My preceptor (she actually is fairly new as well) and I were starting an iv on this sweet high school girl. I had no problem getting flash, but her skin was so tough that I couldn't get the cannula to thread. She didn't tan (which I know makes skin leathery), but she was definitely cool to the touch. I tried twice and couldn't get it. My preceptor tried once (pulled the cannula out, with it bent at a 30-40 degree angle). I grabbed the flight medic to finish the IV and he said she was a tough stick but really didn't have any advice. I would love feedback, tips, whatever on how to handle this next time...tia!