[optimal] Re: When to remove needle
- From: sandor ferenczy <sandorferenczy@xxxxxxxxx>
- To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
- Date: Thu, 9 Jun 2011 10:37:12 -0400
I've always had the needle removed immediately following the completion of the
injection. most of the time after the transit, when the patient sits back to
breath, I tell them the needle it all gone and their response is "really? that
was easy."
honestly, digital photography and the image popping up on the screen has caused
me more lost transits than removal of the needle (sadly, even with the screen
turned away from the patient, their eyes still dart screen-ward after every
flash)
-sandor
On Jun 9, 2011, at 10:13 AM, Richard Morrone <rmorrone@xxxxxxxxxxx> wrote:
>
> 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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