Thanks for the comments!
I will also clarify one fact that I guess I did not go into enough detail.
The patient did have Five lines placed but, I only placed the last two before I
decided not to attempt another placement. The other attempts were placed at a
local hospital before discharge. I usually have a limit of two placements
before refusing placement of a third. Hey anyone can accidentally pull a line
out. And the staff does have a tendency to pull out a few as well during turns
or clothing changes. There is always the possibility of catching it on the bed
rail or pulling it off with your shirt. And the notorius It got wrapped up in
the wheel of the wheel chair.
As for Tim's comment about blanket statements, I respect that statement as I
respect every statement or comment that you all make. Hey, I asked you right?
If I knew everything I would not have to ask! But, of course we all have
different talents, skills, mindsets and practice's that govern our line of
work. We do not all work in the same settings, even if alot of us work in the
same field. We all use Critical Thinking skills. It is my Mantra!!!! But we
may have a different view than someone who works in a different setting.
So, I will round it up by mentioning that after careful consideration and
listening to a wise (LOL) IV Nurse. The Doctor had a change of heart and took
the advice of a pharmacist and IV Nurse and placed the resident on Zyvox. You
see in this situation, the critical thinking from me was that the patient was
so confused as to think it was something he could fix. He was tinkering with
the line. Trying to come up with a way to fix his lock. I did not use a
blanket statement ie, I never place more than one line or two or three or
however many lines. I used the resident's judgement and his situation to
decide that the outcome may very well be detriment to his self. I used the
advice of everyone that wrote a comment or had a question. And, I considered
the fact that they were alternative options for this resident.
All in all, Thank you for your comments and suggestions. I read each and every
one and considered them carefully. In the end, I did what I felt was in the
best interest of the resident. And if the alternatives do not work and he
needs another line, I will take that in consideration also and possibly place
the line with the addition of using your insightful comments and suggestions.
Thank you ALL!
Randy
--
Randy Ross R.N., B.S.N.
IV Nurse Consultant,
President & C.E.O.
IV's Etc... LLC
Vascular Access
& Consulting
Ph: 317-541-6463
Fax: 317-894-7709
Email: [EMAIL PROTECTED]
Website: www.IVsEtc.com
