This is helpful to me because of my employer wanted me to use the one hand method of advancing the needle and because I have small hands I found that difficult to do and it just makes more sense for me to hold the blue tabs with one hand and then Advance it with the other hand. I'm not sure if the clamp should be open or closed during insertion though.
These are dangerous, Ive used them in the field and almost never get full flash all the way to the air valve, which is usually the case with hypotensive pts, and leaves an air pocket. How many times do these catheters get flushed with a large air pocket between the flash and the air valve?
That is exactly what happened to me today and I was wondering the same thing. These are terrible. They are huge, awkward and do not slide easily. We recently changed to these and I am finding I am poking the patients more. I have gone from an expert to barely passable. I feel like I am trying to start an IV with a hockey stick.
You need at least 1CC of air pr kg/pt in peripheral vein to cause an air embolism. The tiny amount in the tubing is insignificant in an emergency situation. www.ncbi.nlm.nih.gov/books/NBK482249/#:~:text=However%2C%20complications%20can%20occur%20with,the%20CNS%20can%20be%20fatal. Also, if you find the Nexiva hard to advance, ‘jerk’ the needle up and down with the catheter a couple of times before inserstion. Not just once as she shows in the video.
worst, most painful catheter, they suck, as a patient i'd rather they use the non bloodless system these things are hard to advance and extremely painful.
I agree! I do maybe 30 IVs a day at a clinic with a straight catheter that is easy. Then I work in an ER and these IVs are TERRIBLE! So difficult to advance and I always seem to lose the vein because it’s just impossible to use
@@chengxu52 We recently switched and they are awful. I now feel incompetent doing iv's whereas I was the IV champ. They are difficult to advance and if a patient is resistant or in a crisis situation, good luck.
Good to see I'm not the only one who struggles with these. Been starting IVs for 30 years and was damn good at it. These make me feel like a friggin new grad again. 😒😡
One of the worst IV catheters I have used in 20 years of nursing. Gelco has a closed system that is much easier to use.
This is helpful to me because of my employer wanted me to use the one hand method of advancing the needle and because I have small hands I found that difficult to do and it just makes more sense for me to hold the blue tabs with one hand and then Advance it with the other hand. I'm not sure if the clamp should be open or closed during insertion though.
These are dangerous, Ive used them in the field and almost never get full flash all the way to the air valve, which is usually the case with hypotensive pts, and leaves an air pocket. How many times do these catheters get flushed with a large air pocket between the flash and the air valve?
I am just learning on these and I find them not so easy to use.
That is exactly what happened to me today and I was wondering the same thing. These are terrible. They are huge, awkward and do not slide easily. We recently changed to these and I am finding I am poking the patients more. I have gone from an expert to barely passable. I feel like I am trying to start an IV with a hockey stick.
just flush with saline before starting.. should be standard for all IV's
You need at least 1CC of air pr kg/pt in peripheral vein to cause an air embolism. The tiny amount in the tubing is insignificant in an emergency situation. www.ncbi.nlm.nih.gov/books/NBK482249/#:~:text=However%2C%20complications%20can%20occur%20with,the%20CNS%20can%20be%20fatal.
Also, if you find the Nexiva hard to advance, ‘jerk’ the needle up and down with the catheter a couple of times before inserstion. Not just once as she shows in the video.
These IVs are the worst thing to happen to the field of medicine since its inception
Where can I purchase these?
Hate them! Very hard to insert
worst, most painful catheter, they suck, as a patient i'd rather they use the non bloodless system these things are hard to advance and extremely painful.
Luis Unfortunately cannulas are usually painful, and experiences and texture of skin/vessels vary from patient to patient.
I agree! I do maybe 30 IVs a day at a clinic with a straight catheter that is easy. Then I work in an ER and these IVs are TERRIBLE! So difficult to advance and I always seem to lose the vein because it’s just impossible to use
@@chengxu52 We recently switched and they are awful. I now feel incompetent doing iv's whereas I was the IV champ. They are difficult to advance and if a patient is resistant or in a crisis situation, good luck.
@@belkwell4876 me too. I was the go to person too but now I never get them in and before I never missed
Good to see I'm not the only one who struggles with these. Been starting IVs for 30 years and was damn good at it. These make me feel like a friggin new grad again. 😒😡