Starting an IV in the Hand: Clinical Tips |
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- Опубликовано: 12 июн 2022
- Where's the best place to start an IV in the hand? Let Meris share some tips with you about avoiding valves and rolling veins.
Meris Shuwarger, BSN, RN, CEN, TCRN, TCRN covers Starting an IV in the Hand . The Clinical Skills video tutorial series is intended to help RN and PN nursing students study for nursing school exams, including the ATI, HESI and NCLEX.
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I did my very first IV insertion and it was a success 😁 I was so proud of myself.
That's great!
Good stuff!!
I had to shoot up my dad as a kid when he was dope sick try hit a vain scare up claps and the guy shaking and getting yelled at
Whoopee big deal
Please i want to know
Now let’s do it on a 78 y/o dehydrated ESRD pt 😂
Haha, it's always the ESRD patients who are the trickiest IV starts! --Meris
I had an L&D nurse who was the only nurse to stick me without me feeling anything more than a pinch. She said she used to work in geriatrics. I wish I had her on speed dial whenever I need an IV 😂
I can't even get blood work, my veins are so bad. Arterial blood draws can't be done without a doctor. Shit I had to get a pic in order to have my gallbladder removed and they did the pre-op blood right before surgery. In 2021 I contracted a spinal infection (MRSA in my blood and spine), epidural abscess, chronic osteomyelitis and sepsis. I was hospitalized for 4 months and wasn't expected to survive, had a central line (neck), picc line. I now have a serious phobia of needles. My L1, L2 and L3 healed fused together and I have an incomplete spinal cord injury partially compressed nerve roots so I have some mobility issues but honestly I am lucky to be alive. The nurses do such a great job, you guys are the real heroes in the hospital. ❤
Or a person who’s oedematous, has paper for skin and on blood thinners 😬
Ultrasound!
Another pro nursing tip from a patient. When a patient specifies where to put the IV because of rolling veins, you should listen and not keep jabbing away. Some ppl prefer the hands some do not
Thank you so much. I just had the most painful IV experienced because the nurse shot daggers at me when I suggested previous successful locations. She went straight for the hands and when she missed in the left hand and hit a tendon she told me she had to put it in my right hand since I couldn't tolerate the left. I've had at least 20 IVs and blood drawn every 6 months for 25 years and never had anyone miss a vein. She was clearly new, which is totally fine, but don't blame me when you hurt me and only know how to place one in a single vein and refuse to try anywhere but the hand. I'm a super easy stick and not at all squeamish, of I nearly jump out of the bed when you stick me then stop don't keep pushing harder!
I always say to everyone before they go in, no searching once you enter the skin. Once youre in, try for the vein then get out. If youre not confident dont go in at all.
Ive given this warning to every person for yrs and have mixed results. Some people ignore and go jabjabjabjabjab and think that bc they havent exited the skin it means the needle is fine. I literally threaten them if you dont take it right now then i will, and have done before. Ive reported every single nurse, phlebotomist and dr that has treated my veins like shit bc of their own ego or impatience.
You can't tell nurses anything unfortunately. They know your body far better than you do
I hate the hand. The forearm is most comfortable for me. And I've probably had close to 100 ivs.
I was in Australia and the nurse was like man you’re right and grabbed a ultrasound lol 😂
Here in America im like hey do it in the hand it’s easier.
And now I know how to make my next IV insertion easier for the nurse!
First time I did my first IV insertion it was magical and it made me so happy
Love that!! The best - sweet success!
I press down on the vein to get a pop back/response -to let me know it’s not a rolling vein and a more stable vein to use.
I was stuck 14 times, including hand, when I had my son. On 3rd day of 7 day stay, an anesthesiologist stuck me and it stayed. Big money for 2 minutes of work.
A pro tip: avoid placing an IV at a joint, unless the need is for a procedure then will be dc’d. Any IV needed for more than that will be uncomfortable, the infusion will be interrupted every time the joint is bent and pt will need a new IV. Standard of care should always be 1 IV for duration of treatment.
What is dc'd? In Emerg now. I wrote a complaint about a doctor and now I am treated like a celebrity.
@@marywilliams9858 discontinue or discharge
So then no IVs in the AC? That's like the go to location 2/3 of the time.
The human body is amazing and is fascinating especially the rolling vein thrombosis and they are not right to do so period. Any way a helpful tuition lesson to put a IV insertion into a vein. Easily said then done period.
This is so helpful 😃, thank you! I can't wait to start inserting IVs!!
Glad it was helpful!
@@LevelUpRN😮
🍨 🍦🎂
This was very helpful for hard sticks
This is great! Thank you for taking time to educate healthcare professionals across the world
This person has great veins!!! 💉💉
Hahaha, I thought the same thing 😅
Yeah it's a man so
@@justyouandme4everunrelated smh. If it is, then I'm a man.
Thanks you for sharing with me 💯 support 💯
Very good video with lots of info
Glad it was helpful!
thank you so much mam 🙏😊
They dont do hand drips anymore in Australia they put it in the middle arm the hand hurts real bad
Am very interesting to see how I insert iv cannula keep going to show us more me am nursing student
Thanks for watching!🤗
So helpful thanks
Thanks for sharing!
You are so welcome!
The wrist vein is great for chemotherapy as we only need to use for s few hours
Educative information ❤
Thank you
Glad it was helpful!
good work dr sahab
Ur cannula will go over a joint … really painful and restrict mobility if ur patient is gona keep the cannula for few days
Certainly we should avoid joints and areas of frequent motion when possible, but at times we have to just use whatever veins our patient has in order to fluid resuscitate them or administer lifesaving medications. Being able to successfully start an IV in the hand is an important skill to have! :) --Meris
Anchor the (anatomical right) vein at the biforcation, this will correctly anchor the vein that’s intended for the IV. I see a lot of RN’s and PCTs do this process wrong, then call the lab to come draw for blood instead
Hi, I'm a practioner! So while I was doing IV infusion with a buterfly needle for an old patient, the blood didn't flow into the tube as it should and of course, I didn't miss any step but I suspect the force I applied on the entry point of vein. I would like to know what I really did wrong?
Great tip 😊
❤
Thank you for lesson
Very welcome! Thanks for watching. 😊
Yep we have the same eye
God bless y'all. ✝️🙂🙏
should the tourniquet be placed lower like that when inserting IV in the hand?
Been a nurse for 2 years, did not know that about stability above the bifurcation!
Appreciate you watching!
I haven’t gotten to do an IV on a real person yet. I am nervous and also excited at the idea of trying it! I notice myself looking at veins and thinking some of them look so easy to try it on! 😂
Familiarity with the technique will make it so much easier when you actually go to try it for the first time! You've got this! --Meris :)
But everytime they bend their hand, the infusing pump will stop and beep. Ot won't be long that you'll have to choose another site. But that's a good vein
Sometimes, that's our only option :( Certainly, a site on the forearm would be better, but a lot of patients just don't have great access, and something is better than nothing! --Meris :)
So you'll probably put it in the AC as an alternative which will still stop the infusion.
Thanks alot
You are welcome!
The curved vein I would go for.
Tnks
I'm trying to do this
Can a pregnant mom give the doctor or nurses any hand (left or right) to do this?
👍
How to reduce swelling
Very good
Thanks
I am a nurse from Bangladesh 🇧🇩
what about the oncology patients 😭
🎉🎉🎉🎉thnk u
You are welcome!
nice
In last 3 days i have successfully inserted 7 cannulas 😊
No. The catheter tip will lie over the joint thus increasing risk of phlebitis and requiring use of an armboard.
Unless you have an ultrasound certified nurse standing next to you then you don't have a choice. Put the IV where you can to not delay treatment.
Thank you
You're welcome!
@@LevelUpRN video helped me out for the future
I'm not a nurse so I NEED to ask..why would u NEED to go into hand for a vein??..please and Thank you 🙏❤
The veins are big but so is the pain.
You would be putting it in the wrist that bends constantly. You will end up with a blown iv. Go higher.
Yeah, but it’s on articulated joint! i would go for the veins in the lower left side of the hand
around the wrist? wouldn't it be uncomfortable for the patient?
I NEED THE MFKNN STRESS BALL!!!!!! I keep missing the sh*ttt!!!
Is it weird that my veins hide everything I'm not well 😂 a pediatrician was called to help find my vein just before having my baby
A nurse but an iv into my hand and it was the most uncomfortable spot ever!!! Never again will I ever have nurses place one there! It’s always in the way too 😢
My veins are not visible in my hand. Left elbow or foot only.
So everytime the pt. bends the wrist, flow is obstructed, and the pump alarm sounds, waking you up. SO IRRITATING to the pt.
I'm going to be prepared when the apocalypse hits
😂 We do what we can. LOL
18 gauge easy
I had a IV in september 12/11 to 22 september
I’ve had one in the hand, it’s quite painful
The man has great veins but how would insert a IV in a person that has very small veins 💉💉🩸😁😁😁
The hand IV hurt so much I thought I would throw up, pass out, or both.
What happens when the patient is a double amputee? Genuine question cause i want to make my book accurate
Ugh I have to get a cannula tomorrow
saved
How to cure swelling and painful vein point
3 days one venflan
How many IVsaline can be given to a deadly diarrhea patient
I am waiting for when she puts the needle😂😂😂😂
Yeah I’m not putting an iv in a hand unless I have to
Damn I only came here to see the needle go in. -_- :(
Why is your tourniquet on so long nurse?
Bhaii saline ma injection dete hai kamina bohot dukh ta hai.😢
Put it in the BACK of the arm.
I have invisible veins😣
That is just about the most painful place to have an IV! Why would you put it directly in the bend of the wrist where it will hurt every time the patient uses their hand?
why a gentle fist instead of tight?
Excuse me mam where is your gloves 🤔
Are ye sb chhodo ye btao pain kitna hota h mko bhi lgne wali h or heart beat bht badh rhi
Is jgh pr canulla lagana glt h arm pr
😲
I hope the tourniquet was on pretend mode 😬 I was thinking the same placement though! Winner 🥇 Those rolling veins will getcha
In the bend of the wrist though…
Novità del secolo ?
hurts too much in back of hand...
Здравствуйте лучше без слов покажите мне например не понятно то что говорите .Спасибо
I wouldn’t start an IV in either area. An IV is meant to be access for a time period. She is right about the valve area. But in addition to this it looks like it is the wrist area. And this area would see a lot of bending which for one would cause the IV to wear down and bend then two would be uncomfortable for the patient. This person looks to have nice plump veins so I would just find another area. I spent 11 years on a med/surg floor as well as PACU and ER. I was the person they called to get the difficult IV starts. Practice and knowing what to look for will make it easier. But know there is always that patient that is just impossible and know when to stop and not continue to poke the patient. 2-3 (with permission from patient or poa) is enough tries for a nurse.
What do you thing about the radial vein thats close to the wrist? I know it hurts bad but isnt it good in a long term?
I now find myself admiring straight veins on literally anyone 😂 ... Help😂
😀
Great information for drug abusers !
Is it the lighting or do you have dirt underneath your fingernails?
Dirt
I am scared of needles and I can't do this 😭
Ask for numbing cream if they offer it
😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊
😊
Canalaition Can Be Able To Anyone’s First Treatment..... 😢😢😢😢😢
But you shouldn't tight the tourniquet more than one minute
Until he moves his hand and the machine beeps every 5 seconds!
Positional IVs suck!!!!!
But Please Think Once Like Patient, Coz Bone Joint Muscle Or Vian Are Very Uncomfortable, And It Can't Stay Long Time, I Had Experience
The patient should’ve removed his ring and the nurse should be wearing gloves.
That is abad place for canula
It is certainly not ideal, but sometimes we have to take whatever access we can get, especially in an emergency situation. --Meris