:49 AM -0600 5/22/06, Fritz, Donna wrote:

It is extremely important for an IV specialist or whoever writes  the IV policies at your institution to compare the catheters (previous vs. new) to see what the physical differences are prior to throwing it out to the nurses to use on patients.  Our last change did not go well.  The stylet exposed at the tip of the catheter was a bit longer than the previous one and it was sharper, so nurses did not feel the pop as it went into the vessel.  Plus, it was more flexible.  So, we ended up with 2 specific insertion problems:  1) nurses went right through the vein because they couldn't feel the pop, or 2) they had problems threading the catheter because of the longer stylet--the catheter tip wasn't yet in the vein.  And they didn't like the more flexible catheter--too much bend during insertion although we don't know what specific problems this caused.

 

It was difficult to convince our value analysis folks that just because something was a few cents cheaper on the front end didn't mean it was less expensive overall.  Patient satisfaction and inservicing for nurses all take its toll overall.

Donna Fritz, MN, RN, OCN
Oncology Clinical Nurse Specialist
The Reverend Roger Patrick Dorcy Cancer Center
St. Mary-Corwin Medical  Center
719.560-5215
[EMAIL PROTECTED]

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Subject: Re: secure IV

I have seen this catheter, and wondered about it. I would love to hear any feedback from any users. Elvie, I would also like to hear your nurses' specific complaints. I have found that a lot of nurses complain about a new IV catheter until they get used to it. Perhaps it is just a question of adapting to a difference in feel. Please share any information you get.

Leigh Ann

 
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Sent: Sat, 20 May 2006 19:31:28 EDT
Subject: secure IV

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Hello everyone,

We are trialing a new peripheral IV catheter called "secure IV", no blood out after catheter insertion, the idea is great but our nurses just don't like it, I don't know if it is design or technique.Does anyone out there using it? Can  you share us your insights???

thanks,

elvie balinsat

sacramento,CA

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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