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You darned well know that they keep that stuff in the back for use on people like us... No shortage. Just short, tall, grande, and venti. :rofl:
Normal Saline shortage
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mycrofft
Still crazy but elsewhere
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I'm confused. Are you people starting lines that just have primary tubing and a bag attached to them with no lock?
Every IV we start has a lock on it. So if they need to change the bag in the future it's not a circus act of tamponade and removing tagaderms...
Every IV we start has a lock on it. So if they need to change the bag in the future it's not a circus act of tamponade and removing tagaderms...
cfd3091
Forum Crew Member
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Saline lock is access catheter, PRN or adapter whatever you call it and a flush. No drip set no bag.
TransportJockey
Forum Chief
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Not everywhere carries locks. The little rural 911 service I work/Worked (not sure yet) for doesn't. If they want accesss they have to hang a bag.
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The first private system I worked for didn't carry them. What's even better is if they caught you using one (ED nurses would give them to us to use), we would get written up for it since we didn't have locks in our protocols...
TransportJockey
Forum Chief
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Actually the cost of a liter of saline and a drop set costs less than a lock and a flush or very nearly the same
TransportJockey
Forum Chief
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Same at the service I was referring to above
Anjel
Forum Angel
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We use bags, drip set, then extensions. So that way the bAgs can be changed.
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At one service that I used to work for, we had 1000 mL bags and 250 mL bags. Since we couldn't do locks, but we could hang complete lines, we'd just prime a line with an extension set with a 250 mL bag. The cost was about the same but it visually let the facilities know that we didn't think a line was necessary but vascular access was. That also limited any unintentional fluid bolus to just 250 mL... :unsure:
Most other services I worked with only carried 1000 mL bags. I did find out that I really like Selec-3 type tubing, even though it is more expensive than micro or macro drip tubing, mostly because of the rate control I get with it. I can pour in fluid or drop the flow rate way down to an easy to control 20 mL/hr without using a pump.
In the end though, I would have probably instituted many more locks than running lines over the years, if I'd had the option.
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We only carry 1000 bags or 100 bags. Carry 10-12 1000 bags then 3 or 4 100 bags. Plus the 2 1000s and 2 100s I have in my first out.
Dope and Lido comes premixed in 250s if I remember correctly...might be 500s. I haven't been on the truck in over 4 months.
Dope and Lido comes premixed in 250s if I remember correctly...might be 500s. I haven't been on the truck in over 4 months.
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We have 500, 250, and 100. I wish we had liter bags. Giving 2L boluses is annoying.
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I definitely get patients where I wish I had smaller bags. Pedis particularly or little old nana. Just recurs the possibility of accidentally giving a massive bolus. I use a buerotrol (sp?) for any pediatric getting fluids though.
TheLocalMedic
Grumpy Badger
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The service I work for just got these great drip sets with pre-attached locks. It's the little conveniences you appreciate the most.
mycrofft
Still crazy but elsewhere
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National Public Radio mentioned this subject this AM.