Hello there, I'm a NICU/Peds nurse with 4yrs experience and so far I can say that I'm comfortable with IV inserts on peds and neonates. But to be honest, the largest gauge I've used on a peds pt is gauge22.
Anyways, I recently took a casual position on a Pediatric floor that actually receives off-service Gyne patients! I didn't know about this until I was orientated on the floor. To be honest I don't mind taking care of them I'm only a little uncomfortable doing IV sticks on them.
One day, on my orientation we received a patient that needs bloodwork and IV. I insisted to try it out, and my preceptor asked me to use gauge20 instead. Of course I'm not used to this HUGE bore, even a gauge22 is already so big.
I tried on the AC. I saw the vein but it was a little flat, not as juicy but my preceptor recommended to start it on the non dominant arm of the patient. In my mind, this shouldn't be difficult I've started IV's on the smallest veins and why couldn't I miss on big adult veins. And of course, first stick no flashback and I had to fish a little bit got flashback but flow is not good and I knew I missed it! Tried to flush it and of course it's interstitial.
Holy crap! Was I ever frustrated! My preceptor might be thinking how come Im bad with IV's with all that 4yr experience. I'm not used to adult iv inserts. I think I went to superficial, I'm still applying my NICU/paeds tricks on an adult ivs.
Also, I'm so used to having another person with me to assist in IV insert. Like we do in paeds/nicu we got another person to assist me. I guess I'm not used to the independent IV starts too.
I'm kinda frustrated. Now I'm looking into IV therapy course to brush up my adult iv sticks . Anybody had the same experience? Can you give me some tips on how to adjust when it comes to doing adult IV's?