RE: ? Problem with introducer

[Nauman, Tanya]

For quite a while, I was able to advance the introducer/dilator into the skin and vein without nicking the skin--except in very young, "good" skin.  But lately, I have had to nick for every insertion.  I've wondered if Bard was making the introducers differently. Tanya I.V. Support SHMC Eugene, OR From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Elizabeth Harmon Sent: Saturday, October 28, 2006 4:53 PM To: Nancy Sullivan; [EMAIL PROTECTED] Subject: Re: ? Problem with introducer You are not the only one having this problem.  It seems like the dialator/introducer is lighter in make up.  Paul has this changed?  I know that the dialator in the 3.5Fr kit is very pliable but the 4.5 and 5 dialators were more substantial.  It takes a bit to get it though the the tissue into the vein.  I find that I have to sometimes work very hard on dialating the vessel in order to get the introducer in the vessel.  I'll also take suggestions.  It's troubling to have a very high success rate and run into this problem. I may have to look for another kit if this continues.   Thanks also for suggestions.  Just wanted to let you know you were not the only one out there.   Betsy Harmon RN CRNI Vascular Access Team Critical Care Unit Alaska Native Medical Center Anchorage, Alaska [EMAIL PROTECTED]  ----- Original Message ----- From: Nancy Sullivan To: [EMAIL PROTECTED] Sent: Saturday, October 28, 2006 11:02 AM 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 ___________________________________________________________ This message is intended solely for the use of the individual and entity to whom it is addressed, and may contain information that is privileged, confidential, and exempt from disclosure under applicable state and federal laws. If you are not the addressee, or are not authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, distribute, or disclose to anyone this message or the information contained herein. If you have received this message in error, immediately advise the sender by reply email and destroy this message.