Please note that my response was to a posting that someone had said they initiated a new IV catheter and the nurses didn't like it and the implementation was not going well. I was simply sharing our experience about why the nurses didn't like our switch. My underlying message was to compare the before and after catheter as there may be some physical differences that will require technique differences.
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] -----Original Message----- From: Tim Talbert [mailto:[EMAIL PROTECTED] Sent: Monday, May 22, 2006 12:51 PM To: [EMAIL PROTECTED]; [EMAIL PROTECTED]; Fritz, Donna; Lynn Hadaway; [EMAIL PROTECTED] Subject: RE: secure IV It was a big surprise to me when I started actually watching veins in real time on the US screen as I poked them with needles. I was amazed at how much they compress under the needle before being punctured. They are much tougher than I imagined. Many times the vein will completely collapse under the needle, and continue to deflect downward, until finally the needle penetrates the wall. And this is with the small sharp needle of the micro introducer, with no catheter on it to hang up on the vein wall. This effect is probably much less with the low insertion angle of the PIV insertion. I suspect the experience of the "pop" is probably more a factor of the attention and awareness of the nurse and the condition of the vein than differences from catheter to catheter. Tim >>> "Lynn Hadaway" <[EMAIL PROTECTED]> 5/22/06 >>> 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] > >-----Original Message----- >From: [EMAIL PROTECTED] >[mailto:[EMAIL PROTECTED] Behalf Of >[EMAIL PROTECTED] >Sent: Sunday, May 21, 2006 1:22 PM >To: [EMAIL PROTECTED]; [EMAIL PROTECTED] >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 > >-----Original Message----- >From: [EMAIL PROTECTED] >To: [EMAIL PROTECTED] >Sent: Sat, 20 May 2006 19:31:28 EDT >Subject: secure IV > >.AOLPlainTextBody { FONT-SIZE: 12px; MARGIN: 0px; COLOR: #000; >FONT-FAMILY: Tahoma, Verdana, Arial, Sans-Serif; BACKGROUND-COLOR: >#fff } .AOLPlainTextBody PRE { FONT-SIZE: 9pt } .AOLInlineAttachment >{ MARGIN: 10px } .AOLAttachmentHeader { BACKGROUND: #f9f9f9; >BORDER-BOTTOM: #e9eaeb 2px solid } .AOLAttachmentHeader .Title { > PADDING-RIGHT: 0px; PADDING-LEFT: 10px; BACKGROUND: #e9eaeb; >PADDING-BOTTOM: 1px; FONT: bold 11px Tahoma; COLOR: #666666; >PADDING-TOP: 3px } .AOLAttachmentHeader .FieldLabel { > PADDING-RIGHT: 10px; PADDING-LEFT: 9px; PADDING-BOTTOM: 1px; >FONT: bold 11px Tahoma; COLOR: #666666; PADDING-TOP: 1px } >.AOLAttachmentHeader .FieldValue { FONT: 11px Tahoma; COLOR: >#333333 } >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 > >***************************************************************************** >This communication is for the use of the intended recipient only. It may >contain information that is privileged and confidential. If you are not the >intended recipient of this communication, any disclosure, copying, further >distribution or use thereof is prohibited. If you have received this >communication in error, please advise me by return e-mail or by telephone and >delete/destroy it. >***************************************************************************** -- 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 Notice from St.Joseph Health System: Please note that the information contained in this message may be privileged and confidential and protected from disclosure. ***************************************************************************** This communication is for the use of the intended recipient only. It may contain information that is privileged and confidential. If you are not the intended recipient of this communication, any disclosure, copying, further distribution or use thereof is prohibited. If you have received this communication in error, please advise me by return e-mail or by telephone and delete/destroy it. *****************************************************************************
