I have no option since I do the injections. I remove it after the transit, before the lates, and have never had a problem. It is good to know that we do have a line in case we need it. Rhonda From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of sandor ferenczy Sent: Thursday, June 09, 2011 9:37 AM To: optimal@xxxxxxxxxxxxx Subject: [optimal] Re: When to remove needle 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. The materials in this email are private and may contain Protected Health Information. If you are not the intended recipient, be advised that any unauthorized use, disclosure, copying, distribution or the taking of any action in reliance on the contents of this information is strictly prohibited. If you have received this email in error, please immediately notify the sender via telephone or return email.