CN>-> I've never had that, although I had one nurse complain that the IV
CN>-> I stared was "too big" and in the patient's ACF, not in the hand
CN>-> as they did in the hospital. How big was "too big", 18ga! 
CN> 
CN>Augh! My BIGGEST pet peeve with hospitals! When an RN or tech says
CN>that we shouldn't have started in the AC, I always ask them "WHY?" I
CN>NEVER got an answer until about 6 months ago, when a RN said
CN>"because, the lab can draw multiple times from the same AC". Sorry,
CN>this is NOT a good answer. BUZZZ. Try again!
The one that I have heard the most, and like the least, is that if we 
miss, then the whole arm below the site is now unusable for other IVs. 
Again, an invalid excuse.
CN>-> high level cervical fracture. Not being able to help myself, I
CN>-> asked if the fact that she was in arrest could account for that.
CN>-> He must have realized what he had said because he looked at me for
CN>-> about 5 seconds before walking off and mumbling over his shoulder
CN>-> that we still should have immobilized her.
CN> 
CN>Oh, geez. That's a good one. Tell me, when did this rectal tone thing
CN>become popular? I mean, I guess it's a good diagnostic sign (unless
CN>in the above case situation..hehe), but I had never known about it
CN>until about a year ago...
CN>Or, maybe I just wasn't aware of it...
It's a fairly standard thing, and one of uses of a rectal exam. One of 
the other emergency uses is to check for rectal blood. I only heard the 
rectal tone thing this time. I would guess that if the patient is 
conscious, there are other ways to check for Spinal Cord injury, but if 
they are unconscious, then it is probably useful. 
Gary
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