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.
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. ❤
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.
Areas of flexion also increase risk for complications such as infiltration etc. short term=okay, long term=bad outcomes AC IV’s are easy to get, which is why most nurses go for them. This is okay for short term use, but you will have an unhappy patient if they can’t move during infusions, which are likely in hospital setting, or if they develop an infiltration due to catheter manipulation from movement etc. Best to utilize the veins in the forearm or top of hand if possible.
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.
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
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 :)
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! 😂
When i was younger I had a nurse tryna put in an IV, she was like 45+ years experience and she said i was one of her most difficult patients ever because of how invisible my veins are 🫣 She had me lean over the side of the bed with a hot towel wrapped around my arm just so she could find it 😅
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 😢
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?
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
It used to be so easy now all my veins either hide run away or it can't be found do you have to put a machine on me to find beans internally but I take insulin and I'm broke I don't have those fancy machines I can hook up to my side and pump patches into them or vials of liquid I have to do all my injections manually and I can't get them anymore I've looked at some painful places as well. I really need some advice if any have some
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.
the tourniquet should always be above the elbow...even if you are withdrawing blood from his finger tips...compressing bigger artery... more venous return
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?
I have ptsd from having an iv put in my hand!! When I was a teenager I had to have surgery on my eye. This I'm sorry to say nasty piece of sh** of a nurse came over to do my iv. I never ever had a iv before. I was a scared kid. She grabbed my wrist and Yanked it hard jumping me forward. I was starting to feel a panic attack. I have always been a good and easy patient to deal with even as an adult. After she applied a tourniquet on my wrist she and I'm not joking!!! Started pounding and I mean pounding on my hand with her first. I thought she was going to brake my hand I cried for her to stop pounding on me!! She said she had to do this to make my veins pop up it hurt soo bad. I was twisting in my bed as she was pounding on me. Then she put in the iv. She said I was acting like a brat and told my mom I was going to be an impossible patient. My had was swelling soo bad not even 2 minutes later the vain rejected my iv. She ripped off my type and it hurt soo much I screened my mom didn't know what to say! The nurse stormed off and I'm not joking she was pissed! My had was soo swollen it hurt to move my fingers and bend my wrist! I was fighting back tears! She got the Anastasiaolgist. Omg the look on his face!!! He was freaking mad at me!!! He said I'm going to his problematic patient. I begged and pleaded with my mom to take me home! He grabbed my other wrist and he said he is going to put my iv in my wrist in the area under my thumb! Omg!!! That pain was hell!! I felt like I was being punished! He told me I couldn't move my wrist if I do I would badly damage my vain. Now I can't use both hands. I asked for something for pain they ignored me. I kept begging to go home but they wouldn't let me go home.
![FNAF vs TF2 - Episode 2 [SFM]](http://i.ytimg.com/vi/z5b3V2-VLb0/mqdefault.jpg)
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
First time I did my first IV insertion it was magical and it made me so happy
Love that!! The best - sweet success!
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.
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.
And now I know how to make my next IV insertion easier for the nurse!
Yep, agree 100%!
Also some lab results can be altered by leaving the tourniquet on for too long.
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!
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.
Areas of flexion also increase risk for complications such as infiltration etc. short term=okay, long term=bad outcomes
AC IV’s are easy to get, which is why most nurses go for them. This is okay for short term use, but you will have an unhappy patient if they can’t move during infusions, which are likely in hospital setting, or if they develop an infiltration due to catheter manipulation from movement etc. Best to utilize the veins in the forearm or top of hand if possible.
Never learned about bifurcation in nursing school. We did an IV insertion but this info was not given. Thank you.
I'm getting ready to start nursing school next year and trying to get all the help i can lol.
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.
The wrist vein is great for chemotherapy as we only need to use for s few hours
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
Thanks for sharing. Could you also give tips for anticubital sites and hard to find veins.
Am very interesting to see how I insert iv cannula keep going to show us more me am nursing student
Thanks for watching!🤗
This was very helpful for hard sticks
This is so helpful 😃, thank you! I can't wait to start inserting IVs!!
Glad it was helpful!
@@LevelUpRN😮
🍨 🍦🎂
Educative information ❤
Thank you
Glad it was helpful!
This is great! Thank you for taking time to educate healthcare professionals across the world
Very good video with lots of info
Glad it was helpful!
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 for sharing!
You are so welcome!
Been a nurse for 2 years, did not know that about stability above the bifurcation!
Appreciate you watching!
Thank you for lesson
Very welcome! Thanks for watching. 😊
They dont do hand drips anymore in Australia they put it in the middle arm the hand hurts real bad
You would be putting it in the wrist that bends constantly. You will end up with a blown iv. Go higher.
thank you so much mam 🙏😊
Thanks you for sharing with me 💯 support 💯
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 :)
Very good
Thanks
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.
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.
When i was younger I had a nurse tryna put in an IV, she was like 45+ years experience and she said i was one of her most difficult patients ever because of how invisible my veins are 🫣 She had me lean over the side of the bed with a hot towel wrapped around my arm just so she could find it 😅
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 😢
Tnks
So helpful thanks
Use heat. Any kind of heat. Heating pad. Hot water compress. Hot blanket.
Thank you!
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?
❤❤❤❤
I'm trying to do this
Yep we have the same eye
Thanks alot
You are welcome!
Can a pregnant mom give the doctor or nurses any hand (left or right) to do this?
Yeah, but it’s on articulated joint! i would go for the veins in the lower left side of the hand
should the tourniquet be placed lower like that when inserting IV in the hand?
In last 3 days i have successfully inserted 7 cannulas 😊
Most people recommend distal to proximal . Hand is the first option.
For me, either an IO or my port. I have absolutely no veins.
👍👍
😊
🎉🎉🎉🎉thnk u
You are welcome!
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
Can physiotherapy students do this
good work dr sahab
It used to be so easy now all my veins either hide run away or it can't be found do you have to put a machine on me to find beans internally but I take insulin and I'm broke I don't have those fancy machines I can hook up to my side and pump patches into them or vials of liquid I have to do all my injections manually and I can't get them anymore I've looked at some painful places as well. I really need some advice if any have some
Thank you
You're welcome!
@@LevelUpRN video helped me out for the future
I am a nurse from Bangladesh 🇧🇩
nice
God bless y'all. ✝️🙂🙏
Amazing information
Thank you!
around the wrist? wouldn't it be uncomfortable for the patient?
I’ve had one in the hand, it’s quite painful
❤
Great tip 😊
I had a IV in september 12/11 to 22 september
👍
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.
How to cure swelling and painful vein point
3 days one venflan
The curved vein I would go for.
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
How to reduce swelling
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?
So everytime the pt. bends the wrist, flow is obstructed, and the pump alarm sounds, waking you up. SO IRRITATING to the pt.
I hope the tourniquet was on pretend mode 😬 I was thinking the same placement though! Winner 🥇 Those rolling veins will getcha
I NEED THE MFKNN STRESS BALL!!!!!! I keep missing the sh*ttt!!!
Yeah I’m not putting an iv in a hand unless I have to
what about the oncology patients 😭
the tourniquet should always be above the elbow...even if you are withdrawing blood from his finger tips...compressing bigger artery... more venous return
The hand IV hurt so much I thought I would throw up, pass out, or both.
Please speak in cg 👍👍
How many IVsaline can be given to a deadly diarrhea patient
Great information for drug abusers !
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?
I'm going to be prepared when the apocalypse hits
😂 We do what we can. LOL
Who. Is the num of barnola
saved
My veins are not visible in my hand. Left elbow or foot only.
Ugh I have to get a cannula tomorrow
Excuse me mam where is your gloves 🤔
Put it in the BACK of the arm.
I now find myself admiring straight veins on literally anyone 😂 ... Help😂
😀
I have ptsd from having an iv put in my hand!! When I was a teenager I had to have surgery on my eye. This I'm sorry to say nasty piece of sh** of a nurse came over to do my iv. I never ever had a iv before. I was a scared kid. She grabbed my wrist and Yanked it hard jumping me forward. I was starting to feel a panic attack. I have always been a good and easy patient to deal with even as an adult. After she applied a tourniquet on my wrist she and I'm not joking!!! Started pounding and I mean pounding on my hand with her first. I thought she was going to brake my hand I cried for her to stop pounding on me!! She said she had to do this to make my veins pop up it hurt soo bad. I was twisting in my bed as she was pounding on me. Then she put in the iv. She said I was acting like a brat and told my mom I was going to be an impossible patient. My had was swelling soo bad not even 2 minutes later the vain rejected my iv. She ripped off my type and it hurt soo much I screened my mom didn't know what to say! The nurse stormed off and I'm not joking she was pissed! My had was soo swollen it hurt to move my fingers and bend my wrist! I was fighting back tears! She got the Anastasiaolgist. Omg the look on his face!!! He was freaking mad at me!!! He said I'm going to his problematic patient. I begged and pleaded with my mom to take me home! He grabbed my other wrist and he said he is going to put my iv in my wrist in the area under my thumb! Omg!!! That pain was hell!! I felt like I was being punished! He told me I couldn't move my wrist if I do I would badly damage my vain. Now I can't use both hands. I asked for something for pain they ignored me. I kept begging to go home but they wouldn't let me go home.
Is it the lighting or do you have dirt underneath your fingernails?
Dirt
My favorite part was watching you not put the cannula in…
Why is your tourniquet on so long nurse?
I am scared of needles and I can't do this 😭
Ask for numbing cream if they offer it
Novità del secolo ?
why a gentle fist instead of tight?
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
I have invisible veins😣