Re: ? Problem with introducer

[sandra schroeder]

This is how I have solved that problem on certain patients, take the dilator/intoducer off the wire and separate them. Go in with just the dilator and move it back and forth in the skin(dilate) then take it back off the wire and put the dilator introducer together(be sure and tighten collar<luer lock) and proceed as usual, this has always worked for me . The negative of course is taking it off and on the wire several times, but I have never had a problem using this method,of course you always see or have your hand on the wire. And I think it is the larger arms, also hope Bard begins putting 7cm dilator intoducer in all kits, I beleive yours is the 5cm which does not seem as beefy.  ----- Original Message ----- From: Nancy Sullivan To: [EMAIL PROTECTED] Sent: Saturday, October 28, 2006 12:02 PM Subject: ? Problem with introducer My question for the day. We use Bard introducer, with groshong piccs. In the past two weeks, it seems I have been having an increasing problem with getting the introducer into the vein. No trouble accessing the vein or threading the  guide wire, but when it come to advancing the introducer through the skin, I have been having major problems.  Small nick in the skin, able to get light gray part into skin and then I hit the brick wall. Haven't changed my technique. At first I thought it was just the large fatty arms, with deeper veins, but last evening, the last two piccs placed, presented me with this problem.  Is anyone having this problem now or in the past? Any suggestion as to what my problem might be. I  probably have a 99% success rate with picc insertions and this problem is troubling me. Thanks for any suggestions and for your time as I ramble on. Nancy Sullivan RN __________________________________________________ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com