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Any ideas for coping with needle sticks?

Oct 08, 2015 3:37 PM

I know this might sound kind of weird, but when I went in this morning for an antibiotic infusion. 2 totally blown veins in the left arm. At this point, will not let them use the right arm because I have crappy veins all together and need to save some for surgery. I believe they are going to put a saline lock in tomorrow that should hold over the weekend(I hope). Just kind of tired of feeling like a gosh darn pin cushion already this year. Oh, and should I ask for the IV therapy team to do the IV start or anesthesia to do it?

Oct 08, 2015 3:55 PM

Amanda are you EXTRA hydrated? It is much harder to stick someone that is dehydrated. Also you can ask them to wrap limb being used with a very warm blanket to help bring to vein up. If you have veins that roll or blow easily maybe see if the antibiotic can be infused through a butterfly venipuncture kit. They are smaller and not always able to be used depending on infusion volume and rate. This will cause the infusion to take longer. Also if your veins are real positionable meaning they are thinner and roll, sometimes taping the IV with a loop to secure it so there is no tension on the line. Try taking a distraction device like an Ipod with a good playlist set up, so you are not moving like flipping pages in a book or magazine or texting. It is a tricky situation because you certainly do not want a surgical port with your MRSA. Good luck. That's all I got I hope it helps you. Drink lots of water before next infusion.

Oct 08, 2015 4:50 PM

LMB, yes I always try to have at least 2 24 oz bottles of water and a Gatorade before going in. I never even thought about asking her to use a butterfly needle. Duh on me!!!! Also, in regards to the IV team, I meant for my upcoming surgery. Never have any luck with the preop nurses doing the start. Otherwise, they are going to have fun with my veins on the 27th. Lucky me!

Oct 08, 2015 7:28 PM

Don't be a pin cushion. Demand the IV team. Just let the pre-op intake team know before your procedure. Save yourself from unnecessary pokes.

Oct 09, 2015 2:34 PM

LMB, they have also got me on a saline lock for the infusion this weekend so no sticks. They did try to double stick me this morning for 2 different sets of labs. My response was "One or the other, but not both."

Oct 09, 2015 4:29 PM

Make sure they keep that line flushed and you should be fine.

Oct 09, 2015 6:48 PM

Amanda, I have always let the nurses In the holding area start my IV. I only stopped a nurse once when she stuck me 4 times!! I wouldn't let anyone else do it either so the put it in when I got to the OR and then they sedated me I was glad they gave me somethin because I'm a big chicken and need some sedation to pull me through. I find that the nurses are usually better than the doctors do. I think it's because they do all the work and the doctor takes all the glory!!! ((Don't get me wrong, I have come across some bitchy nurses but after all, they take abuse from the patiets and doctors just the same). You, my friend are going to be just fine. I can tell. Don't worry, you're string and have a great head on your shoulders and you are going to be awesome!!! By the way, I'll be sending you positive vibes and great big {{{{Hugs}}}} from my heart direct to yours

Oct 09, 2015 7:00 PM

Amanda you might ask for a pic line to be put in, it would be permanent and no more sticks except at the port. You would get all I V's and if I am not wrong they can even draw blood from it. If I am wrong some of the nurses correct me.I hope you have a good weekend. You will do great. Will keep you in my prayers. Sending hugs your way.

Oct 09, 2015 7:20 PM

Weezie, the only concern I have with the PICC line Is the MRSA in my system given that I'm a carrier. I could ask but I don't think the surgeon would go for that, although it would make life easier for me!

Oct 09, 2015 7:40 PM

Amanda he may not go for it, but it's just as dangerous for anyone drawing blood or starting a IV. It seems like it would lessen the danger going into the port. I took care of a patient with one and I don't remember ever seeing any blood coming out of the port I could be wrong.

Oct 09, 2015 7:56 PM

Amanda, I was going to suggest hydration and the butterfly kit, because my veins do the same thing now. They didn't 10+ years ago. I talk and turn away, and I also tell them not to warn me, just do it or I tense up. I oppose it went well for you today! LMB... Great minds think alike! 🙏🌼

Oct 09, 2015 9:35 PM

Our. Rule was the max of two pokes and if not call for supervised who called for I've team to come in
Good luck

Oct 10, 2015 7:52 AM

Star I believe at this point, when I go back to the surgeon, I'm going to ask him to consider a port my veins are not happy right now and I'm exhausted with frequent sticks already.

Oct 10, 2015 8:20 AM

Amanda, a port might be a good idea since you're having to go daily. My hubby got a staph infx and they put a port in. He had to return twice a day to the ER and get the abx (antibiotics) or they were going to send a sheriff to pick him up and hospitalize him, as a bacterial threat to others. We had to cancel our vacation and do local things with our kids. Crazy!! (((Hugs))) of support to you! 🙏🌸

Oct 10, 2015 8:36 AM

Flappys, where you from? That sounds way harsh for a hospital to do, almost police state like! Sorry your vacation was ruined. Amanda I pray that a solution can be found to your IV problem. My prayers are with you .

Oct 10, 2015 8:45 AM

Georgia, and it was in the mid-90's. We mentioned it to our doctor and he said (at least at that time) a doctor could force a patient into treatment if the disease risk was a threat to others. With all the HIPPA laws, and living wills, I doubt that could be done today. 🙏🌼

Oct 10, 2015 9:01 AM

Amanda, all of these are great suggestions. Most people think Gatorade will hydrate you. It will, but only if you have been doing activities that deplete your system of electrolytes. You would be better off starting the day before and try to get exactly 8 oz of water every hour. Then you won't be dehydrated. If you continue to have issues with iv's, have them call a pediatric nurse. I mean, really, if you need someone who can get a vein that is small, rolls, or one that wants to blow, who better than a NCIU pediatric nurse! Think how small those veins are? Have the hot towel on, pump your fist and then before you know it...your iv is good to go. I will pray for you. Good luck. Let us know how things go please.

Oct 10, 2015 9:44 AM

Flappys, it's not just because I have to go daily, it's because it's so frequent that I've been on antibiotics this year, especially this year. 3rd time since Memorial Day weekend.

Oct 12, 2015 12:16 PM

Pic line all the way!! I was hospitalized for 5 days, and was blowing 2-3 veins a day. On the 4th day, they finally put a pic line in. Good thinf, because I was on iv antibiotics for 10 days at home.

Oct 12, 2015 1:14 PM

Hugs & praying they'll do something to reduce the number of sticks! 🙏🌼

Oct 12, 2015 1:26 PM

Flappys, might ask the PA in the morning or let her see what my arms look like in the morning. Maybe, just maybe that will work to send her a subtle message about it.

Oct 12, 2015 5:28 PM

What many of you may not realize is most of the time the pic line or port line sits in the right side of the heart. The vena cava to be specific. Having placed more lines than I would have ever wanted to, I can tell you it should be a very last option. Any puncture comes with a risk for infection, but look at how great the chances for infections is with any indwelling catheter. Would not be my first choice, or second. Easier absolutely, safer no chance. Just my point of view. I am sure that your infectious disease doctor would have a very strong opinion. Just because we can do something, does not always mean we should-this statement goes to almost everything in life.

Oct 12, 2015 5:46 PM

LMB, when my hubby had a permanent port for his staph infx, they place the "port" (as they called it) in his forearm. Of course they wrapped clean gauze over it every time when they finished the infusion, having cut the old bandage of too start. It was much larger than any IV I've ever had. Maybe the staff just used the wrong name for it? He had it 7 days then after the last infusion it was removed. 🙏🌼

Oct 12, 2015 6:33 PM

Flappys, that sounds like a PICC line in all honesty and not a port, but I could be wrong. LMB, true, didn't even think about that. By the way, how many days can a saline lock stay in. Is it 3 days or did they change the guidelines on that one as well?

Oct 12, 2015 7:34 PM

Amanda it may have been but the nurse called it a port. That's why I'm asking LMB, hoping she can clarify for me. This was after all in 1998, and maybe things were called differently, or maybe that nurse was just wrong. I asked my hubby to make sure my memory wasn't foggy! Lol . 🙏🌼

Oct 13, 2015 2:03 PM

No one comes near me without a butterfly needle. I also bringing g a kindle and music. If that fails I pretend I'm in Hawaii. I'm sorry you're having a rough time. I've been known to cry during IV insertions. I hate it! My veins suck too. They roll or stop bleeding. My IVs always blow and the nurses get mad at me.

Oct 13, 2015 2:17 PM

Sweetie, and also probably going on another round of Cubicin once this is finished per my surgeon.

Oct 14, 2015 11:29 AM

Never mind on the next round of Cubicin. After tomorrow, done!!!!!

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