3 months ago
To the nurses/medics out there, why do you like using the AC so much for IV access? My favorite spots to insert IV access are the forearm and hand. Why do I like these access points so much? It allows for more flexibility on the arms and range of motion. How many times have ACs blown because of patients flexing and extending their arms? I’ve seen It a lot! It’s a different story for emergency access or your protocols for AC insertion (example for an amiodarone drip or bonus). Here’s an example of my scenario why I like a hand/forearm. - - I have a patient admitted with sepsis. They have a BP or 85/40 a temp of 39 Celsius, RR of 26, and a HR of 120. They have vancomycin, lactated ringers, and Zosyn ordered and I insert 3 IVs in the forearm and have all of them running at the same time (due to comparability issues and the person has a great EF of 65%, but we always treat sepsis as a priority.) How many times have you seen vancomycin go bad in the AC joint? It’s considered a vesicant drug and can cause tissue necrosis. I have seen this happen way too many times because of people flexing their arms when an IV is inserted in the AC. - What do you guys think of having IV access in other locations other than the AC (emergency situations, protocols, and the only access is a different story).