RingER

You can grab a product called hurricane spray that is typically used to numb the back of someone's throat and it can help a tiny bit. It's only topical though and so the IV start can still hurt a bit. Try to avoid sensitive areas if the person is extremely pain or needle phobic. Hands, wrist, and sometimes low forearm will hurt more. AC is more just a mental thing, same with bicep. Mostly just talk the person through, worse case if they have to have it and won't hold still, get help to hold and make it quick. Also, make sure they understand that no needle stays in their arm, it's just a flexible plastic tube. So many don't understand this.

I have then swallow some viscous lido, the nose usually isn't the issue but rather the rampant gagging that occurs as you get farther. Also, the chin to chest thing has always made it more difficult than easy for some reason. I've found it a little better to have them look up a tad, but try them both and see which works. Last, definitely wrap it around some fingers to curl it first.