The Permanente Journal

Search the Journal 
  Site Index
TPJ Home pageBrowse The JournalSubscribe to TPJInstructions for AuthorsContinuing Medical EducationAnnouncementsLinksJournal StaffEmail Us


••Spring 2006/Vol. 10, No. 1
A Focus on New Technology



Special FeatureLetters to the EditorAbstracts from articles published in other journalsClinical articles on the practice of Permanente medicineHealth PolicySpecial SectionPoetry, Art, Musings from Permanente cliniciansArticles from a Systems perspective
Culturally Competent CarePhysicians in the newsBook Reviews
Crossword puzzle

 

 

 

 

 

 

 

 

 


Special Section -- Spirit



Harpooning the Vein | to pdf >>
By Shawna L Swetech, RN


Are they prominent and soft, or fine
like dark thread? Are they hidden
beneath spongy layers of adipose?
And the skin, is it thick like tanned leather,
or thin like a white veil separating
the inner and outer worlds?
Should I use a tourniquet?
Will the vein distend and harden,
roll from the needle's probe?
Or will binding pressure burst
the thin blue line, ecchymosis
purpling the tissues.

Take a deep breath, I say,
imagine your vein is a caterpillar,
fat and juicy.
I swipe antiseptic
across the target, twirl the steel
stylette in the cannula.
Please, God.
Please let me get in, first stick.
I can't think of this as real now,
can't think of causing pain, injury.
The angiocath becomes a harpoon,
the arm a lifeless fish.

I pierce the flesh --
Don't move now!
and wait
for crimson flashback in the needle's hub.
Score, there it is. I hook up tubing,
chevron the paper tape over and under,
place a see-through dressing.
Blue lights flash, the IV pump
beeps to life.

Yes. I have been granted the power again.

 

 

To Spirit Section Contents >> | To Spring 2006 Table of Contents >>

 


Home | The Journal | Subscribe | For Authors | CME | Announcements | Links | Staff | Contact Us


The Permanente Journal

500 NE Multnomah St., Suite 100,
Portland, OR 97232
503-813-3286 / fax: 503-813-2348


Copyright The Permanente Journal, Kaiser Permanente. All rights reserved