Hi all.Â At my facility, we've been having an issue with our School of Nursing.Â My supervisor and the Telemetry Unit supervisor are behind me 100%.Â So here's the issue:
At our hospital, we have put a great deal of time and energy into educating our floor nurses on care of central lines, including drawing blood.Â We have gone for almost 2 years without a central line associated bloodstream infection, so I'd say we're doing pretty well.Â It's set up now that RNs must be signed off on a competency in order to be able to draw blood from a central line.Â All new hires are getting the education in orientation and we are, at least a few times a year, rounding and educating again and again.
Also, floor nurses are not permitted to insert IVs unless they have spent a day (at least) with the IV Team and have been authorized, that is, had 8 successful sticks.Â This authorization is usually for critical care and night shift nurses, but available for anyone interested.Â Otherwise, our IV Team is available 16 hours a day for all starts/restarts and any vascular access issues.
The problem is that our school of nursing is encouraging their instructors to do and/or supervise theÂ SNs doingÂ central line blood draws and IV insertions.Â This is of great concern as the instructors themselves do not have the education that we give everyone else in the house, and accordingly, the students do not either.Â We feel that this is something that they should not be doing, as we all know there is plenty else to learn and some of the tasks would be better left to when they've graduated and are on the floors.Â Last semester, after attempting to reconcile this issue many other ways, I emailed the director of the school to see if there was some way we could work it out.Â My email went unanswered.
Now, a new class of SNs is starting and the issue has again come up.Â My supervisor asked me to do a little research and find out what the other hospitals in our system are doing.Â I'm taking it one step further (because the other IV Teams aren't quite as involved in policy and procedure as we are) and asking all of you - the experts.
Are your SNs allowed to do central line blood draws or IV insertions on a regular/telemetry unit?