Need help with IV technique - page 2
Hi All! I figured that this was the group of nurses to come to with this, so maybe you can help me. I am an RN student through Excelsior College and have been a paramedic for 15 years.I currently... Read More
Oct 9, '06Quote from danh3190When I've used a BP cuff I placed it upside down so the tubes were out of the way.Just wondering, why upside-down on the arm?
Oct 10, '06Quote from Larry77Yes - that way it's easier to look/feel for veins and you don't contaminate your site.When I've used a BP cuff I placed it upside down so the tubes were out of the way.
Oct 10, '06I also have had a hard time getting iv sites on pts. Hands are the worst for me. I'm getting better with practice, though. I like to use ac veins with abd pain and chest pain complaints in case of ct scans. Also, if veins are large and tortuous, don't use tourniquet.
Oct 11, '06Hi firemedic
I'm with you - when I first started out on the truck, I couldn't hit water if I fell off a boat. Luckily for my little patients, things have changed.
My best advice is a page from another above...learn to feel your way around to find veins. Your eyes can deceive you...well, mine can anyway.
It's not always ideal given your line of work to warm patients up prior to sticking, but if you can- do it. Hang the extremity dependent, tourniquet or b/p cuff to expose veins, enter smoothly and quickly to reduce pain for the patient and with some skill (and sometimes a bit of luck), you'll get that IV.
Don't lose confidence in yourself - there are times when you'll miss everything you aim at - be not afraid, it happens to EVERY ONE OF US. Just keep practicing and you'll be amazed how quickly things can change.
All the best,
Oct 12, '06Thanks for all of the great advice!!!
I'll get working on feeling the veins and I am scheduled for clinicals next week.
Oct 14, '06Thanks for askin!
One trick that I learned in the Army as a medic to differentiate a vein and other structures is to make a V with your fingers (like makin a peace sign..do they do that anymore?") and with the middle finger proximal and the index finger distal tap these fingers alternately while palpating the vein. If it is a non venous structure it will not "FLOW" between your fingers and will feel hard. If it is a vein it will slightly resonate between your fingers. It works well when your not sure what your feelin under there, and works well in a diminished light setting, so your vision is not quite an issue. I use it alot in the ER and it's great for fat arms, and kids as well!! Good luck with excelsior and If you wish to write me about the program, contact me via e mail at email@example.com
Kepp up the Great work everyone and thanks for caring!!!
Oct 14, '06Practice is what is necessary - also flick the length of the vein to get it to
be more visible - and good luck