I thought about the "small catheter I'd never used before .. kept trying to jump out of my hands" and how that was or was not too different that the tying of cut wings on a #20 dry fly by the 8 year old girl. It was impressive. Doug
So Close and Yet So Far from ICU:
Since it's so much easier to do procedure in ICU, it's too bad you couldn't take patient to ICU or have one of the ICU people come to you and bring the usual equipment and materials.
I just reread this one. That musthave been very rewarding for you. I hope the pt appreciated your work.
Hey :) I really like your blog. I'm a second yr BSc Nursing student ... and it's really interesting reading about this stuff. I've yet to see a Central line.
i am really impressed by your blog....i have one myself..i am a first year medic in england and my blog is http://islandmedic.blogspot.com check it out
Ahhh, the central access game.
You bring up a VERY good point in your post...a central line is not a benign procedure. This is often lost on those that don't do central access themselves. Or, as one of my attendings said...
NOTHING IS IMPOSSIBLE FOR THOSE THAT DON'T HAVE TO DO IT
You recognized the possible complications and you were prepared for them, good job.
In the real world central lines are one of those things you hate to do. Reimbursement is lousy, risk is high, and time is long.
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