Having worked both Medicine and Emergency we usually started IV's in the affected arm of a CVA patient with the idea being, we did not want to further hamper he independence by starting the IV in his good arm. Recently I was orientating a ICU Nurse to Emerg and she couldn't believe we did this. Her rational was that if you put the IV in the affected arm the patient also has decreased sensation therefore he can not tell if the medication like Kcl is burning etc. In ICU she says they always start in the good arm. I do understand there are some drugs that we prefer to go through central lines but I'm talking iv hydration or kvo maybe antibiotics. What is the standard practice you all follow? Would appreciate you input.