Table 3

Theme 3: undertaking actions: convenience

Subtheme: PIVC equipment at hand, no venepuncture close, allocated bed space
The insertion of a PIVC can sometimes be related to the convenience of having the appropriate equipment at hand. Clinicians within the ED identified that the lack of phlebotomy equipment contained in vascular access trolleys throughout the ED led to them inserting a PIVC.“If we had the phlebotomy gear on the top of the cannulation trolley so we thought about it, that would be first rather than cannulation first or something.” (D4)
“There is a lot of education about (using venepuncture over PIVC] but it’s more, I guess, access to the right equipment as well.” (N4)
Participants based in ED stated that patients would receive a PIVC depending on their allocated bed area. For example, patients in the acute area get a PIVC, as opposed to the minor injuries area.“… any patient that rocks up to ED that gets streamed … to acute or resus is automatically almost a knee jerk reaction that they get bloods and that’s usually via a cannula insertion.” (D5)
“…as nurses or doctors, [we] tend to put cannulas in to get bloods. We tend to leave that in and I think that’s just a part of the culture with the emergency department and I guess um, I don’t know why we do it.” (N2)
  • ED, emergency department; PIVCs, peripheral intravenous catheters.