We are revising our electronic documentation. We can include reference text to help a nurse accurately document the location of a PIV. I was hoping for anatomical vein pictures.  Do you or would you know a resource to help me. I did look on the ivteam website. I recall seeing a hospital use number locations on an arm, scalp, foot, however, a patient could have 2 PIV within the same number or how do you prove that the vein in area 19 isn't the same vein in superior area 15? I guess I'm thinking I would the traditional vein diagrams.
Any help would be appreciated.
First, I strongly applaud your efforts. I see far too many medical records where I can not determine where the site was actually located. My suggestion would be to purchase the book Grant's Atlas of Anatomy. It comes with a CD full of artwork and I think you will find something you can use for your documentation. I am sure there are stock photo places on line but you might pay more for the rights to use one photo or drawing than you would for the entire book and CD. The copyright information is included with the book so your lawyers can tell if you are ok on that issue.
Lynn Hadaway, M.Ed., RN, BC, CRNI
www.hadawayassociates.com
Lynn Hadaway, M.Ed., RN, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
Grants is a great resource, as is Netters, which I used. It also has electronic resources that you can get permissions for if you purchase the text.
I used a combination of Netters, and photos that I took of friends arms (and my darling husband - the carpenter), and created a visual teaching tool. I can send it to you if you'd like; it's been helpful to our units that have used it to learn the anatomical names for veins. Or - maybe I can have Sarah post it on this website.
Mari Cordes, BS RN
Mari Cordes, BS RNIII VA-BC
Vascular Access Department
University of Vermont Medical Center
Posting your "visual" teaching tool on this website would be enormously helpful
Thank you from all who will benefit from this valuable resource
Looking forward to seeing you all in Las Vegas for the AVA conference
Robbin George RN
Vascular Access Resource Department
Alexandria Virginia
Robbin George RN VA-BC
See you there, Robbin!
Mari Cordes, BS RN
Mari Cordes, BS RNIII VA-BC
Vascular Access Department
University of Vermont Medical Center
I'll post the photos that I took, but leave the Netters and other proprietary images out until I have express permission from Elsevier and others to use them in this manner.
In the meantime - I have a couple of other excellent sources:
B Braun supported in educational grant:
"Learn to reduce IV complications" - poster with vein images/names included; does not include accessory cephalic labeling, and doesn't make the Netter distinction of 30% of people having median basilic and median cephalic, not median cubital, as dominant pattern in the antecubital area. This was a supplement to "Nursing Management, the Journal of Excellence in Nursing Leadership (ISSN-0744-6314), and Journal of Infusion Nursing (don't have a date or journal number). Author: Kelli Rosenthal, MS, RN, BD, ANP, APRN, BC, CRNI
BD supported in unrestricted educational grant
On the Road to Successful IV Starts Great article, with clear anatomical drawings on page 3. Authors: Lynn Hadaway, RN, C, CRNI and Doris A. Millam, RN, MS
Contact BD/your rep.
Mari
Mari Cordes, BS RN
Mari Cordes, BS RNIII VA-BC
Vascular Access Department
University of Vermont Medical Center
Mari, be careful with passing artwork on to others. Copyright permission that you obtain for your use is not transferrable to others. The references you listed are good ones however they are also copyright protected and the individual seeking permssion to use the artwork must be contacted. In both of the pieces you mentioned, the person wishing to obtain such permission will need to contact Lippincott Williams Wilkins. Go to www.lww.com/resources/permissions/books-nursingjournals.html
Lynn Hadaway, M.Ed., RN, BC, CRNI
www.hadawayassociates.com
Lynn Hadaway, M.Ed., RN, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
Hi Lynn - apologies if I wasn't clearer. I don't want to pass artwork on to others, so I provided information about the articles so that others can contact the permission holders themselves. The only artwork I'm passing on are the photos that I took.
I'm having difficulty uploading it - I'll send to Sarah to post.
Suggestions/comments:
1. Use your A&P text/images of choice in addition to these images. Take your own photos.
2. Learn one vein at a time and work with the documentation (which I believe is easier with electronic record, but you might be able to create a form that works).
3. Knowing where veins are will improve your cannulation success, and patient safety.
4. I feel like I'm going out on a limb a bit by sharing this tool when it is a controversial and historically problematic issue for vascular access and legal nurse consultants, but I would appreciate constructive feedback. It will help me, and all of us create a better tool to help us and our patients.
Thanks,
Mari
Mari Cordes, BS RN
Mari Cordes, BS RNIII VA-BC
Vascular Access Department
University of Vermont Medical Center
Sarah had a great suggestion - instead of the pdfs I sent her, I'll create a short power point, and include information from a couple other facilities in my area that use or are implementing this practice. It will take me a few more days to get to it.
Mari Cordes, BS RN
Mari Cordes, BS RNIII VA-BC
Vascular Access Department
University of Vermont Medical Center
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