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cheryl gordon
Unconventional PIV sites
Our IV team has discovered PIV being placed in superficial veins of the chest.  It seems we have a few ER nurses who are placing the IV's in veins that are visable in the upper chest and most recently on the lateral side of the chest below the axilla.  I am very concerned with this practice as we find these IV's on the inpatient wards during our rounds.  I am of the belief that in an emergency it would be preferred to place on EJ or central line.  Does anyone have any litature that I could present to the staff that would state why this is not a safe practice.
lynncrni
Go to my website listed

Go to my website listed below. Click on Clinical Articles from the home page. Look for one titled Peripheral Catheters in Atypical Locations. This should provide some information for you. It was published in the Catheter Connection column of JAVA a few years ago. You are quite correct to be concerned.  

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

www.hadawayassociates.com

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

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

lynncrni
Lynn Hadaway, M.Ed., RN, BC,

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

www.hadawayassociates.com

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

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

lynncrni
In doing some research

In doing some research today, I found an article that addresses a 18 g catheter placed in the chest/shoulder area. Thought you might like to know this reference:

Anesth Analg. 2007 Oct;105(4):1130-1, table of contents.Click here to read Links

Detecting an infiltrated intravenous catheter using indigo carmine: a novel method.

Department of Anesthesiology, Duke University, Duke University Medical Center, Durham, North Carolina, US

 

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

www.hadawayassociates.com

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

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

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