Rolling Veins - The Best Place to Start an IV in the hand: Clinical Skills |

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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.
#RollingVein #ClinicalSkills #NCLEX #HESI #Kaplan #ATI #NursingSchool #NursingStudent⁠ #Nurse #RN #PN #Education #LVN #LPN #NurseEducator
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Опубликовано:

29 сен 2024

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Комментарии : 77

@reneetowns5085 9 месяцев назад

If only All phlebotomist listen to their patients like this😩

@tob7449 4 месяца назад

It stuns me when I hear that people don't ask their patients about their own veins, let alone not listen to them! People usually know those things because other healthcare professionals have made those observations in the past after a struggling to access their veins!!! Like cmon

@dlogs9778 Месяц назад

@tob7449 I draw blood often throughout my day. I always ask the patient for their recommendations on the best spot to draw. But our bodies change, the spot worked for them last month may not work best for them this time.

@madinp1177 4 месяца назад

This is what I do

@erwinrogers9470 14 дней назад

What's a, rolling vein?

@Gaumukh 3 месяца назад

That volunteer is so calm! Traction can be uncomfortable and he waited for you to educate ❤him

@grace105p 13 дней назад

Can you please make a video on how to find the vein when they are not visible or felt ?

@jrh2015 3 месяца назад

that is the worst tourniquet ever.

@lisagreen7778 4 месяца назад

Highly recommend assessing the forearm for a vein to cannulate. Insertion near or in a joint (wrist, AC/bend of the elbow) dooms your patient to a constantly beeping pump, mechanical phlebitis, possible infiltration/extravasation and surely an IV restart in less than 24 hours (the nurse following on the next shift won’t like it either!) It is important to learn best practice for vascular access including placing PIVs in the forearm - learn to palpate not just visualize veins when selecting a site for IV insertion. Tourniquets that are too tight, catheters that are too large to allow adequate blood flow and weird insertion sites (fingers, chest, boobs, feet, etc) all are a big NO and do nothing helpful for patients - they can lead to patient harm, lawsuits and loss of your nursing license.

@bubblephobiaoftheshire 4 месяца назад

Lol quit trying to scare people, it takes four hours before tissue damage is done if a tourniquet is left on. Nobody is starting an IV in the boobs, and those other places are all if someone is desperate to get an IV in. If a catheter is too big it'll just miss the vein. You must be in management or one of those wonderful nursing educators. Probably better if you just stopped talking all together.

@JGood620 2 месяца назад

It's unbelievable how many people try to place an IV in the antecubital fossa. They look at me funny when I tell them if you can't put it in my forearm, put it in my hand.

@gixelz 2 месяца назад

Yeah, nobody is losing a license by getting an IV in somewhere. In the ED we get one wherever we can, and sometimes on the floor you don't have a lot of choices. Stop scaring people by saying "oH bUT yOuR licenSe!!!!" 😅

@gantz0949 2 месяца назад

@@gixelzyea fr😂

@omarfx9818 Год назад

But this way you cant see the vein clearly

@618thrift 7 месяцев назад

It drops but doesn’t roll. It’s still in the same place. I’ve put in hundreds of ivs this way no problem at all

@franeliseo Год назад

Thats actually the best way to redo an iv after the pt cant keep that arm straigjt for 6 hours while the fluid gets done. Yet it is what I would call the emergency spot for those in critical need of iv meds and fluids. Hate them tho.

@cieralove7755 Год назад

Great tip

@LevelUpRN Год назад

Glad you think so!

@jayteefishing1543 4 месяца назад

Yeah otherwise you’re really rolling the dice…

@PrateekNYCnurse 18 дней назад

I always get in trouble whenever I get a patient with fat hands or obese clients 😂😂 it's such a mess when u can't find their vein on time 😂😂

@TheRylee213 10 месяцев назад

I’m a phlebotomist and have a question about something I saw today with syringe draws with a butterfly! While drawing, if there is air in the syringe while filling and you let the syringe bounce back, is that dangerous? Where does the air go?

@cavelleardiel 9 месяцев назад

I asked the same question while in school. There is a valve that will block any air going back into the needle to the patient

@TheRylee213 9 месяцев назад

@@cavelleardiel thank you!!

@dakz9296 Год назад

I'm a lefty so this is gonna be hard for me. Do I use my dominant hand to insert the IV?

@theparaminuteman Год назад

Yes of course, whatever works for you

@jintudas7768 2 месяца назад

Don't u think u should cut ur nail..as a doctor

@gailcunningham3372 3 месяца назад

O M G..Very interesting..😮

@LevelUpRN 3 месяца назад

Thank you!

@ElvisPresley-f7j Месяц назад

Distal tension, no such thing as "Rolling veins " only poor technique

@sharpie6888 8 дней назад

There absolutely is such thing as rolling veins

@WAnnCrawford 4 месяца назад

No wrong!

@NCLEX-REVIEWS Год назад

Great video ❤

@christinebrown179 2 месяца назад

Why is this labeled where to best place iv in the hand? That’s not the hand. 🧐

@Matthewmasturbation 4 месяца назад

How am I supposed to do that to myself 😭

@anoush6535 Месяц назад

😂 luv your hypothetical iv Nice..

@part2interactive547 5 месяцев назад

I don’t like this way because it flattens the vein.

@minhajsahal4467 4 месяца назад

I liked your explanation but not your watch ⌚😔

@gixelz 2 месяца назад

Nobody gives a fuck.

@tiaspovsimpletrue2670 4 месяца назад

Hope the arm didn't fall off as long as she took

@amandahirschfeld7382 Год назад

😂My trainer told me last week that there is no such thing as rolling viens and such😂

@Rinsuki Год назад

Lol. They are called shy veins by me. They are there when you palpate but as soon as you stick they disappear.

@amandahirschfeld7382 Год назад

@@Rinsuki I've had that happen too🤣

@bramsongondwe4606 Месяц назад

Try let's see if it works

@gassemissam8196 3 месяца назад

What's an IV

@DDD-qm1nj 7 месяцев назад

noob advice

@AaronTovar-m7w 6 месяцев назад

No video of getting the vein?

@anoush6535 Месяц назад

And Nice video thanks..

@LevelUpRN 24 дня назад

Thank you!

@paulpoppenfuse7071 Год назад

Love ❤️

@LevelUpRN Год назад

Appreciate you watching!

@sulitditojustine6570 4 месяца назад

Thank you for the technique

@LevelUpRN 4 месяца назад

You are so welcome!

@dennisosinjolu6786 9 месяцев назад

Umm. Youre not supposed to anchor that damn close to the vein in the first place so your thumb should not be in the way. Second people call veins jumping and rolling when they miss. Its just a classic excuse for literally missing the vein. Tighten your cuff/tourn more to expose the veins more. Puncture the skin very gently to avoid anything moving at the bottom. Understand the depth of vein very well so you have the right angle and nothing with never jump or roll. Also dont anchor so damn hard if you think it will "jump" or "roll"

@patrickkelley836 6 месяцев назад

In fact, veins do roll. Anatomy suggests that the older the patient, the less foundation they have underneath their skin to keep the veins in place. That is, a geriatric patient likely has less collagen formation and elastin than does a young adult. Even so, genetics also factors in as patients of all ages can naturally have bulging veins. Nevertheless, the need for anchoring is important but to say that rolling veins is just a “classic excuse” means you missed basic anatomy and it’s functional consequences

@Eric_D_Blair 4 месяца назад

May GOD BLESS YOU!❤

@farhanachaudury9506 5 месяцев назад

🙏 great tip

@k.caruso7689 9 месяцев назад

Clean nails might help when you do an IV.

@TheCruz269 5 месяцев назад

Why do you have a rainbow watch

@Seane780 4 месяца назад

LGBTQ WTF

@gixelz 2 месяца назад

You have something against rainbows? What a weird thing to do, make a fashion statement on an IV video. Re-evaluate your life

@heksgmz 6 месяцев назад

Can I do this on the dorsum of the hands? Thank you

@brunopenava7198 6 месяцев назад

I wouldnt trust a woman with that kind of watch 😂

@thekiler1585 6 месяцев назад

On your wrist 🤢🤮

@MultiSmashBang 10 месяцев назад

Please clean your fingernails

@brycep5674 11 месяцев назад

OOORRRR, you can learn to do IVs using an ultrasound and stay away from the AC as well as now have a "rolling" vein not be an issue. #vascularaccess

@KirbyFanDude Год назад

Bro hurry up you're only really supposed to leave the tourniquet on for a minute tops

@cadeanderson9733 Год назад

Clearly ur not in the medical field

@theparaminuteman Год назад

Lol no

@RamonQuiro7 11 месяцев назад

I believe, that's only for phlebotomy

@cavelleardiel 9 месяцев назад

@@RamonQuiro7 and it is two minutes

@SongBird950 10 месяцев назад

And what is the point of these videos? This information should be between Medical professionals and no one else!

@shab5204 10 месяцев назад

But yet you are watching also !!

@90_secondstillmidnight 6 месяцев назад

It helps people in school like me, and people who have certificates but not licenses, also like me. I’m a phlebotomist with my National certification but not state license so it helps to frequent these types of videos to not forget the lessons and see different ways people do blood draws and Iv correctly and incorrectly. I also show these to my instructor and fellow mates and it’s a good talking piece.