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Thursday, April 12, 2012

Hospital Visit

Went to visit a friend at the hospital .... his IV was inserted upside down!  The catheter was facing the hand and infusing against the blood flow.  It was near the elbow.  When the nurses came in, I asked them if there was some new scientific reason for inserting the catheter upside down, she said, "the blood goes every which way so it doesnt matter, the nurse taking over agreed".  

Now the catheter should be pointing in the direction of the heart because that is the way the blood flows, also veins have valves, this keeps the blood flow from going in the other direction.  Again their is a possibility of trauma to that valve, stasis .... could lead to a clot.
But apparently the hemodynamics are not taught to medical nurses any more?  At least it doesnt seem so in room 427 at Sierra.  The nurses didnt have a penlight to trans-illuminate the site for infiltration.  When the IV site is infiltrated the light is reflected by the fluid and a big circle of light is apparent.

I wonder what the Texas Board of Nurse Examiners would say about this?  That Stephanie, RN wasnt wearing a name tag.  Im very surprised by the absence of supervision.

Coming to think about it I cant say that I ever heard or read that the IV should be pointing to the heart ....maybe I was doing it wrong all those many years.

The doctors parking is directly in front of the hospital, two rows, than the patient parking, I'm sure the handicapped parking is there somewhere.

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