So, I think that I just failed the IV portion of my clinical final.
I did everything perfectly and in the correct order, and yes, I got the vein, flushed it with saline, and compressed sufficiently, so that I didn't spurt blood everywhere. When I was done, I sealed the IV tubing down with Tegrederm, but I couldn't get the tape roll to open. I took off a glove to pry at it with my bare hands and still, no success.
Since our exams are timed, and the standardized patient gave me a funny look, I had the moment of "Oh crap, now I failed because I took off a glove and I'm going to run out of time." So, I wrapped up with a, "OK, well, I won't worry about the tape this time," and finished.
I got lectured for five minutes by the standardized patient about the proper application of tape. Which probably means that I failed.
At my medical school, you have to do all the items of the checklist completely and in the correct order. While I think that the checklist says to "secure" the IV placement (without specifying if you need to put five strips of tape on top of the Tegrederm), I've had this SP in the past and he's particularly mean. So, if he says that I skipped the last step by "not properly securing the IV," then I have to do a four hour remediation during my final exams.
To learn how to properly apply tape.
What I find most ironic is that when the SP grabbed the tape roll to show me how to do this, he had to try four different rolls before he got one that worked. He said to me, "Oh, I see why you had trouble." Then, he proceeded to show me how I should use two pieces of tape, and space the loop of the IV tube his way, not my way, and then, I should put one of piece of tape on the hand, but not on top of the Tegrederm, and put the other piece of tape this far away...
If this didn't just happen to me, I'd be incredulous of someone else telling this story. Call me crazy, but if I was a patient, I'd care more about a medical student finding my vein quickly, keeping the site sterile, and you know, not causing a hematoma.
You know all of those annoying things that I allude to, but can't talk about here, that make me hate medical school?
Having a paid actor who knows nothing about IVs or medicine lecture me about the proper application of mother effing tape and then fail me, so that I have to waste four hours of my finals week learning about how much tape I should use, and where, and how the tape should be placed in relation to the Tegrederm--all when I'm not even going to be the one placing the IV on the wards?
That would be one of them.