By far....the most comprehensive video on overall placement, thoughts about timing, when, what, how, etc. to do for I.V. Tx initiation that I've seen; I've seen alot of videos. Good thought processes, showing how with animations...etc. Great job....great theory teaching...etc. Cheers team.
This is the best IV insertion video I've seen. Very clear, specific, step by step--showing what to do, not to do, and explaining why both in words and visually--without confusion. Also, the complete discussion of clamp, omitted in many videos, is appreciated. Thanks!
WOW I appreciate the time spent, knowledge, options, best practice, justifications... great resource. Loved the "what if" scenarios. A couple of typos threw me.
In my experience forearm veins especially in the elderly can be really poorly anchored and it can make it a lot more difficult to access, it is just another consideration people have to be aware of and something I see people starting out miss when placing IVs. It’s really important to see how much play there is with a vein and how likely it is to roll on insertion. I find myself fairly frequently choosing to go for a slightly smaller vein that is better anchored than a large vein that is very superficial or that I can see is going to be harder to anchor. Also using a circling technique around the limb can also help anchor more mobile veins.
New research has shown for peripheral iv, dressings do not need to be changed if not infected, soiled, or damaged. In fact research is showing a higher risk of infection or short use span when being changed often 😊 Central lines continue to be changed every 7 days 😊
Excellent information. the Policy at Trinity health livonia as of 6/18/24 is still to require a change after 7 days but hopefully we see policy changes that reflect the new findings soon.
You shouldn't have that much bleeding when you have you remove the needle. You are supposed to push above the IV to prevent the blood from leaking everywhere.
whenever an IV is inserted in my arm, the next day 1/4 of the Ivs tubing is filled with my blood. Does moving my arm affect the placing of the catheter or i just have a moveable veins
It happens. Likely the slide clamp wasn't closed, which isn't uncommon, and it's not a huge deal really. You're blood pressure is just pushing and slowly working blood back up the tubing. Mostly, it just negatively impacts the longevity of the IV. Flushing the IV and making sure it keeps working will solve the issue.
Why do many nurses now insert the needle into the skin, Miss the vein and then start poking in all directions from the insertion point. It is basically fracking for blood. Then they consider that one try if they can’t get anything. At that point I’m going to have a huge bruise and reject that person trying again. But this seems to be normal now.
When drawing blood or staring an Iv, you must first find a vein. You do this through touch. You do not go by sight, even though at times you may be able to see the vein. You have to determine the direction of the vein, the depth, and if it rolls. If it rolls, you then have to figure out the direction it rolls in. You also have to anchor the base of the vein. Some veins are larger than others. Rolling veins move once you try to poke them, which causes you to readjust the needle. This is done by pulling back on the needle, changing the direction, and then reinsert by pushing forward in the new direction. This may have to be done several times before you actually push through the wall of the vein. Please keep in mind that the skin is not see through, which is why all of this is done by touch. Drawing blood on sick people is more difficult than starting blood on a healthy person. Dehydration in a person can make it difficult as well. As you can see they are so many variables that go into this skill, so give individuals helping you a little grace.
I think it is so there are less puncture points, but could still lead to a successful IV start. Sometimes the vein rolls but can still be accessed from the same puncture point. The number of IV attempts is based off skin punctures in most places.
