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

A band 4 by definition is not a nurse.

It's not a question of the OP being uncomfortable with a band 4 doing it, the band 4 is not qualified to do so.

So you were being dramatic!

I promise you this isn’t anywhere near my vagina it’s a hole in my groin at the top of my leg. Some say it’s the tumour that’s broken through my skin then some are saying it’s an abcess. It absolutely stunk but the antibiotics have stopped that. Any bag with any weight on it isn’t going to hold but I don’t think I can go back to using pads again.

If you are still unhappy with the care, can you request to speak to the Nurse in Charge in the morning and politely tell her that if your concerns aren't listened to and dealt with you will lodge a written complaint?

She’s only qualified in this country if her certificate checks out with the NMC.

I had a nurse burst a vein in my arm I refused to let her near me again as she was very careless and put the treatment in too quickly.

I agree with you op ( if you work in healthcare and have been in system for a while you can work out bandings quite easily). As far as I am aware regardless of her registration elsewhere she shouldn’t be administering IV’s as a band 4 nurse. If you have the opportunity I would raise it with the ward manager

Has she done the Picc line training ? Does the Trust policy support band 4's doing this particular task ?

Our band 3's give insulin and give s/c injections such as enoxaparin on their own without anyone else to check, change routine catheters and apply compression bandaging. However they have received training and have to have been deemed competent before doing any of the above.

B4 nursing associates can give some iv meds if they have been trained and work under the supervision of an rn, they are governed by the nmc. It also depends on each Trust.

Our Band 5's give controlled drugs without another nurse present to check too, which blew my mind when moving from the hospital setting to community.

Hope you feel better soon @EachandEveryone

My son has a hickman line and has had several picc lines in the past. Line infections can be deadly and I wouldn't let anyone near his line if I didn't believe they were trained to care for his line. If that made me rude, so be it.

YANBU, at all.

You have no idea what this lady is going through with her cancer; it’s sheer hell!!
Arsey?? She has every right!

I’m so sorry you’re having to deal with this. Please speak to the charge nurse and tell them your concerns about who is flushing your line.
I hope you can get some relief from the discomfort you are suffering. X

I do hope you're not insinuating that I'm lying. It might be unusual in your experience but it isn't in mine.

You may just not have noticed.

I think its pretty standard.

Look next time you're there.

Whether the band 4 is qualified to administer IV meds via a PICC in this particular case or not, it sounds like she attempted to flush the line without creating a sterile field which is definitely incorrect. She needs re-training at the very least.

I have a chronic illness and probably would have hurled the sippy cup at her head! When you are ill and in pain and feeling vulnerable and dependent - the last thing you need is some nurse patronising you and invading your personal space. Much love to you 😘

Good God, what a peculiar thing to be so invested in, you and @Ponoka7 !
I'm a chronic "noticer". I like to get to know my environment so I make it my business to learn about my surroundings. I'm the person sitting there looking about me, not engrossed in my phone. My way of keeping calm when I'm in a place like a hospital is to read anything and everything in sight so to tell me I just haven't noticed is so unlikely as to be ridiculous. If I'm feeling stressed, which I usually am when I'm in a hospital environment, my way of coping is to notice more, not less.
I am aware that NHS uniforms are in the process of being standardised but that doesn't seem to have happened yet in any of the 3 different hospital trusts that I have been treated by over the last year. If it had I assume the poster that explains the new colours (which I have seen online), would have been displayed and I have no doubt that it will be eventually.
So to address your 3 points:

1. If the info had been there, I would have noticed it.
2. It might be pretty standard but it is not

universal.

1. I will look next time I'm in a hospital - and I will be very interested to see it when it does appear - but the last hospital I was in, the week before last, no such info was displayed.

Good grief have you even read the OP’s posts? The care she describes is shockingly bad, she has asked multiple times for the HCA to desist in her behaviour and been ignored and now she has been ignored and manhandled during intimate care by the HCA.

But yes what really matters is that the HCA isn’t offended because she is just doing her job. She isn’t doing her job, she is plainly providing shit quality care. The biggest single failing in our health care system is this attitude that patients are some sort of supplicant who must be “grateful” for even the worst quality care and treatment. Its a system which fails to reward the good and overly rewards the bad.

There is no excuse for the treatment the OP is receiving from this HCA - your constant minimising of it and putting the onus onto the OP for not being polite enough whilst ill and in pain and receiving crap “care” is exactly why we have so many problems with care quality. Just how polite is it to ignore a patient wanting to wash their genitals in private and grab their body whilst they are naked and vulnerable? I’m gobsmacked that anyone can think this is remotely acceptable.

You cannot create a sterile field.

You utilise a ANTT

That looks properly sore OP. I'm sorry man.

You need to use sterile gloves and any equipment and dressing.

Splitting hairs a little, though? It's clear that @HesterLee was saying that a PICC needs a specific approach and just grabbing a flush isn't it.

Many Trusts have their picc and iv dressing policy online so you just Google the trust involved, if it's not being followed then that's a cause to complain. It's not just a alcohol swab and blue gloves and a staff band doesn't matter as long as they are trained , certificated, competent and legally allowed to carry out a task

I mentioned politely speaking to a different staff member (a Nurse in Charge on the next shift).... wtf are you banging on about. I didn't say speak to the HCA?