Imagine that Brianna is working as a nurse in a hospital. As she walks down the hall, a doctor stops her and says he has to report for an emergency on
another floor, and he asks that she insert a new central line for his patient's IV
medication. Brianna's familiar with the procedure and has the free time, so
she happilyjagrees to help. She enters the patient's room, introduces herself,
and explain's the situation and the procedure. The patient already has a
venous catheter no longer delivering medication on the left side of his chest,
so Brianna decides to enter the central line into his jugular vein on the right
side of his neck. Following safety protocols, she washes her hands, cleans
the skin with chlorhexidine, and then uses full-barrier precautions when
inserting the new line. Right as she finishes and says goodbye to the patient,
the doctor walks back into the room. He talks to the patient for a moment,
and then looks at Brianna, clearly disappointed. What did Brianna do wrong
and why did this increase risk to the patient?