Published
This thought was triggered by the IV size discussion at https://allnurses.com/general-nursing-discussion/size-matters-iv-836846.html
If you are a patient, where would you prefer an IV to be placed? Personally, I can keep my arm straight if it's my off side, and I am not a fan of hand vein IVs for myself, so an AC for me please.
I had pneumonia back in May. Ended up in the ER with major dehydration. Long story short a very cavalier nurse insisted I needed an 18 in a non existent AC vein. Needless to say he didn't get it and fished to find it. After severe phlebitis, I have a blood clot from my wrist to my shoulder. After all of this if it isn't needed than don't do it!
Anywhere you can get one in. I am a VERY tough stick and anesthesiologists even have a hard time with me. Hey, just put in a PICC please if it looks like I will need IV access for more than a couple of days.
I have had EJs, 18G in feet (ouch), central lines, a couple of PICCs, and every site possible in arms and hands.
I like to use forearms in patients. Forget that AC site, nobody can tolerate the beeping of the IV pumps. Hands just hurt too much and I will only use that site as a last resort. Bottom line is the same as my preference - place it wherever it will go.
libran1984, ASN, RN
1 Article; 589 Posts
Anywhere u can get it with a reasonable chance of success on the first try.