Otc numbing cream12/5/2023 ![]() ![]() We don't have any patients at my clinic who use it, but my preceptor did address the subject for possible future reference. I just started working in dialysis last month, but I know a little about the subject. ![]() I've never heard of this being done before. Hope this has helped a little, but I just don't agree with what they're asking of you. Unless you just apply the cream over a large area, which is nonsense. but that still does not tell you where they want to stick him. a gushing, rushing, pulsating in the arm, and hear the bruit with your scope. It just does not make sense to me at all. hospital, then have a dialysis nurse come and assess the sites first and tell you where to apply the cream). If I were you, I'd have someone call the DON of the dialysis facilty ( or if acute/inpt. I don't think it should be your responsibility to take on. Sorry, Nightowl, but this just does not smell right to me. sometimes you have to go somewhere other than you intended with your stick due to all kinds of reasons.and then you'd be applying the cream for no reason if they need to stick higher or lower. They are expecting you to rotate sites for cannulation sticks which is THEIR responsibility, and really cannot even be determined until the patient is ready to be cannulated. ? And that certainly is not advisable either. So how are you to find his last stickmarks on Monday am. is supposed to have his bandaids removed before bedtime on the night of his tx. This is really asking a lot, IMO, because the pt. if it's a straight graft it would be arterial lower, venous higher. If it's a graft, he'll have an arterial USUALLY on the pinky side of the arm, and the venous access on the other side ( if it's a loop graft). have WHOEVER will be doing this on Monday am attempt to see where he was last stuck.if it's a fistula, he will have a lower arterial stick and an upper venous stick. This would be more suitable and would not neccessitate anyone else's involvement. BEFORE they expect you all to comply with their wishes.Įven better, see if they can't use the spray (can't think of the name of it right now, either) but it comes in a brown bottle and is sprayed on immediately before inserting the needle. If they want you to apply the cream, it is MHO that they should send someone over to you and explain a little bit about the graft or fistula, how they rotate sites and why, and bring along some pamphlets describing the cannulation process. now whose doc has ordered an anesthetic spray.(and all the other patients snicker at him. I've worked dialysis for the past 6 years, and none of our patients use this lidocaine cream. This sounds just a tad much for them to expect of you. Therefore, I'll need an answer say like tonight and before 0800 tomorrow morning because I won't be back tomorrow night for Monday. ![]() The same nurse won't be applying this cream all the time, so I'd like to get it right for all of us. Actually another nurse will be doing it because I'm off on Monday, and that's another thing. Could someone please explain to me what exactly I'm to do here? It's kind of difficult getting an inservice over the phone. Also said to place it anywhere you feel a "pulse" at the site and apply it in two places.Entry and exit portals. I'm thinking, hmmm, this doesn't seem right, but I guess he knows what he's doing.(?) Got a call from renal while the resident was there and the renal guy, a nurse, said to "rotate sites" when applying the cream the next time which will be Monday. Well he put the cream on and smeared it over the entire site then applied the tega derm which really didn't stick too well because he smeared it beyond where the tega derm was supposed to stick to. The instructions say not to smear it around, but to place half of the 5gm tube the site to be used, then apply the tega derm over it. ![]() I'm not sure of the application, so I asked this other nurse I work with to apply it. Darn, I used it once and already I forgot the name. We have instructions to put this Lidocaine cream to the graft site which is on his Left forearm an hour before the dialysis. We have a resident who goes to dialysis M-W-F at 0600. They're probably dumb, but please bear with me. As long as I've been in nursing, when the dinosaur roamed the earth, I've never had any dealings with dialysis until recently. ![]()
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