Thank you for actually showing the insertion and advancing the catheter as other videos dont show that crucial step. Its RNs like you that help new grads like me get IV sticks in on the first attempt so kudos!
why exactly do you apply to swab? from ontop of the tape? from the edges and let it soak a bit? use it on the edge as you're simultaneously taking off the tape?
If you are working on an admitted patient, you will want to secure that IV better so you can get 3 days' use out of it. Rip a 3-4 inch piece of your tape from the IV start kit in half. Once the IV is in, wrap the half width strip of tape under and around it in an X, and then place the second strip over this horizontally. Avoid the actual insertion site to avoid infection risk. Then apply your Tegaderm over the junction of the X and the horizontal strip and the insertion site all together. Then secure your IV tubing and J loop with more tape. Don't forget to date the site with the day you started it. Your patient will thank you for a more secure site that is less likely to be pulled out. And your colleagues will thank you for a working IV site that they do not have to re-start.
I learned this from another nurse on my unit and it’s my new way to secure my PIVs they last a lot longer eventually until we have to change our dressings or until the IV is compromised. This is a great tip!
When I am putting a cannula in an elderly patient I tend to use a 22g. Also with elderly is helps to stretch the vein when inserting it. If it’s hard to find a vein run your hands over what you think is a vein and in elderly skin you will see it refill with blood. I also don’t tend to go for the acf because doing so means that the patient may keep bending their arm which causes the iv pump to say high pressure; so iv is nearly always interrupted when put in the acf.
for the one that blows out , don't squeeze the tourniquet too hard , and probably the choice is not good, either canula is too big for the vein or the vein is too small Rolling veins , you have to hold it and extend it , hold with thumb and elongate / tighten it, hard to explain but many videos on rolling veins. for the third point , it is better to feel the vein not visualize it . If you know the anatomy you will know that there is a vein coursing through this area , and all you have to do is feel it with your index finger , some are deep , some are superficial but you will get with practice . I find using a blue or even pink canula for elderly patients with rolling veins is much better than using the yellow ( pediatric one) . oh forgot to say by now , you probably can get a blood sample from the vena cava blind folded it has been a year since your comment.
Me, a doctor-in-training, I think the part where she puts on the gloves is just an edit 🙂🙃🙂... I'm trying to put on gloves as of the moment and it's impossible to put it like that And that's why I need more experience to become a real doctor.
I'm on my last semester of nursing school. As senior 2 we are allowed to insert peripheral ivs according to school policy. However, none of our teachers have taught us. We have not been called or even called to sign up for lab to be shown how to insert a peripheral iv. Then the hospital for my clincal says nursing students are not allowed to insert peripheral ivs on their patients. .... I'm about to graduate feeling like I am very unprepared.
Don't feel bad it happens everywhere no matter what state or school apparently. It's like they more about tests than hands on skills prep .But you will get it. Congratulations
hello, I have done a few iv insertions but the ones we used blood would not come out. I no longer work there and can't remember the name of those. Does anyone know the name? they use them at kaiser. Maybe the connection tubing is already connected?
Too late for the answer, but yes, with admitted patients usually you try to avoid areas too close to the joint . Dorsum of the hand is okay, as well as this shown position but little bit further down (distal). again probably you have done it a million times.
I got an IV today between my wrist and elbow on the inside, when the nurse inserted the needle she dug her thumb into my arm above the site where the cannula was, so hard that I screamed out in pain and asked why she was doing that and she said it was to avoid blood spillage. She left behind a black thumbprint shaped bruise. I have never experienced this kind of treatment when getting an IV. Is what she did ethical?
Either she was new at it or likes to inflict pain or didn't care i guess if the two later, it would be unethical but chances are she was scared shirtless and overcompensated to make sure no blood went through.. either way she probably didn't last long at her job or after that you scared her straight.. 😮 I would've been upset too if I were you.
The cleaning technique is off. After scrubbing it like that you should take a fresh alcohol wipe and clean it again, with a circular motion, in order not to contaminate the injection site. Otherways you are just smearing the germs all over the place. Alcohol usually takes about 20-30s to disinfect the site properly. Also, you touched the catherer with your finger before sliding it in. S. epidermidis and S. aureus, here we go 🙂 Sorry for my nit-picking, other than that it seems very informative for people learning this stuff.
Thank you for actually showing the insertion and advancing the catheter as other videos dont show that crucial step. Its RNs like you that help new grads like me get IV sticks in on the first attempt so kudos!
Zach facial expressions tho😂
he looks like he wants to cry
lol crying inside!
5:00 - what did you give this poor man? You not only took away his pain, you took away his brain!
🤣🤣🤣🤣
Omg he's really funny 😂😂😂😂
I’ve also found using an alcohol swab when removing the tape helps it come off easier, especially in geriatric patients with fragile skin.
why exactly do you apply to swab? from ontop of the tape? from the edges and let it soak a bit? use it on the edge as you're simultaneously taking off the tape?
@@med8615 swab under the tape as you are pulling it off. Alcohol compromises the adhesive therefore the tape will come off smoother.
@@shawnpilgrim2355 Thank you man!!! : )
CAVILON! The best!! and can be used on broken skin
Haven’t watched it and I already know it’s good
Zach's facial expression 😂😂😂 I love you guys we do appreciate you guys
Ninja Nerd, your videos are amazing. Thanks so much for all your videos. Amazing teacher.
Please zach upload general pharm, i have dug in like every video but no one teaches like you guys..
It's an earnest request please please🥺
Zach really had Patient Face in this video
A video on sutures would be great
1:32 though man how I admire this man..
More videos like this pls 💙
You are awesome, I wish I will do IVs like you do.
If you are working on an admitted patient, you will want to secure that IV better so you can get 3 days' use out of it. Rip a 3-4 inch piece of your tape from the IV start kit in half. Once the IV is in, wrap the half width strip of tape under and around it in an X, and then place the second strip over this horizontally. Avoid the actual insertion site to avoid infection risk. Then apply your Tegaderm over the junction of the X and the horizontal strip and the insertion site all together. Then secure your IV tubing and J loop with more tape. Don't forget to date the site with the day you started it. Your patient will thank you for a more secure site that is less likely to be pulled out. And your colleagues will thank you for a working IV site that they do not have to re-start.
Can you do a video on this
I learned this from another nurse on my unit and it’s my new way to secure my PIVs they last a lot longer eventually until we have to change our dressings or until the IV is compromised. This is a great tip!
When i insert IV lines for pts i sit and do it... It works very well.
Awesome teaching! You guys are the best!
When I am putting a cannula in an elderly patient I tend to use a 22g. Also with elderly is helps to stretch the vein when inserting it. If it’s hard to find a vein run your hands over what you think is a vein and in elderly skin you will see it refill with blood. I also don’t tend to go for the acf because doing so means that the patient may keep bending their arm which causes the iv pump to say high pressure; so iv is nearly always interrupted when put in the acf.
Any technique for those hard stick ...
The one that blows out....
The one that rolls ...
The ones that you can't visualize...
for the one that blows out , don't squeeze the tourniquet too hard , and probably the choice is not good, either canula is too big for the vein or the vein is too small Rolling veins , you have to hold it and extend it , hold with thumb and elongate / tighten it, hard to explain but many videos on rolling veins. for the third point , it is better to feel the vein not visualize it . If you know the anatomy you will know that there is a vein coursing through this area , and all you have to do is feel it with your index finger , some are deep , some are superficial but you will get with practice . I find using a blue or even pink canula for elderly patients with rolling veins is much better than using the yellow ( pediatric one) . oh forgot to say by now , you probably can get a blood sample from the vena cava blind folded it has been a year since your comment.
I feel the vein more than look for it. I'm more successful. Removal using skin prep really helps the dressings come off easier.
Very, Very good, Jarur, Murshidabad, WB, INDIA.
Love you ninja nerd teams ❤
Kristen, more nursing video please.
Ugh, i just LOVE placing IVs!!!!!
I had loved to see Zach's face when she was pricking the skin, he looked too scared even before, Hahahahahah
She’s amazing
Watching Kristen putting gloves on perfectly..I'm like "what is this sorcery" 😵
Me, a doctor-in-training, I think the part where she puts on the gloves is just an edit 🙂🙃🙂... I'm trying to put on gloves as of the moment and it's impossible to put it like that
And that's why I need more experience to become a real doctor.
Is there any other way to put gloves on
@@J2NMP Yes there is... the other way is to not wear gloves at all...
Ninja Nerds is Awesome
u guys are amazing
I mean, Guys you are the BEST !
Finally I have learnt
Can't waitt,!! POG
Thank you, 😊😊
Zach as a patient 😭😭🔥
Love Zach ❤️
Thanks
Wow nice ......
Wow 🤩👌👍
All love zach❤
Very useful and informative video👍👍
#thenursesstation
Thank you ❤️
Thanks 🙏🙏
Where did the ball from the flush go?
Thank you so much..
Great video....Thanks alot
Thank you so much ❤️
I'm on my last semester of nursing school. As senior 2 we are allowed to insert peripheral ivs according to school policy. However, none of our teachers have taught us. We have not been called or even called to sign up for lab to be shown how to insert a peripheral iv. Then the hospital for my clincal says nursing students are not allowed to insert peripheral ivs on their patients. .... I'm about to graduate feeling like I am very unprepared.
Don't feel bad it happens everywhere no matter what state or school apparently. It's like they more about tests than hands on skills prep .But you will get it. Congratulations
Perfect
Thanks for this you guy
THANK YOU❤
Smooth! Thanks 😂🎊🌺
waiting ❤🧡💛💚💙💜🤎🖤
God bless you
Super sir ..😊
hello, I have done a few iv insertions but the ones we used blood would not come out. I no longer work there and can't remember the name of those. Does anyone know the name? they use them at kaiser. Maybe the connection tubing is already connected?
Great 🤘.. love it👍
❤❤❤❤❤❤
Thanks sir
Make more videos on Nursing procedures
Thnx 😊
👏💯
Great video!
Fantastic
Wellcome dr
Howabout inserting the needle through where his tattoo is (the other arm)?
Great💙💙
is ok to place it there near a moving part of the arm? i always avoid those area for insertion. Please enlighten me with this.. thank you
Too late for the answer, but yes, with admitted patients usually you try to avoid areas too close to the joint . Dorsum of the hand is okay, as well as this shown position but little bit further down (distal). again probably you have done it a million times.
how long should a cannula stay for?
I’ve been taught to look at the catheter tip to ensure no pieces are missing.
❤️❤️❤️❤️❤️
cool🔥
I got an IV today between my wrist and elbow on the inside, when the nurse inserted the needle she dug her thumb into my arm above the site where the cannula was, so hard that I screamed out in pain and asked why she was doing that and she said it was to avoid blood spillage. She left behind a black thumbprint shaped bruise. I have never experienced this kind of treatment when getting an IV. Is what she did ethical?
Either she was new at it or likes to inflict pain or didn't care i guess if the two later, it would be unethical but chances are she was scared shirtless and overcompensated to make sure no blood went through.. either way she probably didn't last long at her job or after that you scared her straight.. 😮 I would've been upset too if I were you.
Zach is a warrior! Thanks for doing that for the name of medicine!
0:45 His face is like " F*ck I hope I dont get an air embolism"
Professional!
Is Ninja nerd name of this STRONG DR or this channel
Phochromocytome produce noradrenaline or adrenaline (the most importante hormone)
Pheochromocytoma*
@@vikrant__6337 hhhh. I am. Fronchophone
Ac that the easy one
💖💖💖👍
we can see fear on his expressions
My hero, are you pain 😂😂?
Moustache Zach. Yummy.
Zack’s belly is getting out day by day😂😂😂
My guy zach transformed to brendan fraser clone
Mustache??? No shave March Madness? hahaha
Do you guys need a mannequin on to practice?
I used to work in COVID testing, I find it depressing that you might feel the need to have to have your blood taken.
He's going the extra...
The cleaning technique is off. After scrubbing it like that you should take a fresh alcohol wipe and clean it again, with a circular motion, in order not to contaminate the injection site. Otherways you are just smearing the germs all over the place. Alcohol usually takes about 20-30s to disinfect the site properly. Also, you touched the catherer with your finger before sliding it in. S. epidermidis and S. aureus, here we go 🙂
Sorry for my nit-picking, other than that it seems very informative for people learning this stuff.
Zach though............he's quiet. It's uncomfortable.
zach needs to walk 30 mins per day :(