Starting an IV in the Hand: Clinical Tips |

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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.
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Опубликовано:

12 июн 2022

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Комментарии : 178

@janicegebhart1053 2 года назад

I did my very first IV insertion and it was a success 😁 I was so proud of myself.

@LevelUpRN 2 года назад

That's great!

@josh_7569 Год назад

Good stuff!!

@Lp-ru3z Год назад

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

@michaelax3025 Год назад

Whoopee big deal

@kariyamayur7804 11 месяцев назад

Please i want to know

@MrGSWarriors1 Год назад

Now let’s do it on a 78 y/o dehydrated ESRD pt 😂

@LevelUpRN Год назад

Haha, it's always the ESRD patients who are the trickiest IV starts! --Meris

@bittersweetbeguiling 10 месяцев назад

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 😂

@LisaHale-yl2vr 7 месяцев назад

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. ❤

@heyitsangelynk 5 месяцев назад

Or a person who’s oedematous, has paper for skin and on blood thinners 😬

@SMP-RN 25 дней назад

Ultrasound!

@JBoo Год назад

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

@FortheBudgies Год назад

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!

@inhaledexhaled5460 10 месяцев назад

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.

@DewtbArenatsiz 5 месяцев назад

You can't tell nurses anything unfortunately. They know your body far better than you do

@tracyadelizzi6831 4 месяца назад

I hate the hand. The forearm is most comfortable for me. And I've probably had close to 100 ivs.

@CelticCatholic 4 месяца назад

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.

@lizbrown6943 7 месяцев назад

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.

@SMP-RN 9 месяцев назад

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.

@marywilliams9858 25 дней назад

What is dc'd? In Emerg now. I wrote a complaint about a doctor and now I am treated like a celebrity.

@SMP-RN 25 дней назад

@@marywilliams9858 discontinue or discharge

@CarrieMK Год назад

And now I know how to make my next IV insertion easier for the nurse!

@shanika78 Год назад

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.

@sueparker33 Год назад

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.

@joannedonaldson5818 5 месяцев назад

They dont do hand drips anymore in Australia they put it in the middle arm the hand hurts real bad

@yazidabdoolkarrim-uy7zw Год назад

Ur cannula will go over a joint … really painful and restrict mobility if ur patient is gona keep the cannula for few days

@LevelUpRN Год назад

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

@leopardappygirl 10 месяцев назад

No. The catheter tip will lie over the joint thus increasing risk of phlebitis and requiring use of an armboard.

@Duol.NguotGatdoar 2 дня назад

Am very interesting to see how I insert iv cannula keep going to show us more me am nursing student

@LevelUpRN День назад

Thanks for watching!🤗

@latifahgordeeva6198 Год назад

This was very helpful for hard sticks

@chevyfinn Год назад

This person has great veins!!! 💉💉

@ruthylopez1575 Год назад

Hahaha, I thought the same thing 😅

@justyouandme4ever 10 месяцев назад

Yeah it's a man so

@effingeff3981 4 месяца назад

@@justyouandme4everunrelated smh. If it is, then I'm a man.

@erickadw1 Год назад

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

@LevelUpRN Год назад

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 :)

@lazaroluis8242 8 месяцев назад

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

@user-sh8fr4kn1u 20 дней назад

Very good

@LevelUpRN 19 дней назад

Thanks

@jacqulineloncke8696 Год назад

Thanks you for sharing with me 💯 support 💯

@pennychurchward1481 8 месяцев назад

The wrist vein is great for chemotherapy as we only need to use for s few hours

@cv1909 Год назад

Very good video with lots of info

@LevelUpRN Год назад

Glad it was helpful!

@albertineikupu7769 Месяц назад

So helpful thanks

@LTT-7915 Год назад

thank you so much mam 🙏😊

@PinkYellowGreen2023 Год назад

Thanks for sharing!

@LevelUpRN Год назад

You are so welcome!

@DanielSanchez-tv6vh Месяц назад

God bless y'all. ✝️🙂🙏

@parvazumrani7279 Год назад

good work dr sahab

@khoiduy1151 11 месяцев назад

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?

@jbdbean 5 месяцев назад

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 😢

@worshiperjoelmasih18 9 месяцев назад

In last 3 days i have successfully inserted 7 cannulas 😊

@jessicateneyck2650 10 месяцев назад

You would be putting it in the wrist that bends constantly. You will end up with a blown iv. Go higher.

@goldenhydration 2 года назад

This is so helpful 😃, thank you! I can't wait to start inserting IVs!!

@LevelUpRN 2 года назад

Glad it was helpful!

@LiamBlanco-mz9zr Год назад

@@LevelUpRN😮

@shaynewheeler9249 9 месяцев назад

🍨 🍦🎂

@Folkrally Год назад

This is great! Thank you for taking time to educate healthcare professionals across the world

@sweetydas7776 9 месяцев назад

Nice channel.

@jinettejean4998 5 месяцев назад

Educative information ❤ Thank you

@LevelUpRN 5 месяцев назад

Glad it was helpful!

@user-hp8ro6yg3m 9 месяцев назад

Yep we have the same eye

@ketachamaragh9059 Год назад

Great tip 😊

@rumjhumkhatun2944 Год назад

I am a nurse from Bangladesh 🇧🇩

@AAtkinson 9 месяцев назад

Been a nurse for 2 years, did not know that about stability above the bifurcation!

@LevelUpRN 9 месяцев назад

Appreciate you watching!

@IbrahimAbdiAli-er6gg Год назад

Tnks

@kienfemichaeltemesgen9168 Год назад

Thank you for lesson

@LevelUpRN Год назад

Very welcome! Thanks for watching. 😊

@dr_underground9476 Год назад

🎉🎉🎉🎉thnk u

@LevelUpRN Год назад

You are welcome!

@shanika78 Год назад

The curved vein I would go for.

@AC-kw4st Год назад

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! 😂

@LevelUpRN Год назад

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 :)

@hajiyaser2494 9 месяцев назад

nice

@Joshy05 Месяц назад

I’ve had one in the hand, it’s quite painful

@JanetKonneh Месяц назад

I'm trying to do this

@asianboy2177 10 месяцев назад

should the tourniquet be placed lower like that when inserting IV in the hand?

@zainabuabdi8549 Год назад

Thanks alot

@LevelUpRN Год назад

You are welcome!

@patriciapatty9936 11 месяцев назад

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

@gailcunningham3372 8 месяцев назад

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 🙏❤

@marywilliams9858 25 дней назад

The veins are big but so is the pain.

@cq2803 Год назад

what about the oncology patients 😭

@dillonbuckley4618 6 месяцев назад

Yeah I’m not putting an iv in a hand unless I have to

@newbirth35 Год назад

The hand IV hurt so much I thought I would throw up, pass out, or both.

@ClayfriendsYTJaahkmYT1281 6 месяцев назад

I had a IV in september 12/11 to 22 september

@jasonbriggs2572 9 месяцев назад

I NEED THE MFKNN STRESS BALL!!!!!! I keep missing the sh*ttt!!!

@lizzieandmocha1131 Год назад

I'm going to be prepared when the apocalypse hits

@LevelUpRN Год назад

😂 We do what we can. LOL

@rusc9275 Год назад

saved

@ihatecheese1 11 месяцев назад

18 gauge easy

@notyourmama6511 Год назад

My veins are not visible in my hand. Left elbow or foot only.

@itsbhavika3243 Год назад

How to reduce swelling

@marywilliams9858 25 дней назад

Put it in the BACK of the arm.

@April8989 4 месяца назад

So everytime the pt. bends the wrist, flow is obstructed, and the pump alarm sounds, waking you up. SO IRRITATING to the pt.

@paulpoppenfuse7071 Год назад

Thank you

@LevelUpRN Год назад

You're welcome!

@paulpoppenfuse7071 Год назад

@@LevelUpRN video helped me out for the future

@flomicabowens461 Год назад

The man has great veins but how would insert a IV in a person that has very small veins 💉💉🩸😁😁😁

@autisticsareawesome 4 месяца назад

What happens when the patient is a double amputee? Genuine question cause i want to make my book accurate

@sbcollegeneeeds Год назад

around the wrist? wouldn't it be uncomfortable for the patient?

@hayley339 Месяц назад

Ugh I have to get a cannula tomorrow

@thegoodnuz9947 Год назад

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.

@darkseer100 27 дней назад

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?

@FortheBudgies Год назад

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?

@affsheen136 5 месяцев назад

How to cure swelling and painful vein point 3 days one venflan

@misty3787 9 месяцев назад

I now find myself admiring straight veins on literally anyone 😂 ... Help😂

@LevelUpRN 9 месяцев назад

😀

@ladysparta777 2 года назад

Damn I only came here to see the needle go in. -_- :(

@nuzhatasghar8579 7 месяцев назад

I am waiting for when she puts the needle😂😂😂😂

@MD.TuhinMiah-ny2bv 8 месяцев назад

Canalaition Can Be Able To Anyone’s First Treatment..... 😢😢😢😢😢

@denisachitoi3602 6 месяцев назад

😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊

@LevelUpRN 6 месяцев назад

😊

@BittuBaisa-bt9mz 3 месяца назад

Are ye sb chhodo ye btao pain kitna hota h mko bhi lgne wali h or heart beat bht badh rhi

@swaggaming2608 Год назад

Bhaii saline ma injection dete hai kamina bohot dukh ta hai.😢

@marcussurleyadventures1928 Год назад

Yeah, but it’s on articulated joint! i would go for the veins in the lower left side of the hand

@munnawarkhan3697 Год назад

Is jgh pr canulla lagana glt h arm pr

@islamicknowledge1294 Год назад

😲

@EdgarAllanGo Год назад

I hope the tourniquet was on pretend mode 😬 I was thinking the same placement though! Winner 🥇 Those rolling veins will getcha

@javedkhan-jq9ne 10 месяцев назад

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

@joypaul7309 2 месяца назад

How many IVsaline can be given to a deadly diarrhea patient

@charismacolada9846 Год назад

I have invisible veins😣

@oliviaclark5479 Год назад

why a gentle fist instead of tight?

@acargill7399 Год назад

Why is your tourniquet on so long nurse?

@noellerubel4686 Год назад

hurts too much in back of hand...

@lindahoffman8296 Месяц назад

The patient should’ve removed his ring and the nurse should be wearing gloves.

@weir_family 11 месяцев назад

Until he moves his hand and the machine beeps every 5 seconds! Positional IVs suck!!!!!

@BlackberryGlow 5 месяцев назад

I am scared of needles and I can't do this 😭

@bigred6978 Месяц назад

Ask for numbing cream if they offer it

@Prince-se2ek 10 месяцев назад

Excuse me mam where is your gloves 🤔

@noorpukhtoon06 9 месяцев назад

But you shouldn't tight the tourniquet more than one minute

@michaelax3025 Год назад

Got to love these Tik-Tok nurses they do anything for views

@conradobugayong706 3 месяца назад

IB fluid From Maria MAGDALENE NILIMLIMAN sa puno ng Santol Santa Jacinta Irene Cabatbat Bugayong from Papa Christ the King amen Baguio city Cathedral Amen Jason Momoa Bossing

@afifyasseen310 Год назад

Novità del secolo ?

@shaylabrown6038 10 месяцев назад

Help me Jesus. I have so much anxiety with this. Idk why

@sleepergirl04CRNA Год назад

Is it the lighting or do you have dirt underneath your fingernails?

@sugarbaby2392 Год назад

Dirt

@patrickol4300 2 года назад

Great information for drug abusers !

@haniasunbati9504 Год назад

Putting an IV access over a joint is not recommended. This patient has a very healthy veins, ignore the bifurcation and this vein at all 😅

@LevelUpRN Год назад

Certainly it's not ideal, but there are absolutely times where we must use a less optimal site. As an ER nurse, while I try to get an IV in the best site possible, I often have to get access wherever is possible. Again, this is just demonstrating where and how one would go about starting an IV in the hand for when it is necessary. --Meris

@haniasunbati9504 Год назад

@@LevelUpRN Thank you for spending time explaining your purpose. I totally agree with you about the difficult situation and how to get an IV access wherever possible. My comments was specifically for the veins were shown in the video. Thanks for your efforts making this type of videos, and a have lovely time.