[optimal] When to remove needle

  • From: Richard Morrone <rmorrone@xxxxxxxxxxx>
  • To: optimal@xxxxxxxxxxxxx
  • Date: Thu, 9 Jun 2011 07:13:35 -0700 (PDT)





Hello all,
 
After decades of performing FA's I have recently received resistance from 
nursing at one facility regarding my request that the nurse not remove the 
butterfly during the first minute or two so as not to distract the patient 
during the rapid sequence of flashes in an FA.
 
I have had patients look down at the arm or be startled or even say "ouch!" 
when the needle is pulled.  Nursing does not believe that that would occur.
 
They seemed concerned about the metal needle of our 23g butterfly being left 
in, and they want to remove the needle immediately after injecting.  They said 
that to do otherwise would put the patient at risk.  So much for getting the 
A-V phase with all of that activity occurring.
 
I could suggest the use of angiocaths (with the soft plastic needle/sleeve) to 
address the metal needle concern, but they do cost more.
 
Does anyone have a sample protocol that mentions when the "needle" is 
removed?   Or... can you just describe your procedure?
 
Thanks,
 
Richard Morrone, C.R.A.

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