tag:blogger.com,1999:blog-25200961.post8206173851857192909..comments2024-03-14T09:50:40.819+00:00Comments on Dr Grumble: Cannulas and cathetersDr Grumblehttp://www.blogger.com/profile/04417731064007601504noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-25200961.post-85776625053615246792008-09-11T18:25:00.000+01:002008-09-11T18:25:00.000+01:00The ward really has no right to insist on treatmen...The ward really has no right to insist on treatments that are not necessary - common though that may be. How can that problem be addressed?Dr Grumblehttps://www.blogger.com/profile/02459592334604944530noreply@blogger.comtag:blogger.com,1999:blog-25200961.post-71009592292439815762008-09-11T14:55:00.000+01:002008-09-11T14:55:00.000+01:00"The main problem is not that they are put in..."The main problem is not that they are put in and never used but that they were not taken out"<BR/><BR/>That happens much less o. Infact the opposite sometimes happens. Jobsworth nurses take out cannulas day and night at the 72hour mark regardless of whether there is anyone around who is available to put another in, nor whether the person actually has veins.<BR/><BR/>As for A&E, as an A&E guy myself the whole practice really narks me. Because I know damned well that half my patients don't need a cannula, but the ward will not accept without. The ward nurses often seem to equivicate 'oral medication' with 'able to go home with medication'.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-25200961.post-7129370574006021762008-09-09T19:51:00.000+01:002008-09-09T19:51:00.000+01:00I do agree that when a patient arrives things can ...I do agree that when a patient arrives things can be so uncertain that IV access is desirable. We have all seen the the infarct with pain in the wrists. The main problem is not that they are put in and never used but that they were not taken out.Dr Grumblehttps://www.blogger.com/profile/02459592334604944530noreply@blogger.comtag:blogger.com,1999:blog-25200961.post-37127161970648885152008-09-08T18:10:00.000+01:002008-09-08T18:10:00.000+01:00there is no problem with fitting cannulae that are...there is no problem with fitting cannulae that are not used, as long as once it is realised that they are not going to be needed they are removed,<BR/><BR/>however lots of patients come into AE with an unknown diagnosis and it is not known on admission whether the cannula will be needed,<BR/><BR/>the risk of going too far the other way is that when people are not sure of a diagnosis and the patient 'appears' stable, a cannula will not be put in,<BR/><BR/>when these patients become unstable and decompensate the lack of IV access will not be beneficial,<BR/><BR/>the better solution is to encourage better nursing and checking to make sure that once a diagnosis is made and a patient does not definitely need the access, it is removedGarth Marenghihttps://www.blogger.com/profile/07373175498875348430noreply@blogger.com