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Cindybr76
J-tip

Hello Everyone,

I organization is looking at using J-tip for IV insertion. We currently use painease. I thought this would be a great opportunity on doing a literature review and implement a evidence base practice using the J-tip. Does anyone have done this before any literature of guidance would be greatly appreciated. Thank you in advance.

lynncrni
 Are you asking about using

 Are you asking about using the new peripheral IV catheter with a stylet wire inside it for insertion? If so, I have not seen any studies published on outcomes with insertion of this device yet. It has only been on the market for less than a couple of years. Devices are not usually required to have clinical studies prior to clearance by the FDA. So devices like this are being sold on the US market and then the studies are done years later. Then once the research is done, it may take another year to get it actually published. So I think it is too soon to expect studies on this peripheral wired device. 

If you are talking about using the J tipped guidewire for insertion of a CVAD, that is accepted standard of practice and has been for many, many years. Those studies would be so old that you would need to go back to the literature from the 1970's or early 80's to find them. Lynn

Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

kejeemdnd
I think this is about the new

I think this is about the new needleless injectable Lidocaine that is gaining popularity in especially the pediatric population. I know there has been discussion about using it over ports prior to accessing. I would be curious to see if anyone has this information as well. Since it is needleless, it seems like a great alternative to topical lidocaine, ethyl chloride spray, and ice. I believe that UC San Francisco was studying it in their pediatric populations, and they have implemented the product. They now offer the J-Tip to all peds prior to IV starts. Many swear by it, but some don't think it makes a difference.

Keith W. Gilchrist, MSN, RN, PHN, OCN, CRNI, VA-BC
Oncology Nurse Navigator, David Grant Medical Center
Travis AFB, CA

lynncrni
 Could be, forgot about that

 Could be, forgot about that device. Lynn

Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

VirginiaPohlod
T-Tip

Our facility and many pediatric hospitals use the J-Tip system which injects buffered lidocaine through the skin using a CO2 injector cartridge so - no needles- some roadblocks are that there have been shortages of the sodium bicarb buffering agent and the pharmacy usually ends up filling the injectors- it is also more expensive than creams- it has a short shelf life and expiration before use can be a problem- the J-Tip works instantly and several can be used sequentially based on body weight. It is a great product-parents and kids ask for it once they have experienced it. It should not be used over port sites due to the mechanism of action (jet injection)- also contraindicated in patients with bleeding disorders- we do not use it in our hem onc population.

  Virginia Pohlod, ARNP, CRNI, MS- All Children's Hospital, St. Petersburg, Florida

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