I am working on everyone in our facility being on the same page when it comes to proper care and maintenance of any type of central line at our hospital.
I am running into some issues in the Emergency Room department with not accessing infusaports and wondering if anyone else is experiencing this or has any feedback.
First off it is the patients who are complaining and dissatisfied that they have a port and are being stuck multiple times to get a peripheral IV , and even sometimes getting an EJ to gain access when they have a port. Or the pt says that the ER nurse says " We will not access that because it could get infected" or....if the pt is getting intermittent chemotherapy some nurses will not access it. This is all in the Emergency room, on the "floor" the nurses will obtain an order from the MD for " line access" and utlize the line.
I understand if the pt is going to be a quick in and out visit in the ER and has good veins to do a peripheral but....if poor veins and has a port why not utilize it????
On a different situation, some patients oncology doctors tell them "never use the port for anything but chemo" then the pt has terrible veins and says the doctor says no to using the port. Meanwhile they are experiencing more harm than benefit from not using the port. What is the general consensus on this? I typically practice, if we use proper process to maintain sterility while accessing the port and proper care and maintenance technique it should be ok to utilize the line.
thanks in advance for your response,
Gina Ward, RN, VA-BC