peripheral IV in the chest
Is it OK?
A 65 y/o male, obese, with SOB and light chest pressure, came into ER just after midnight. After multiple attempts, the ER staffs were able to establish an IV access: a peripheral IV on the chest. Patient was transferred to Telemetry floor then went on to have a left heart cath in early AM. Pt was then D/C'd home the next day. It was uneventful hospitalization for the pt (except that 15 IV sticks in ER). My questions are:
1. Is it OK to have a PIV on the chest like that?
2. Is there any literature to discuss about this kink of PIV?
3. What kind of vein on the chest? Is it a collateral vein?
4. What should have been done differently? I did not know about the case until today, after the fact. I am a lone PICC RN in the hospital and also work in SameDay Service area, so, very busy. If the pt's nurse should have asked me to start an IV, I would have done it "conventionally" on the arm, using my US machine.
Thanks in advance.