To stop nurse from giving me an Iv flush?

[EachandEveryone]

I don’t know maybe I was. I don’t gel with her anyway she’s a band 4 with no sense of personal space. This morning she woke me up with her face in mine it really made me jump. Them proceeded to
hrlp me sit up o am not a complete invalid and she had me in a hold right next to her bust. I literally shouted that police song Don’t Stamd so close to me. She’s been on am hour and now she’s been in 9 times. Jesus I have to
jsve a shower and it’s her I’ve asked for some omelet as well.

Sou picc line needed flushing she went off and drew something up and tried to flush I syopprd her straight away and said she wasn’t qualified to flush long lines and I don’t know what was in it. She said she’s qualified on her own country for years. I’m a nurse, the band five came in flushed it and said the four can flush as she’s qualified at home. Am o wrong then? They are all lovely and trying their best but I just thought I don’t know what I are putting on me and it needs to be done sterile.

i will have a think about the personal space thing as it’s a difficult one she could be horrible to me

@EachandEveryone Firstly sorry to here how unwell you are and I appreciate that being a nurse yourself it must be interesting being on the receiving end of nursing.

I am not medically qualified and so I asked AI and it says:

A Band 4 Nursing Associate or Assistant Practitioner can flush a peripheral IV cannula as long as they have been trained and signed off as competent by their NHS trust.

A Band 4 nurse can flush a PICC line in England — but only after:

• Completing the trust’s PICC/central line training
• Demonstrating competence
• Being formally signed off

Overseas experience alone is not enough.

On my frequent recent stays in hospital, when approached by a nurse then generally told me what they were about to do, i.e. "we need to sit you up" before engaging, therefore giving me a chance to respond. Sounds like your nurse needs a bit of gentle etiquette training.

Wishing you all the best OP

Band 4 nurses are registered professionals with a PIN number. What that are permitted to do will depend on each trust.I work in the community and our band 3 health care assistants give insulin which would never happen in the hospital.

I had a PICC line during my chemo and it was so temperamental and delicate that there’s no way I’d have let anyone touch it apart from a chemo nurse. When I was an inpatient they didn’t know on the wards how to flush it and had to get someone from the renal ward next door to come in, then it was blocked at my next chemo. So I think you’re in the right. Feel better soon

I have nothing to add except I am so sorry you're going through this.

Am medical, and it's hard enough to let yourself be a patient, without feeling you have to second guess your treatment in order to feel safe enough to do so.

The strongest advocates I've found in these cases have been the cancer nurses. Presume one will be in tomorrow. Would letting them know your concerns and preference to be left alone help?

This is overly simplified, as not all trusts allow band 4s to do this even with additional training. The trusts i have worked in, under no circumstances, could they flush. They could insert a cannula and then have to find someone of a higher band to flush it for them. In the end, most areas stopped band 4s from even inserting them, due to the gap between insertion and flushing if no one was available.

No you’re not being unreasonable if she is not registered as a nurse in this country, there are certain nursing tasks she’s not allowed to do. Unless she has an extended role that allows the tasks she is performing, then whether she is qualified in her own country or not, she cannot perform tasks that are not within her job description.

Having spent 2 weeks in a French hospital it was obvious after 3 days who was qualified to do what, It’s basic observation.

A band 4 is a nursing associate, not registered nurse (who start at band 5). Only a registered nurse should be dealing with IV’s, unless things have changed drastically since I worked in a hospital. it doesn’t matter what she is qualified to do in her home country, she would need to pass competencies here.

Please speak with the ward/unit manager about this.

Sorry you’re unwell.

And that is quite possible, because as I said I am not medically qualified and asked AI but from what different nurses are saying here, it differs from Trust to Trust so without knowing the specific Trust, the answer has to be that we can't help with the correct answer

Did you have another thread about this, it sounds very difficult. Are you in a sideroom, are you immunocompromised. The stoma bag must be available, ivd not heard of a 18ml one, surely the tvn or oncology nurses can supply them. I know beds are in short supply but are they planning to transfer you to the oncology or medical ward.,

.We do know, it says in the OP band 4 is not qualified to flush a long line. So the staff member was not working within the scope of practice according to her trust policy, and the OP was 100% justified in stopping her.

I’m estimating maybe 25 mls o honestly don’t know what they would be used for throughout the hospital. It has a good seal though. They’ve just showered me and it’s stayed on it’s a shame there’s no outlet for a syringe.. there must be a solution to this dripping hole. It stunt to high heaven when o came in. People were visibly pulling faces.

ive had my picc line three years it’s very precious

Do you work at the same trust you're being treated in?

No we don't. She is in a hospital, we do not know which Trust this is. OP has made a statement she is a Band 5 but we do not know which Trust she worked in. Different Trusts may have different requirements.

Someone has just asked the question and until the OP answers it, we will not know.

Yes and have plenty of matron friends that visit in the week. Even two consultants came and o was a blubbering mess I think I was so unwell I felt really sorry for myself and they reminded me of my old life ☹️

Sou picc line needed flushing she went off and drew something up and tried to flush I syopprd her straight away and said she wasn’t qualified to flush long lines and I don’t know what was in it.

We do.

Band 4 nurses can flush lines in my trust if they have completed the training. I understand you are fed up/ unwell but please don’t take it out on the staff, they are trying to help you.

I've spent plenty of time hanging about in hospitals, thanks. They've been spread over several trusts and I can say, without hesitation, that I have never come across any such thing. Some departments have had photographs of the staff, giving their names and titles but nothing about uniforms.

They don’t need to check at the bedside only when it’s drawn up!

I read this differently to you then. I read that the OP has stopped the nurse and told her she is not qualified to flush long lines so the OP has no confidence with what is in it.

Whether that point stands or falls depends on whether the Op is being treated in a hospital within the same trust as she works. Other nurses on here appear to say it differs depending upon the Trust requirements.

At the point of your posting, we did not know if OP was hospitalised within the Trust she worked, so we could not confirm or deny this.

But I would say that if anyone, let alone a qualified nurse has concerns about their treatment, they have a right to speak up, as the OP did. Good on them.

You and others on this thread are excellent at kicking a woman when she is down. You must be so proud.

Seems like the OP merely doesn't like this Norse. And that's fine You shouldn't have to put up with people in your face when you are ill.

I had a 5 week stay in hospital once and there was one nurse I wouldn't let near me. If I had to wait a bit longer for someone else so be it, spent 99% of time in hospital waiting for something or another anyway

I’m sorry about my texting either my eyesight has been affected or it’s p
my phone I keep pressing a letter but the letter next door appears on the screen
making my texts very complicated to follow

I have that problem and I am not in hospital - its no big deal, you are doing really well at this.

Well you sound a charmer. The Op has cancer, an infection so obviously feeling really unwell. She is well within her rights to question a medical procedure. She is a qualified nurse so is aware of the scope of professional practice of each banding. A band 4 nurse should in no way be giving IVs into a long line. Have some fucking empathy.