I'm curious y'all's policy about using IVs in the EJ (external jugular) for power injecting CT contrast? Every hospital I've ever been at said no, because if it infiltrates or something bad happens, the risk to the patient is far higher than just an AC IV.
I'm at a small ER now where it's pretty rare to not be able to get a 20g in the AC, as our patients usually aren't that critical/sick.
But, they just ordered a CTA chest on a patient and all they have is a line in the EJ. Charge nurse got mad at me, because patient is an IV drug user, and that's all they could get. We also don't have NM on site, so VQ isn't an option.
I'm not asking advice what to do, because I already know I'm going to err on the side of caution when it comes to potentially harming a patient, I just wanted to know what other places do.
Our policy only states "20 or 18 in AC for CTA," but doesn't specifically say NOT to use an EJ. I just know everywhere else I've been, it's a big nope.
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source https://www.reddit.com/r/Radiology/comments/z2ia1j/iv_question/
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