In radiology bay 12 i was called to place an 18g in the rac.I had to use ultrasound.My first attempt failed and so with my second attempt i used an 18g accucath.Before insertion i checked the guidewire and it functioned properly.During insertion i visualized the tip of the needle in the vessel and then when i tried to advance the guidewire it would not advance at all, it just would not even budge.So i tried just advancing the catheter without the guidewire, and it slid in and blood began to come out around the needle.When i pressed the button to retract the needle it did not retract at all.I removed the needle from the catheter slowly and again there was some blood coming out.I then thought i was in the vein with a successful iv and connected the extension set with an empty 3cc syringe on it to obtain a blood sample.I was not able to draw back any blood at all.I attempted a few times without success, so then i removed the 3cc syringe and connected a flush and the catheter would not flush at all.I removed the catheter expecting to see a kink or something to explain this but there was nothing wrong with the catheter.Even after it was removed from the patient i was not able to flush it.I believe the accucath and the extension set both malfunctioned.Fda safety report id# (b)(4).
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