[optimal] Re: When to remove needle
- From: "Tom Steele" <tsteele@xxxxxxxxxxxxxx>
- To: <optimal@xxxxxxxxxxxxx>
- Date: Thu, 9 Jun 2011 11:12:16 -0400
Richard,
I've always taped down the infusion set and left the needle in. In the
past 36 years this has been a lifesaver for those patients whom we
needed a line for lifesaving medications. Standard policy when another
is in the room performing the injection is for them to stick around for
3 minutes just in case.
Thank You,
Tom Steele, CRA
Midwest Eye Institute
200 West 103rd Street
Indianapolis, Indiana 46290
317.817.1018
tsteele@xxxxxxxxxxxxxx
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From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx]
On Behalf Of Richard Morrone
Sent: Thursday, June 09, 2011 10:14 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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