i'm a new rn...2 days into "orientation" in the emergency center. we do a lot of ivs and draw blood frequently.
my question is why do i keep blowing veins
and what can i do differently to stop blowing veins
. i've messed up wonderful
sites because they blow.
all feedback is greatly appreciated!
oh! also what is the best way to draw blood from a saline lock
If you're only 2 days into orientation, you might have just run into people with fragile veins. Are you blowing them as you start them, or are these IV's that are already established?
One common mistake and something to be careful of when starting an IV is to watch the angle of entry; you might be piercing the opposite vein wall.
I'm pretty good at IV's and was on the night shift IV call team at my old hospital. But it's kind of hard to tell you what you're doing wrong without seeing you in action...
Try shadowing someone who is a "good stick" and watch carefully what they are doing as compared to your technique.
My gut feeling is to give it some time. And don't shy away from trying. You'll only get better with practice
Last edit by EmmaG on Jul 24, '07
another tip (i was quite blown
away by this, he he!) is if you see your vein blown, try advancing the catheter further, no kidding...i've seen this done and sure enough the catheter went through the blown portion of the vein and hooked back into a durable segment...and apirated and saline infused without infiltration, crazy but true story...ok. maybe not protocol but wow cool! and the iv held for two shifts!
Quote from crissrn27
i don't advance the needle after the flash in a "fragile vein" sort of situation. i stop when i get flash, then push the cath only further. i have had lot less blowing doing this, with fragile folks. hope that made since!
i agree, this is a cool tip and it has worked for me too. nothing worse than having an old lady kavetching when your trying your darndest and veins blow left and right.
Last edit by CaLLaCoDe on Jul 24, '07