I had been told that it was not legal for CNAs to start IVs, but then it seems that it may be legal in some states and not in others. Can anyone tell me whether it's legal in North Carolina? In Virginia?
And is there a web address where I could find out about the skills required of a CNA in either state? I'd appreciate any help you can give me!
In hemodialysis, patient care techs with only 6-8 weeks training are "sticking" fistulas and grafts. And they give heparin IVP. Also, in many states those same techs access CVC's and give IVP heparin,initiate, and terminate dialysis . They also change the dressings.
WR,,, three commas for Becca
well I don't like that sticking fistulas one bit. LPN's just started starting IV's in KY in the not to recent past. (ok maybe 7 years but it seems like not that long ago)
Phelbotomists (sp) stick people all the time..I'm not keen on them accessing CVC's.................
WR,,, three commas for Becca
there's a difference thought in a stick and an access one just has to get in the other has to stay there. It gets down to how "they" can get off cheapest.
Cass the problem I have is that "anyone" can start an IV.. People are "starting" them in the back alleys of NYC as we speak. Not to offend NYC dwellers. It's a fact.
The problem I have is these catheters are into the IJ and ususally sitting just outside of the heart. There are so many chances of PE, systemic infection, etc.
Yes I know a regular IV can become infected but the % rises with CVC's.
But then I think that at one time the only people who could do hemodialysis was an MD..HMMMMMMMMMM
WR,,, three commas for Becca
Don't forget that ESRD is the only chronic illness totally funded by Medicare irregardless of the patient's ability to pay.. And the patient doesn't have to give up anything to get bennies.. i.e. as the elderly who have to give up their homes etc to obtain nursing home care. We used to have a dialysis patient who came to dialysis in a white stretch limo and brought us $20 NY cheesecakes often...
yes I know anyone is able to access (for the most part we won't talk about those who can't hit the side of a barn) but again I'm with you just in different words it's not the ability to do it it's the knowledge that goes with it (or lack thereof)
Well to get back to the original poster..Techs in NC do it all in dialysis except meds.. LPN's can give all the meds except Acivase to declot a cath..And LPN's can be in charge in a dialysis unit as long as there is an RN "present"
WR,,, three commas for Becca
It is unfortunate but likely that you will get as many answers as you ask nurses--
I suggest that we all stop and think "Are we giving away our jobs?"
Invasive procedures should NEVER be allowed performance by anyone without a professional license. It can only happen with an uneducated public. Someone in these forums likes the saying--keep it simple stupid--and so I will. Regardless of what procedure, task, level of quality..yada, yada, yada that you desire--Ask this question first--- When I am the patient who do I want to do this?
Sweetheart we have patients putting in their own needles.. Remember hemodialysis removes O2 from a patient's system.
WR,,, three commas for Becca
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