[optimal] Re: When to remove needle
- From: sandor ferenczy <sandorferenczy@xxxxxxxxx>
- To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
- Date: Thu, 9 Jun 2011 15:45:43 -0400
#1 would be that is what the docs/RNs want. they out rank me, and handle the
emergencies if they arise, so I yield to them.
#2 would be discomfort to patient. a 23g slips out without a notice. why not
pull it out?
we have oral benadryl and epi pens (intramuscular) neither need venous access -
and we have used both. we do have IV benadryl, but have never needed to use it.
EMT response is pretty quick for us, probably under 10 minutes, and like others
have said, our 23 gauge hole tends to be useless for them anyway. as one of my
previous retina docs said (he worked his way
through med school as an EMT) "I've started external jugular caths on dead
people, not a big deal.".
-sandor
> Now, I think that the sharp is in the other court –
>
>
>
> WHY take the needle out right away ?
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>
> Ethan
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>
> From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On
> Behalf Of Cavicchi, Robert
> Sent: 09 June, 2011 17:32
> To: optimal@xxxxxxxxxxxxx
> Subject: [optimal] Re: When to remove needle
>
>
>
> We use the same procedure as John describes below…
>
>
>
> Removal of the needle immediately following the injection and we don’t have
> any patient complaints about stinging/pain.
>
>
>
> No problems acquiring the A-V phase either.
>
>
>
> bob
>
>
>
> From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On
> Behalf Of Peterson John C
> Sent: Thursday, June 09, 2011 10:27 AM
> To: optimal@xxxxxxxxxxxxx
> Subject: [optimal] Re: When to remove needle
>
>
>
> We always remove the needle right away. I believe that some of the "ouch" you
> describe is the sting from FA dye left in the needle. We routinely draw back
> a bit of blood to clear the dye out of the needle bore.
>
>
>
> No complaints from our patients so far.
>
>
>
> ********
> John C. Peterson, BS, CRA
> Director of Ophthalmic Photography Services
> UW Health Eye Clinic
> 2880 University Ave., Rm. 246
> Madison, WI 53705
> (608) 263-7163
>
>
>
>
>
> From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On
> Behalf Of Richard Morrone
> Sent: Thursday, June 09, 2011 9:14 AM
> To: optimal@xxxxxxxxxxxxx
> Subject: [optimal] When to remove needle
>
> 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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