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.