How to Start an IV | IV Catheter Insertion & Flush Technique in Hand | Nursing Skill
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- Опубліковано 31 тра 2024
- How to start a peripheral IV in the dorsum of the hand: clinical nursing skill technique.
Starting an IV (intravenous catheter) can be an intimidating experience for nurses, especially nursing students and new nurses. However, nurses will perform IV insertions often, so this is an important nursing skill to learn.
Before starting an IV, always follow the protocols of your facility, as well as manufacturer's instructions for any supplies used.
In this video, Nurse Sarah demonstrates how to start a peripheral IV in the dorsum of the hand. Prior to inserting the IV, you'll want to do the following:
-Gather supplies
-Perform hand hygiene
-Prepare supplies (including priming the saline flush, removing air from extension tubing, opening packages, completing labels, and any other steps required by your facility.
-Locate a suitable vein
-Perform hand hygiene
-Don gloves
If the patient has a lot of hair, you might want to use clippers to trim the hairs prior to starting the IV. You may also apply a tourniquet to help veins move near the surface of the skin.
Next, you'll want to clean the site using the cleaner that came in the IV start kit, such as ChloraPrep.
Once the site has dried completely, you can insert the IV. Stabilize the vein with your non-dominant hand, and insert the IV's needle into the vein, watching carefully for blood return (or a blood flash) in the chamber. Advance the IV around 2mm more to ensure the plastic cannula is in the vein, then thread the cannula into the vein and press the needle safety button.
Notes: www.registerednursern.com/how...
IV Video Series: • Prevent a Rolling Vein...
This video also demonstrates how to flush the IV using the push-pause method, how to secure the IV using the Tegaderm dressing that came with the IV start kit, considerations of the different cap types and the clamp sequence, and more.
For more information, watch the complete tutorial.
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Notes: www.registerednursern.com/how-to-start-an-iv-starting-an-iv-clinical-nursing-skills/
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Thank you so much
Thank you. That was excellent work and very informative.
I remember watching these videos. Hopless mother of 2 no diploma trying to figure my way out. Got my GED and got into an LPN program. Today I am an RN holding a bachelor's degree preparing to enroll in anesthesia programs. I said that to say this, if I can do it so can you! This may be the beginning of a life you never saw for you. Never give up and keep going 💪🏾... peace and love!
I love this!!!!
Awesome 🤩
You're a hero, you dropped this 👑
❤️❤️so inspiring and motivating
Best of Luck & much success in your Anesthesia program!!! You got this💯💯💯!!!
Hey sarah!! Can i just say thank you for helping me get my RN yesterday, i passed in 75 questions . And most of that is thanks to your great lectures. You are TRULY a saving grace to nursing students.
Was it multiple choice or essays?
Congrats❤
congrats ❤
Congratulations! I just started med surg! Can't wait to get my license 😉
Same! I watched the heck out of her videos and passed in 75 questions.
Kudos to you and your husband for showcasing a real demonstration! 😊
She is birthing a lot that is why😊
Hey Sarah, I started watching you 3 years ago when I started nursing school, now I have been a RN in a geri med unit for a year. Thank you from Canada :)
Hi Ki Song I am a registered Nurse from Bangladesh and I’ve completed BSN and now I am studying Nursing APRN (Nurse practitioner) Msc at University of Pécs Hungary..I wanna perusing my Nursing career in Canada.Could you please help me to know where to began,what to do ?
@@miscellaneous23 Hello, how do you enjoy it here in Hungary? I'm studying nursing too, but at Semmelweis University in Budapest.
I am returning to Nursing after 16 years at home with my children. I am so thankful that you have posted this video. It helps me to see the “new” IV dressing and site prep supplies and how to use them. I have enjoyed your other videos as well. Thank you so much!! Great job!
I read your comment wow God bless you ! I thought I’m the only one struggling new nurse here I’m also refreshing nursing skills .
I’m in your shoes right now😊
going back after 15years and it’s mixed emotions really❤️
i pray that God gives me strength to carry on with this noble calling🙏
I am forever grateful to Sarah for these videos. But her husband is truly the unsung hero 😂💛
Passed my NCLEX first try in 79 questions! I’ve been watching ur videos for years now so thank you for helping! Definitely keep watching as I begin my practice!
This vid came right on time. RN for a year but with little IV insertion practice. Now starting in the ED and that will all be changing 😲 Thanks for the help!
Yeah, I do 5-10 a day with blood draws off the Cath in er.
Thank you for doing this on a real arm. It's so much more helpful.
For some reason I only saw putting pressure on the vein before pulling out the needle in one hospital, and I've had clinical practice in 3 other hospitals as well. I wonder why? It's so much more clean than letting the blood gush out everywhere and having to clean it up afterwards. Thank you for the beautiful demonstration!
I’ve been intimidated for over a decade but not today after watching this video. Thank you
First of all I will say that guy that let Sarah perform her video ON HIM is a hero if it weren't for him we wouldn't be educated on this so besides Sarah we all should take a moment to thank this guy that let her perform her video💖💖💖
I'm a student from Egypt and I learned many things from this Chanel. Thank you 😊❤️
I literally owe you my tuition you are a blessing to us nursing students!!!
Hey 👋 am a student nurse in Ghana and I am happy watching this because I am doing my clinical . thank you 😊 so much
I am an Indian Nursing Student Love From INDIA Serah Thank You For Inspiring Nursing Students ...🙏🙏🙏
Hi Sarah from the bottom of heart. I want to thank for everything you do. I just found out that I passed my Nclex you helped with it and throughout nursing school. Your videos are amazing. Thanks thanks thanks
As a retired nurse I find your video's wonderfully informative. Wish I had this when I started. 40 years ago,
Just found your page. Thank you so much for showing this. I'm not an rn like everyone else bit an emt getting my iv certification and just started tonight and have been nervous about doing my sticks after we complete classroom work. This definitely helped so much and what's great is I can watch it again and again. I can't wait to watch and learn more from your videos as one day I want to be a firefighter rn, not just an emt
We are doing IVs this week at my school and omg this was so helpful thank you!🥰.
Your videos helped me out in Nursing school and I was able to pass my NCLEX! Thank you so much and may the Lord continue to bless you to bless countless students with knowledge and understanding!
Any tips on pushing in the catheter? It’s easy for me to hit the veins and get flashback, but for some reason half the time I go push in the catheter, I lose vein access or the vein blows (less common but still happens to me). It’s so discouraging! I feel like I’ve tried everything, going flush against the skin, going in A TINY BIT more before advancing the catheter, etc. I don’t understand, I’ve very frustrated.
It sounds like you might be going through the vein. Try going slower when starting. Also, IV needles are designed so that it is very hard to puncture the vein with the top of the needle, so pull your needle up when you advance the needle just a little more. Once you are sufficiently in the vein you can advance the catheter.
I find you to be an excellent skills teacher. Your videos are so so good. And you always do an awesome job highlighting the pros and cons. Thanks to you 🙏🏾🙏🏾.
Excellent!! Clear and precise. Thank you!
I appreciate you for sharing your knowledge and promote nursing skills. You explained everything step by step and very clear. Thanks
Hi nurse Sarah . Am still a nursing student in my first year. Still doing fundamentals but your videos have been really helpful so far. Thanks alot 😊
Thanks for your videos! I am starting my nursing journey in a few months!!!
Informative as always ♥️ This is my favorite channel, and I'm happy I watched this early. Thank you Ms. Sarah ♥️
Thank very much, l’m watching this video from Saudi 🇸🇦and all my friends Know u and we love your channel 💕💕✨✨
Hi Sarah thank you so much just passed my NCLEX-RN! Thank you for all you do for us! Love you
Thank you. This was concise and clear. 👍🏾
I'm taking childcare and I will be taking nursing next year and I'm sure I will learn a lot from this channel. Thank you so much for demonstrating nursing skills for us. This is so exciting. ☺️❤️😁
Thank you for every video you uploaded, even if it's a year ago or many years before. I will always watch this video over and over again, it helps me in my practice. If I get used to setting on an IV and taking blood tests then you have done an amazing job educating us with your videos and it takes us students who enjoy learning by watching procedures, to be successful through amazing tutors like you 😊
Thank you Sarah. I am PN student almost rounding up . Got one term in my port folio. I was so overwhelmed when I was thought this skill in lab. My instructor went over it so quickly 😮 but I have updating my skill through this video . Going for clinical 2 soon and I feel confident to practice this skill on real pt. Thank you so much 😅
This nurse sounds like she makes the best peach cobbler in Georgia
Thanks for this! Actually anxious about my return demo for this one in a week. But due to this, at least I have anticipated what to do.
Hai Sara 😍I passed Oman prometric exam.with Help of God and your guidance 🎊thank you so much.
You are such a blessing to all nursing students Thank you So much 😊 for your videos
Thank you so much, Sarah. Appreciated.❤❤❤💕
This was a wonderful demonstration!! You make it look so easy!
Thank you Nurse Sarah very easy technique to use the IV
Thank you so much for making these videos. They are so useful! I'm applying to nursing school this year. :)
Good luck!
One of the best videos i have seen
One more tip as far as vein selection; (comments were closed on the “vein selection” video). When you’re looking for a good site and are still ungloved, it is very helpful to wet your finding finger with an alcohol prep, and also wet the patient’s skin with alcohol prep. It’s amazing how much more sensitive your finger is as you slide it around the patient’s skin. You can also do this once you are gloved. Same idea as how ultrasound gel works.
Hello nurse I have learned a lot from you because you make every thing easy to understandable can you make a video on how to add medicine to an iv and the methods used love your channel very much thank you
Thank you soooo much dear Sarah and your hubby. God bless your family always ❤
Thank you Sara...Your videos are really helpful and they are very clear to understand..keep it up. Much love from SRI LANKA..
One of the best iv tutorial videos I’ve watched! I’m returning to the icu after a couple years doing dialysis. Wish me luck lol.
Thank you Sarah and Ben !! ♥️
These are great suggestions Sarah!! :)
Thank You!! I always learn so much from your channel
You are amazing! Thank you for making these videos!
Hi saray ,I am watching your nursing video from when u started nursing and learn more skills releted to patients care and now a day I posted community health officer post and provide promote and preventive care 🙏🙏
so again I can just say thank u and love from India 🇮🇳🇮🇳🇮🇳
Any tips on patients with deep veins or rolling veins found in elderly patients? I usually will get a little blood return, but never enough to fill up any of the vials for lab tests. Thank you!
Thank you for this video ❤️❤️ sending love from Philippines.
I love your video presentations. Nice work!!!
thank you so much! about to approach my second semester and SO happy I found you! xo Nursing Student from Indiana
What a brave guy!
Please bring more clinical. Thank you!
Could you please do a video on accessing a power port or any type of port in general? Thank you so much for your time. 😊
Thanks much Sarah. This really helped me alot. its easy when its done on someone rather than on a mankin
Thank you for very informative video. I feel much more confident now
Great video with excellent step by step
I like your content. Very informative
thank you for share your knowladge, im from mexico and i appreciate it thank you
This kind of adhesive is very beautiful.
Hy Sara thank you so much for everything you won't understand how all your videos help me in lot of situation
You're the best! Thank you.
Thanks Sarah its very helpful
Thank you Sarah👍
I really love your videos it help me so much
Really love your techniques. 🥰🥰🥰..
Hello Sarah mam. You are truly an inspiration for us mam. I am a nurse from india but I went Canada and because of not having proper guidance I choose opposite course than continuing nursing course for 3 year so I have a 3 yrs of gap in my nursing career now I want to continue and want to give Nclex exam could you please guide me to achieve my Nclex exams ??
Need a big help
Thank you
Hi Sarah. So glad that today I discovered your videos for the first time. I'm not a nurse or any medical body/employee/nor supposed medical professional and nor am I American nor living in America. It is simply my love of all things medical and being a regular patient too plus a being a parent and daughter to parents now classified as elderly it is important I know exactly what is what and what is going on to keep us all safe from honestly some medical so called professionals whom definitely need to either seek out alternative careers, or them to seriously update their bedside/patient and seated patient side manner and knowledge by further study/return to uni or medical school. l feel even better informed through watching and always observe if possible what is being done to me or loved ones or others. Lack of nurse/doctor knowledge can actually be apaulling when a patient knows more about certain things than they the nurses and doctors do. I like to learn. My interest is deep and I find so many are sloppy in what they do into bad habits that I want to correct them 😂 but I instead observe and say nothing unless absolutely necessary as we do all have our own sloppy bad habits. I just personally don't find them acceptable around patients potentially putting them at risk. Perhaps I should go into nursing but fear my intolerance for sloppy bad habits would not go down well at all with the UK mindset being rather pompous, ignorant, archaic, stuck up, small minded, shallow and significantly backwards in thinking in general. Bless the NHS but seriously the sloppiness of employees is getting worse and lack of respect and tolerance for patients is disturbing and unprofessional. Almost 18 years ago I gave birth to my child, it wasn't acceptable then in the same way it isn't acceptable now of a nurse or midwife handling a less than 24 hrs old newborn with stinking smokers breath and stinkiing smokers fingers. Clearly having been outside smoking and then returned inside not washed their hands, and just came along and handled my pure newborn handing them to me making my newborn dirty for me to also get a sickening whiff of their supposed to be clean and hygienic stinking smokers fingers and breath that had just dirtied my baby and put my baby at risk. lt's disgusting. I can tolerate people smoking, but wash hands properly and brush teeth afterwards and don't handle babies or go near respiratory patients if they haven't. Have smelt smoke on the hands and clothing of far too many nurses and doctors, but on the hands and breath is the worst. Have also seen them using the toilets and walking out whilst on shift not bothering to wash hands. No excuses for it and other bone idol lazy sloppinesses. So anyway thank you for providing so many with these informative and very clear and helpful videos. ☺
Hi Sarah. You have a great husband that lets you demonstrate your nursing skills on him.
Take good care of your husband❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤
I sited my first IV today!
Thanks for everything !!!!
thanks very much
Angela Grant
Thanks for teaching nurse
Who’s sittin at work on a low acuity day watchin this after failing yet another IV start? 🙋🏻♀️
Absolutely Wonderful
I am a student nurse from Bangladesh. Loving ur videos...u r an inspiration for nursing student 😍😍
Wow great 😍😍😍 nice and easy to learn.very big thanks
Amazing work
Great video! 🙂
Love your vids.
From Bangladesh
It is very helpful for me ♥️
Thanks you so much
thank you very much
thank you so much
Please bring more clical tutorial. Thank you!
Thanks S🥰arah.
Can you show us different types of flushings?
Amazing
I keep losing access once I advance the catheter....so frustrating!! What am I doing wrong?!
Me too!! I always hit the vein, I have like a 100% success rate JUST getting flashback in the chamber. However, as soon as I have to push in the catheter, half the time it doesn’t go in (only like halfway at most), or the vein blows! I feel like I’ve tried everything but sometimes I just don’t get it. It’s so frustrating.
how do you check for blood return? do you pull the plunger?
Can I learn more from you Because I am in nursing college,and we are on Im and IV medications.
Hello, I would just like to know if bedside nurses here in the US also performs blood extraction for lab diagnostics or someone does it, like medtechs or phlebotomist?
There are phlebotomists
Depends on the hospital and the shift. Not all night shifts at my old hospital had phlebotomy on call and I'd often do my own draws.
Sometimes we get our own labs, it just depends on your hospital
Thak you for discussing an acceptable technique..
When I was a pediatric intern, some nurses didn't care if the IV failed. It was the inters job to restart it.
If you think it's easy,think again.
Some of us were better than others.
Could you have inserted in the bigger part of the vein? Where the bifurcation meets and created one large vein or is that not good?
She could have but keep in mind your anatomy of veins. Most of the time after a bifurcation there is a valve which can prevent you from being able to thread the catheter all the way or the vein blowing because of going through the valve.