MEMPHIS, TN – Dr. Beverly Mascinoni, the on-call anesthesiologist last night, was ecstatic to get a call at 2 AM to place an IV. When her pager went off, the first thing that popped into her head was, “Please let this be a request to start an IV.”
Sure enough it was. The patient was a tough stick and had been poked and prodded by nearly everyone in the hospital, including seasoned NICU and ICU nurses, who the floor nurses had to beg with apple pie to come attempt the IV. The enthusiastic medical intern tried his best, but realistically there was no hope from the start. Conceding, the intern decided to page anesthesia.
Dr. Mascinoni sprung into action and flew down to the medicine ward, bright-eyed and excited to do her part. Immediately upon entering the patient’s room, all available staff, including the intern (probably sleeping due to new ACGME rules), vanished and there were no IV supplies laid out within a 50-ft. radius of the patient.
That didn’t bother Dr. Mascinoni one bit since she had brought her own IV supplies and wheeled the ultrasound in all by herself. She placed the IV with some difficulty several minutes later and secured the IV with tape. Although not disclosing it to others at the time, she intentionally left some of the tape up on the dressing, hoping that it would be ripped out later.
Like clockwork, a second page was sent at 3 AM requesting her services to place another IV.
“I was so ecstatic,” said Mascinoni. “My plan worked and I was able to head down to place another IV! One more and I’ll have a hat trick tonight.”
After placing the second IV around 3:30 AM, her luck continued. General surgery was paging for a wash-out that needed to go to the OR.
“Ahh, this upcoming 4 AM wash-out will be the icing on the cake for this call night. Oh and the patient is morbidly obese, has a difficult airway, and has a history of malignant hyperthermia… Perfect!” she continued as she pushed the ICU bed with too many IV lines to count. “Can’t wait to tangle these up!”
Boy that’s an OLD school Insyte. We’ve had the closed system for years now. Anesthesia doesn’t do them in my facility (unless you are walking into the OR as outpatient and the Pre-Op RN’s didn’t start them for some reason?). We have U/S for IV’s if we need it. :)
i can do that? i’m going to start on my next night shift.
I lived this last week when I was on call!
How many nurses are proficient with IV starts? I’m guessing <20%.
I wanna work there…budgets haven’t allowed for IV teams for many years in my neck of the woods…heaven forbid a nurse be good at sticks because you will have every floor in the hospital looking for you all shift
Have ha
ER nurses have better luck.
Like IV tubing creates its own black hole.
The don’t get ripped out, they “fall out” like the force of gravity is immense in that one spot.