I know there's another thread about this, but I just stumbled across this at work and it really makes me wonder. How often do docs and nurses end up in lawsuits and get hung because of poor wording??? Just read the following in a progress note:
"Megan is the young lady status post traumatic pancreatitis from a horse stepping on her status post laparoscopy and central line placement yesterday."
Strong kid to be riding a horse POD1 s/p lap & cvl placement! lol
and no one told me we had horses in the hospital!! hmpf.
Nov 24, '01
Hehe. I dunno but I want to work with that doctor...if he put in a central line on a young woman with pancreatitis s/p laparoscopy. We can't persuade the docs to put in a central line on 89-year-old not-a-vein-left-in-their-body s/p colectomy for perforated gut. Just run that dopamine & levophed thru the 22g in their right hand.....
Nov 24, '01
It was a kid, Zee. They're pretty good about putting them in our kids for long term therapy; if they're not a PICC candidate.
Nov 29, '01
This thread made me think of something-back in the mid 80's when I worked ICU stepdown, and in the late 80's when I worked ER, triple lumen subclanians were almost de riguer. We used a LOT of them, because we had a lot of sickos, and traumas.
When I began working ER in GA, I rarely saw a triple lumen used. I worked some in ICU, and they were not used much there, either. The patients poor arms were riddled with ecchymoses. In the ER we were able to get double lumen ANGIOCATHS. We used them for our MI's that were getting TPA-they had to have 4 seperate access sites. Try that on some folks arms, and you've done a day's work by the time you find 4 viable sites!
My question-is it traditional everywhere these days to use peripheral lines? When I had a hemicolectomy in '95 they gave me a choice. Believe you me, I took the triple lumen. Had nary a problem!
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