Prepare all the needed things for ivi insertion procedure. Select a good vein, i always look at the wrist first, the cephalic vein is approriate for new users as for me i go for the dorsal metacarpal veins first and whosh...
Select an appropriate site and palpate accessible veins
Apply tourniquet 5-6 inches above the venipucture site to obstruct venous flow and distend the vein.
Sometimes, ask patient to close open his fist that is if you can't palpate the veins and observe and palpate for a suitable vein
swab, then enter skin gentle with the catherter held by the hub in the dominant hand, bevel side up. The catheter may be inserted directly or the side of the vein. Advance the needle or catheter into the vein.A sensation of 'give' can be felt when needle enters the vein.
when blood returns through the lumen advance further into the vein.
Elderly or dehydrated i rolled the skin with my thumb and felt for firmness and palpable veins make sure the vein is steady and not movable, not very firm tourniqet.
most i don't use torniqet
More to come from the very experienced nurse