[optimal] Re: When to remove needle
- From: "Eric Kegley" <ekegley@xxxxxxxxxxxxxxxxx>
- To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
- Date: Fri, 10 Jun 2011 22:55:08 -0500
I do ALOT!! :-)
Eric Kegley, CRA, COA
Retina Consultants of Houston
6560 Fannin St., #750
Houston, TX 77030
Sent from my Palm Pre on AT&T
On Jun 10, 2011 9:57 PM, Michael R. Turano Jr. <turano@xxxxxxxxx> wrote:
Or 20 for 9.25 years
Or 40 for 4.625 years
Math is fun.
Michael R. Turano, Jr., CRA, OCT-C
Imaging Specialist
C 917.826.9506
F 917.591.1841
turano@xxxxxxxxx
Sent from my iPhone
On Jun 10, 2011, at 9:49 PM, Medphoms@xxxxxxx wrote:
> Is that the right math? 60,000 is roughly 10 FA's every day for 18.5
years.
>
> In a message dated 6/9/2011 3:16:25 P.M. Central Daylight Time,
ekegley@xxxxxxxxxxxxxxxxx writes:
> We typically "deneedle" the patient after the early phase of the
angiogram, approx. 1 minute after the start of the injection. I personally have
done close to 60000 FA's without complications in the last 18.5 years.
>
> EK
>
>
>
> Eric Kegley, CRA, COA
> Retina Consultants of Houston
> 6560 Fannin St., #750
> Houston, TX 77030
> Sent from my Palm Pre on AT&T
>
> On Jun 9, 2011 2:46 PM, Peterson John C <JPeterson@xxxxxxxxxxxx>
wrote:
>
> You remove a butterfly needle once the syringe is empty because a
butterfly needle is not intended for extended placement. Two minutes seems
not unreasonable. We've had no problems taking it out right away, and our
skittish patients are happy to hear us say "needle's out!". Flinching has never
been an issue
>
> Just my inflation-adjusted 3 cents....
>
> ********
> 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 Ethan Priel
> Sent: Thursday, June 09, 2011 1:49 PM
> To: optimal@xxxxxxxxxxxxx
> Subject: [optimal] Re: When to remove needle
>
> Follks,
>
> We have been using metal butterflies for decades. Thousands a month.
>
> We use the plastic catheters for all first-timers, anyone with history of
allergy or serious medical conditions.
>
> We NEVER take the needle out 'immediately' for the highly-intelligent
reasons listed earlier –
>
> - Secure open vein in case
> - Discomfort that can cause patient to balk (I guess the Bostonians
are hardier stock)
> - If it ain't broke, don’t fix it.
>
>
> Now, I think that the sharp is in the other court –
>
> WHY take the needle out right away ?
>
> Ethan
>
> 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
Other related posts:
