Like asking a patient their favorite color for IVs?

Tigger

Dodges Pucks
Community Leader
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I am of mixed opinions on this.

Patient abuse is wrong, and in this case it seems appropriate to discipline these medics, but who is to determine what abuse is?

I have placed IOs in conscious and semi-conscious patients on multiple occasions. Is this abusive?

I have placed 14G and 16G catheters in ill patients who needed high-volume medications. Is this abuse when an 18 or 20 could have worked?

I've put 20s and 22s in kids because they needed fluids/meds- is that abuse?

I think that a lot of what we are doing depends on the rationale for it. I don't think we should tie abuse to use of a tool in the appropriate circumstances.
Seems pretty cut and dry that when you try to "teach em a lesson" that there is no clinical need and therefore no question that it's abuse.
 
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