Hi,
I work in a level one trauma centre in an area that sees patients with multiple comorbities and complex health histories. We have a lot of dialysis patients and IVDA patients, so plenty of hard IV starts. I took a course offered my hospital three months ago to learn how to start U/S guided IVs that's as taught by a few of our ER docs as nurses who are certified and signed off on after taking this course are able to perform the procedure. I was doing really well on my own until the last couple weeks and I've hit a rough patch where I wasn't able to get 5 or 6 people in a row. I'm frustrated and unsure how to go about improving. I don't want to turn my patients in to pincushions as U/S IVs can be quite painful. I'm pretty proficient with regular IV starts and did fine learning how to do EJs and rarely struggle with those. Any suggestions or tips would be appreciated. I looked online and there doesn't seem to be many resources to help. Thanks.