Tips - page 2

Does anyone have any tips they would like to share in regards to achieving successful IV access? Can you share the finer points,your experience and learning that would help in getting an IV start?...Or is it ALL learned by... Read More

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    By all means, very important to get comfy yourself, as has been stated. I prefer pts lying down, arm supported rather than sitting, but may sit as long as arm is well supported. I usually roll two towels under the ac or forearm, or fold a pillow in half to support the arm (for the sitting ones). Talk to pts, great distraction for them, helps relax them - they know you're on their side, so to speak. Take your time, slow is best for the scrawney, fragile veins. Anchor the vein securely (traction on skin below stick or from sides of site) so it doesn't wiggle/trauma to vein is decreased. One tip I heard from a NICU nurse: if you see a streak of blue, go for it (even if you feel nothing) -- if that's all you have! I work in a Radiology Dept, and can do 20+ sticks a day for outpt CTs and IVPs (multiply that X20yr!!). Go where the veins are, not where the book sez they should be. I have found great veins under watchbands too, as well as in knuckles and thumbs (only when there is nothing else and pt absolutely needs IV!) --- those I always numb first, with 1% Lido, TB syringe, little wheal. I also numb for pts who are ABSOLUTELY TERRIFIED of needles. Otherwise they tense up so much no vein dares show itself! Have had thanks from many patients who found the IV experience easier with a little local anesthesia, in spite of other nurses' comments about "then the patient is stuck twice!" As they say, the proof is in the pudding; so, when the patients thank me, it's worth extra time/effort. Keep on keeping on! -- Diana

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  2. 0
    These are all excellent posts. Thank you.

    KakNurse: The website you posted is excellent and has many subindexes that look very hlepful for futre information. Thank you.

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