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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.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.