I attempted to place piv (peripheral intravenous line) with ultrasound guidance and 20g 2.25 inch accucath iv.After cannulating the vein, i attempted to retract guidewire and met resistance.I was also unable to activate the safety.I removed the iv and the needle and cath seemed intact, but the guidewire seemed to be missing the end.I notified physician and x-ray was ordered, confirming retained material in the r ac.Bard accucath intravascular catheter 20g 2.25in ref (b)(4).Lot #: q1275.Expiration date: 2022-07-31.Rn (registered nurse) was inserting an iv via ultrasound.No issues upon insertion.Upon attempts to retract wire rn met resistance.Rn attempted to loosen wire without success.Rn could not disengage needle.Rn withdrew device to find that guide wire was not intact.Imaging demonstrates small piece retained.Patient returned to ed (emergency department) for nausea and vomiting (unrelated to rfo [retained foreign object]).Repeat arm x-ray completed-documentation demonstrates rfo remains in place.Documented as being in soft tissue.Bard rep on site at the time.
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