10 tips to starting IVs - The First Try
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- Опубліковано 30 лип 2024
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I love it when I stick nervous patients in the bumpy moving ambulance and they say “oh that wasn’t bad at all” and I reply with a worried voice “I was pretty worried because this is my first week”
Gets them every time lol
Thanks for your likes and support ❣️ leecollins735@gmail.com and my WhatsApp number too +19172720493
That's my email address you can add me up for more information and know more about ourselves
That's the best!! I use to say that when I was a dialysis tech. Haha
I am 13 years old, and i have decided to become a RN when I’m older. I have watched a ton of videos and this is the best one yet. THANK YOU SO MUCH!!!!
Same
I used to watch videos like this some years ago and now I’m in med school!!! I really hope you get in and achieve your dream med school is really fun when you like it ❤️
Thank God you touched on fishing! Don’t blind dig around in someone’s arm, please.
That shit hurts so bad.
I have had a phlebotomist fish on both elbows and both hands. I have hard to find veins and I warned her about this before she started. She ended up blowing out the veins in both hands, fortunately the lab work didn’t need to be done stat so I was able to wait a week for the veins to mostly heal and go back to a different clinic to get the blood work done.
Thank Ingrid not god...
I grew up having countless Medical treatments-and boy, you would have thought I was the local FISHING paradise! One time I was having surgery-after nine attempts to drive an I.V.; the Doctor came in yelling what the...I cant believe your half (wittedness)-he walked right over; placed the IV; and then told all three who had tried-now...what the ...was so hard! LOL By the 10th attempt; tears were rolling.
I had carpal tunnel the first time labor was induced at 41 weeks. That bitch stuck me 7 times searching for a good vein.
The seventh was in my outer wrist where my carpal tunnel was intense. Once she got the blood needed, she was going to leave it for an IV. I demanded she remove it or I would.
I also told her if she stuck me again I was going to stab her with the damn needle. She copped an additude.
I called off the induction, removed it, threw it at her and stormed out AMA. Fuck her. Worst maternity phlembotimist EVER. Didn't want her anywhere near my baby after that.
I came back for induction round 2 at 42 weeks and was treated much better. No sign of that cunt, and my mother in law wasn't breathing on the door and rattling the knob 15min after arriving for induction, either.
(Murderous look)
This is the best IV instruction I have seen on video or in clinical (I'm a nursing student). Thank you this is awesome
Thank you! Please share!
No joke! Better than any other “nursing” video I’ve seen on I.V. starts!
I like how you verbally communicated everything you were doing. You didn’t make any assumptions!
sam to u
I’m a new nurse and start working by myself in a week. This was amazing help. I am so thankful.
So good to see the subject of fishing talked about. Through my years as a nurse I've seen so many that fish and I always pull them aside to work on breaking that habit. I find most are just very unsure about their ability and rush themselves. Best to take your time, know your target area and break it down so fishing isn't done. Better for medical staff and more so for patients.
As an EMT of ten years and now a paramedic student, I have found your videos informative. I've seen medics over the years starting IV and even assisting them with finding veins. Now that I'm in the hot seat, lately, I've been feeling quite nervous. After watching this video I'm at ease. Thanks!
Excellent video. As a nurse sedating patients in an outpatient setting, each one is a challenge daily and this refresher has made it more motivating for me. Best to
You guys, keep posting good content like this as it helps us out here a great deal. I appreciate our medics and phlebotomists, they are awesome!
I'm not in med school, I'm just trying to desensitize myself to needles to stop being afraid of them lol
Hey if it makes you feel better we've got lots of medics who hate getting poked.
Eddie Hill I used to be very afraid of needles too! I’ve had to get IVs and blood tests a lot in the past year though, and what’s helped me the most is thinking about how the worst part is right before you’re poked. The fear is worse than the actual pain, I think, because you either don’t know or can’t remember what the sensation will be like exactly
Eddie Hill
Me too because I’m pregnant 😢
Paul Mallory I don't think starting an IV is that easy. Doctors whose job doesn't include doing this on a daily basis, won't be that gentle/fast enough or they will just simply miss the vein, compared to other specialists (eg. anesthetists or IV nurses), who regularlay start IV's, often under time pressure.
Eddie. Its not so much the needle that hurts. Every time I get a shot that "hurts" its usually the actual injection that "hurts". And if you ever need an IV you'll be more than happy to receive it!
Best instruction on that ever!!! Practical approach on the most important topics and concerns before getting started! Thank you so much!
Best IV instructional video I’ve seen to date. Well done. Kudos to the instructor for her knowledge and condor. “No fishing!” :)
I'm going to be going for my EMT-A in Vermont in the near future. This has helped me get a better understanding of IVs. Thank you!
I'm glad I ran into your channel. Prior to this vid, I knew very little about phlebotomy, catherization, etc. I've been considering becoming a phlebotomist or some type of Medical Tech. I liked the info in this vid. Great advice served in a practical and understandable way. I liked and subbed you. I look forward to more content from you. Perhaps you can do a vid on Occlusive bandages(bandaging) or, maybe a Tension Pneumothorax, or Hematoma, even. Thanks and keep up the good work.
Paramedic Instructor Ingrid is fabulous - I am having my midwifery graduate students watch these because often in nursing school or where they have worked as nurses they don't start IVs and the tips/tricks provided in these are so much better than the nursing ones I have viewed
This is such a great video! I’m going into my 4th semester as a nursing student, but I’ve only had one opportunity to start an IV on an older patient, and I was not able to get flashback. I’ll def use these tips!
I’m a new nurse and it’s frustrating to not know how to start an IV. Always calling for help... I want to be able. Thanks for the MANY tips, they are going to change my shifts!
Useful tips! Thanks, Ingrid. Keep up the good work people 😊 ⚕️
Thank you so much on the tip about making an indentation on the skin where the vein is. So many times I can’t see the vein after I’m done feeling it and am ready to stick. Sometimes I used a ball point pen to make a dot. Your way is way better!!
I had to swing back and say a huge thank you, I found this video last night before medsurg 2 clinical rotation starting today in Nursing school, I started my first line today!!!! Thank you!
Best education I’ve had for IV starts, hands down! Thank you!
I loved your video. I'm graduating nursing Uni, this year, and the problem with IV's is that once you disinfect the skin you can't touch it again.. And then poof... the vein is gone :P This tip for marking the spot is my faaavorite. Thank you ^_^
P.S. I'm heating straight to your other videos !!!!
I’m a paramedic and a nursing student. This video is awesome.
Thank you for this video! Looking forward to more videos on the channel!
Such a perfect explanation about starting an IV. Thanks!!!
I am a hard stick. On behalf of all of us with rolling veins... thank you for mentioning "fishing"!
U have demonstrated the procedure so very well .
Stay blessed and happy.
needles never bothered me until I had to give a subcutaneous to my puppy so I started watching videos to educate myself. Not gonna lie, makes me lightheaded now.
What an informative video on IV insertion! The best truly
I like tip #6. I have 6 years of experience finding veins, so I have a good eye for visually targeting and marking deep veins that I can not see before I get my slam dunk. But for newer professionals this is a great tip. I’ve never heard it before anywhere, and I do work with many agency nurses who travel and nobody’s ever mentioned this tip and I’ve never seen it done or during watching proctoring of new students/nurses . 👍 Good idea!
The best explanation/demonstration I've seen on the internet... The rationale and additional insight are solid... I can tell this is going to be super helpful.. Thanks!
AWESOME! No added children's ADHD noise, or tricks-simply great instruction!
@ Pima Paramedics
Heat packs or hot blankets can help with veins that are hard and like to role.
I’m a hard stick. My veins are deep and like to role. They have to use a heat pack to help get my veins softer and to help them from rolling.
Thank you so much for saying no fishing! I’ve been seen in some labs and left with some pretty bad bruises from them fishing for my veins.
You are both very welcome! Let us know if you think of any other helpful videos!
Pima Paramedics m
Y’all did a fantastic job with this!
Thank you for making this video. All quite useful tips. Subed.
You did amazing Ingrid! Very strange seeing you pop up on my search for tips in RN school. This channel will be a great resource. Thanks for the help, and keep up the great work!
Looks like my Hospital has learned pretty well because they almost always triple check for my Vein. Love them
Just started working as an EC Tech and IV starts is a new skill for me. I will be watching this video on repeat! Thank you so much!!!!
Thanks for your likes and support ❣️ leecollins735@gmail.com and my WhatsApp number too +19172720493
That's my email address you can add me up for more information and know more about ourselves
She’s really good at explaining everything.!!
I’m wanting to become an MRI technician but my hands go numb when I think about inserting IV’s in. Especially into the top of the hand😬 ouch!! But this helps to see the technical parts of it.
Thank you! My dad is a paramedic and I want to be one when I'm older! He's going to make me start an IV on him later and I dont want to hurt him!
did you get it?
Monica Amundsen no she killed him.
She is currently on the run from the fuzz for manslaughter.
Best video for this I’ve found so far... and I’ve watched many lol
This was very helpful. I'm an RN, just started in the ER and have been so discouraged because i keep missing my sticks :/
Practice makes perfect! I'm sure you're going to improve by time, if you already haven't😊 Best of luck!
really good tips. Any suggestions on rolling veins in the forearm? I feel like I can't keep them stabilized and end up just pushing them out of the way with the needle...
Nursing student here, I love this video! Watched it a couple of times. Thank you!!
just here to know how to do it on myself just incase i find myself in a post zombie apocalypse hospital
Love how she has tattoos; gives me hope :)
I'm a veterinary technology student, and I am amazed at how much medical stuff is transferrable between humans and animals. Pretty soon, I am gonna start putting IV catheters in dogs and cats, and the technique is very similar to that which is used for humans.
One of the BEST vids on this subject I've seen in a while. Excellent tips!
Thank you for teaching NO fishing as a patient when I was a teen it has traumatize me to this day. The pain was so excruciating that I never forgot it. Please never fish on a patient it stays with them.
Perfect explanation, thanks
I really liked the tip number 7... Thanks
This is good!!! NO FISHY!!!😂
This is actually the most informative video I've watched yet simple too
Thank you soo much for this wonderful clear and great interduction.
I’m diabetic and get blood work done yearly, one of the times I went ThE were fishing and stuck the needle in and out at least six times and didn’t bother to use their hand and check.
U R the best .. continue 💚
Thank you so much for this video! This helped a lot
You are welcome! Please share this with someone else who would benefit :)
thank you very much. Very informative.
You're very welcome! Let us know how long you go without a single miss! And don't forget to share!
Absolutely great explanation!
Hey I need this lady to start my Iv's, stupid DR's here always blow and hurt me so I always wait till the very last second to go in, having Lupus and crappy veins sucks!
I'm an EMT-Advanced from a fire department and this is an eye opener for me 😂 I'm doing it inefficiently
I would probably be garbage with those iv needles. Come to love the jelco needles.
That trick with pressing the tube is such a great idea
Hey thanks so much for your video, I'm about to graduate and I'm going to start in the ED which i know I'm going to have to get IVs down, I never really got the chance to do a lot of them in clinicals but i feel like this video makes me feel a lot more confident in knowing better techniques.
Glad you enjoyed it! plz share! And let us know how you do!
thank you 4 teaching, I have had so many severe painful IV put in until last year for colonoscopy, the Nurse was an ANGEL, I felt close to nothing but a slight pinch :)
I have to get saline infusions every week and I have difficult veins. I think this may be useful just so I know what’s happening! I’m a SUPER tiny person with extremely thin skin and veins. I can really only be hit the first time with a veinlite and a 22.
Thank you for your education. You're really easy to listen to 👍🏼 This video has been very helpful.
I’m having flash backs to all the nurses who fished my arm to death
Thank you for taking your time to share your knowledge. Very helpful video!
Glad you enjoyed it!
It's a weird feeling having anxiety before getting poked multiple times but also during lab day practicing good technique on other people in my EMS IV class. I don't mind seeing other peoples blood but I tend to pass out when I see my own lol. Should be an interesting day tomorrow..
her hair is flawless!
fishing!! very important very good instructions thanks a lot
Thanks for your likes and support ❣️ leecollins735@gmail.com and my WhatsApp number too +19172720493
That's my email address you can add me up for more information and know more about ourselves
I want to be a nurse but this is so scary hope i overcome this
How to expell the air from the dripset
Thank you for mentioning the squiggly veins!
What was I thinking going to medschool, while terrified of blood and needles
Me taking a phlebotomy course n going into nursing n remembering I get shaky knees when I get my blood drawn. I have no issue poking ppl n drawing blood on others but as soon as I'M getting blood drawn i wanna cry lmaoooo
السلام عليكم ، لقد شاهدت فيديو حول طريقة سحب الدم من الوريد ، اريد ان اقول لك انت رائعة 👌
You are very great for tell us how to draw blood from vain .
Thank you 👌
Great video!!!! Thank you!!!
Great tips. I really appreciated the tip about marking the skin for placement and all the other great suggestions. Keep up the good work!
That one made me perk up, never thought of it before
The best I ever saw!!!
Not a medical person my husband is a emt and now I know why he always looks at my hands cause it’s the only veins you can see and feel. I also noticed that when I was going in to labor they loved my hands.
Part of the reason L&D likes distal peripheral veins, forearms/wrists/hands, is because when you go into labor you bend your arms! If the venous catheter is in the antecubital (crook of your arm) and you bend your arm really hard (which tends to happen during labor), it will crimp the catheter and nothing gets through.
They placed mine in my hand when I had my daughter.
As a nurse I can say your veins are attractive :)
Thank you so much 🥰 💝
Fantastic video!
Excellent video.
excellent .. thank you!
Excellent video ... keep it up
Very well explained. Also, those arm and hand models are great. They look very realistic.
what is the name of the needle they put in your arm and then they pull it out and it leaves in a catheter where they insert your medication without having to re poke you again
With me having cancer all my veins just blow when they put it in very painful with only having one arm to use as well
Great tips! Thanks! Really liked the short summary at the end 👍
You are welcome! Glad they helped.
I always have to be pricked at least 3 times and with a smaller sized needle and usually they end up going for my wrist or hand. I'm fine with being pricked, but dang when I was pregnant having an IV placed or blood taken was always a big deal. I'm not sure why, but I have very tiny veins and a nurse had to "straighten out" a vein in my hand when I was getting ready to give birth, so she could place my IV in. I just try to be a good patient. Lol.
your tattoo is so cool 😎, thanks it's a helpful video
I love it when the nurse or phlebotomist gets it on the first try
I hate needles so when they stick me several times I’m “ if you don’t stop imma throw hands and I haven’t done that since I was a kid “
Great video! 👍🏽😊
Appreciated well done
I can't see my gains and I can't really feel them that much....im scared now💔😥🥺
I’m very glad I found your channel. Thank you for all of your videos I spend all day watching dynamic cardiology yesterday before I went to class and it really helped build confidence before I went to test last night. I have struggled with ivs since I started doing them I would honestly say I’m about 50% it seems all the ivs I miss are on obsessed black people which seems to be the population majority in my working area. Typically with this population I can’t see or feel anything I can stick. Can you give any advice?
Welcome to PimaParamedics! Glad to have you. Here are a couple of tips to help you with finding veins of different skin types. First, your sense of FEEL is going to be your savior here, and second don't lose the vein. So starting yesterday, practice only feeling for veins with your off hand, so your dominant hand is free to poke. This is a hurdle to overcome but it is worthwhile. Also, some other tips you can do are take your time and don't get nervous because you are taking a while. Let your patient know I'd rather look for 15mins and poke you once rather than go in blind and hope. One good poke. If it's a STEMI, Stroke, or Code where you don't have time on your side let someone else jump in and watch them closely. You'll jump in on those one day because you'll be the confident one. In a controlled environment, such as at bedside, try closing your eyes when feeling for a hard-to-find vein. Not the entire time, but just for a moment to help you focus your senses. Once you feel the bounce, pause, take a deep breathe and visualize the vein beneath the skin. Then, keep your feeling hand in place, keep bouncing on the vein and ensure you know exactly where it is, then poke with your dominant hand. Last tip, ask for the difficult sticks. There is only ONE sure way to get good at it, and that is practice. Be confident and bet on yourself to get it on the first try, rather than betting you will miss once or twice.
David Salter I'm an Australian paramedic who for the first month (we're talking 20 years ago now) had a similar (if not lower) success rate as you. A lot of our patients are obese Pacific Islanders (and sometimes you wonder if their veins are half an inch under the skin). So here's how I managed to get a 99% + success rate with ALL patients (even paediatrics).
1. Ask yourself why are you missing? Is it technique, lack of confidence, or just having trouble locating those "deep hidden" veins? Ask others at work who have a reputation for having a great cannulation success rate and ask them their secrets.
2. Practice the technique on mannequins until it's second nature. Better yet, try some taped down oxygen tubing (narrower the better). Sometimes those mannequins get used so much the cannulas could guide themselves in correctly no matter how bad you are)
3. Have a really really sound understanding of A&P of the dorsum and ACF. I knew an ED nurse who was THE go to guy whenever doctors or nurses were unsuccessful at getting IV access on obese people. He told me if you know EXACTLY where the vein is (without seeing/palpating) you won't miss (I know people will say "yeah but every patient is slightly different" In some anatomical landmarks they're all the same-I didn't believe that at first either).
4. Are you wearing the right size gloves? I'd have a heap of trouble palpating a vein if my gloves were too big for my hands (like the girl in this video-she looks like she should have smaller gloves-tighter on the finger tips to make palpation easier).
5. Preparation. Our ambulances have a set of draws and a pull out tray to set up IV gear. that's for when we're not doing it at the house/on scene. I'm sure you've heard "fail to prepare/prepare to fail" or the "7 Ps" (P*ss poor planning promotes p*ss poor preparation"
6. This may vary from where you work (we have guidelines, not protocols by the way-quite a difference. I know some EMS still use protocols). Our guidelines recommend IV at the dorsum for medication administration, and the ACF for fluids and meds. Think outside the square. I was at a cardiac arrest of a junkie. While the other guys were complaining about trying to get a vein that hadn't already been used 10 times a day, I managed to get IV access in the foot. Better than no access at all (especially if the feet are slightly elevated, which they would be at a cardiac arrest in some places)
7. Measure. After a while you can just look at a vein and think "that's for a 22G". Putting in a 20G may be too big and blow it for you. If in doubt I tell my interns to measure. Unwrap a 20G and put it over the vein and compare size if it's a suitable size.
8. DO Fish...not the way fishing is shown in this video (why anybody with basic knowledge of A&P would make lateral movements with an IV in the fist place is beyond me). I've had the need to use my 10mm flushing syringe to just ever so slowly retract the cannula while pulling back on the syringe at the same time. If you're initially too far beyond the vein, as you pull back into the vein you'll see the blood enter the syringe. Come back a tad more, anchor the bung with a finger then flush slowly to double check you're in (hard to describe in words-perhaps a video would demonstrate this better). Don't worry about using flush with a bit of their own blood-it's theirs and it's sterile.
9. Stick your tongue out a little while cannulating..........
Practice, practice and practice in a way that works for you and before too long you'll have 100% success rate at putting 24G cannulas in a 4 year old or a 24G in the ACF of a hypotensive obese patient while sitting the back of a bumpy ambulance travelling at 50mph AND talking on your phone to the receiving hospital for a heads up before too long.
Good luck!
Nice realistic looking arm, great video...👍
Thanks for your likes and support ❣️ leecollins735@gmail.com and my WhatsApp number too +19172720493
That's my email address you can add me up for more information and know more about ourselves
I am watching this because I have severe needle phobia and is trying to get better but no, just no if ever I have a medical issue I am staying home. I mean I have some minor medical issues and I am not doing any treatments that require needles what so ever. Just no.
Brilliant thanks