MedicPrincess
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My partner took the classroom portion of the IV class 5 weeks ago. She is only required to get in 10 successful sticks, she has had 3 successful, multiple not. I told her in the beginning I will not let her "practice" on children, Old people where I might only have 1 good shot anyway, or Critical Load-n-Go patients.
On her first attempt, as she went to stick the pt, I attempted to show her that she is going to want to secure the vein. She looked right at me and said, "I took the class. I know how to do this." Ok then...go for it. She tried, she missed, she got up front and drove while I did it enroute.
And this is how it has gone for the last 5 weeks. She got 2 attempts on 7 patients yesterday. Not because the other 5 fell into the above mentioned catagories, but becasue I have reached a point with her that I just don't really care if she gets her 10 sticks in.
If I will point out where a great-easy site to get is, she will intentionally not stick the patient there. And EVERYTIME she has not stuck the patient where I told her to, she has blown it. So I have reached a point where if she wants to figure it out on her own, it WILL NOT be on patients I am siging my name to.
So, any suggestions? She has actually "told on me" for not letting her attempt more sticks. Our supervisor told me I must let her attempt on every patient that is not critical. I respectfully told him I will not allow her to attempt on every single patient, until she decides to take my suggestions shen I tell her where to stick them. He then told me I have to allow her to attempt more than once on the patients I allow her to try on. I pointed out that per protocol we are only allowed 2 attempts, unless absolutely critical and I will not allow her to use the patients in our truck as a pin cushion while she does whatever she wants. I offered to let him come ride on my truck until she gets certified and I will be happy to QRV all day or she can go work on a different truck until she gets her sticks in (or permanently!!!)....and that way she can stick all she wants under his liscense. He declined.
On her first attempt, as she went to stick the pt, I attempted to show her that she is going to want to secure the vein. She looked right at me and said, "I took the class. I know how to do this." Ok then...go for it. She tried, she missed, she got up front and drove while I did it enroute.
And this is how it has gone for the last 5 weeks. She got 2 attempts on 7 patients yesterday. Not because the other 5 fell into the above mentioned catagories, but becasue I have reached a point with her that I just don't really care if she gets her 10 sticks in.
If I will point out where a great-easy site to get is, she will intentionally not stick the patient there. And EVERYTIME she has not stuck the patient where I told her to, she has blown it. So I have reached a point where if she wants to figure it out on her own, it WILL NOT be on patients I am siging my name to.
So, any suggestions? She has actually "told on me" for not letting her attempt more sticks. Our supervisor told me I must let her attempt on every patient that is not critical. I respectfully told him I will not allow her to attempt on every single patient, until she decides to take my suggestions shen I tell her where to stick them. He then told me I have to allow her to attempt more than once on the patients I allow her to try on. I pointed out that per protocol we are only allowed 2 attempts, unless absolutely critical and I will not allow her to use the patients in our truck as a pin cushion while she does whatever she wants. I offered to let him come ride on my truck until she gets certified and I will be happy to QRV all day or she can go work on a different truck until she gets her sticks in (or permanently!!!)....and that way she can stick all she wants under his liscense. He declined.