[optimal] Re: When to remove needle
- From: Ray Gardner <raygardner99@xxxxxxxxx>
- To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
- Date: Thu, 9 Jun 2011 11:35:41 -0500
I agree with leaving it in especially high risk patients. History of previous
reactions or new patients I leave the needle in until done or five minutes.
Established patient who have had one before I feel safe removing it after two
minutes. In the case of the nurse removing the needle to soon, I would not
perform another test and have a frank discussion with the Docs or
administrative staff. It put you at great risk of being involved in a lawsuit
or forfeit you credentials. Just saying!
Sent from my iPhone
On Jun 9, 2011, at 10:12 AM, "Tom Steele" <tsteele@xxxxxxxxxxxxxx> wrote:
> 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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