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Inraosseous Devices

Our hospital is purchasing I/O devices and placing them  in ED and code responders posession.  Is anyone using them in rapid responses or are we all following the standard and placing them only in life-threatening situations.  Our "team" is pushing to use them in rapid responses.  I think this is too much.


Dianne Sim RN VA-BC
If you wouldn't mind, I

If you wouldn't mind, I would also like to know which teams are doing intraosseous and jugular placements (straight stick / tunnelled?; internal or external jugular), who trained and precepted them?

I understand that, like the triple lumen PICCs we place, only about one percent of the patients are eligible for placement of these advanced accesses (from a risk / benefit point of view). However as our population becomes increasingly elderly and sick, there are more occasions when it would not only be handy but life-saving to have these skills in your bag of tricks.

Who better to utilize these accesses than a highly educated, skilled vascular access consultant (when the situation warrants)!?!

 Dianne Sim RN

CEO & President,

IV Assist, Inc

Dianne Sim RN, VA-BC, CEO; IV Assist, Inc.

Glenda Dennis
Our ER staff are the only
Our ER staff are the only ones doing interosseous and jugular lines at this point.  They seem a little extreme for most rapid response calls.  I would like to learn EJ placements for PICC's.  I probably wouldn't use it often but I have had two patients who needed long term antibiotics and had no arms. 
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