Yeh when I do them in the operating rooms I usually have a surgeon, surgery residents, attending from anesthesia and one or two nurses sitting and staring at me and if I miss or need more than one try I get the eye rolls and sighs while they point st their watch. Makes you get good at placing them fast lol
They get mad at me sometimes because I absolutely refuse to let them put an IV in my hand. It hurts so much more than any other site and continues to hurt for a long period of time.
I wish we had the luxury of time, but in my unit (pre-procedure), time is very scarce and we are always rushing to get all the tasks done before the procedure. Which includes placing 2 large bore IVs.
I am 14 years old and I have been cannulated dozens of times. I don't like being poked in the arm. the best vein i have is the AC vein. The AC vein has been working really well in my right hand😅. I had my first blood test and cannula about two years ago.
@lyydiaw is right. At my facility we have the infrared "Vein finder" that helps illuminate surface veins so you can see them to poke. Sometimes they help, and other times they don't show anything particularly usable. But we also have an IV access team that utilizes an ultrasound for placement. With the use of an ultrasound you can practically ALWAYS find a vein. I'm an ultrasound trained RN and once I became proficient with the equipment, there was never a patient I couldn't get access on. Sometime we do use other products than the standard peripheral IV. There are extended length catheters, Midlines, PICC lines and Central Lines that we are also certified to place at bedside when appropriate. No patient ever needs to go without access if you have the right training and equipment.
I was expecting a more anatomically accurate explanation for good iv site selection rather than this considering the human body has not changed much in so many years
all veins lead back to the heart...so technically yes...but some are better than others as there are things to consider. smaller veins, further from the heart will be less efficient at delivering the medication. there are other risks that come with certain placement locations. Most facilities will have limitations placed to maximize efficacy and safety. At Trinity Health Livonia floor staff are limited to placements in the arms and hands. Lower limb placement is only allowed with the vascular access team. there was a time years ago when we would go for literally anything we could find, but those days are gone.
Tomorrow I will have a surgery and I had to fill out a form about my case history. There was a special question about allergies.... I only got one allergy! With 42 years of age I have had about 14 IVs in my life and I am allergic against IVs placed in the cubital vene or the back of the hand. My cephalica just LOVES IVs placed just below the wrist up to the lower half of my forearm. If you get an IV that's the place because it does not interfere with casual activities as you can wrap a loose gauze bandage around it for additional protection. Putting on a T-shirt, wearing this T-shirt, changing clothes, bending your elbow, working/gaming on a laptop, whatever you do with your hands.... if you don't want any irritations or pain or handicap go for the CEPHALICA! My anesthesiologist had to laugh when he read it and just nodded towards me. 😂
If you remove it before the poke then you lose the benefits of the tourniquet. The vein won’t be enlarged, which will make it more difficult to access. Just make sure you remove the tourniquet before you flush the iv or you could blow the vein.
@@nursingeducation3952, and to add on that, if the patient is elderly, it’s actually better to remove the tourniquet first because their veins are fragile and will blow when poked if they are overfilled from the use of a tourniquet. Just a word from a professional poker🎯 if you notice they keep blowing, try to remove it first
I believe to prevent haemoconcentration? ones the tourniquet has been in place for more than a minute, it is important that u make where the vien is, then take out and reapply the tourniquet
As a patient take your time im sick of assholes blowing my veins out and they hurt for weeks. I bet they never fully recover ever. Im probably gonna die of a blood clot later in life cause of shitty interns
@@logikfn4392 hows it fucking work then, my viens took a long time to not be stiff and feel like they are gonna rip if I straighten my arm. I'm sure there's internal scarring.
You have value. And who are you to remove yourself from a world that may benefit from the good you can contribute? Hope you found something to live for and you are doing better.
Educator.. 'take your time'. Real life.. physicians, radiology, administration, patients..'hurry up. Welcome to reality
😂 true
Yeh when I do them in the operating rooms I usually have a surgeon, surgery residents, attending from anesthesia and one or two nurses sitting and staring at me and if I miss or need more than one try I get the eye rolls and sighs while they point st their watch. Makes you get good at placing them fast lol
Do them right then you can do them fast
It is faster to place it as fast as possible ONCE than placing it faster than possible 3 times...
@@shad3128sad it’s that way
Simple and straightforward! Great video! Avoid those hands....they hurt! ;)
Thanks. I'm glad you found it valuable.
They get mad at me sometimes because I absolutely refuse to let them put an IV in my hand. It hurts so much more than any other site and continues to hurt for a long period of time.
Foream is my favorite spot!
Me too😊
I am dealing with renal patients and the veins are small, sometimes I can't even find them, I need more practice
The population is getting more overweight every year and those patients are the hardest ones to find their veins.
Exactly obese patients have like no visible veins and are hard to stick.
@@Teffy2105 the question is.... how arms are vacularized ??? No blood is coming when I retire the needle
Nice video
I wish we had the luxury of time, but in my unit (pre-procedure), time is very scarce and we are always rushing to get all the tasks done before the procedure. Which includes placing 2 large bore IVs.
I am 14 years old and I have been cannulated dozens of times. I don't like being poked in the arm. the best vein i have is the AC vein. The AC vein has been working really well in my right hand😅. I had my first blood test and cannula about two years ago.
oh man feel really sorry for ya mate. i pray your health condition gets better. Stay strong❤
Thanks for sharing ❤🙏
How to do with fat people or untouchable, unvisible veins ?
Uv vein tracer or ultrasound will be last efforts or a PICC line or central/ midline will be placed by specialists.
@lyydiaw is right. At my facility we have the infrared "Vein finder" that helps illuminate surface veins so you can see them to poke. Sometimes they help, and other times they don't show anything particularly usable. But we also have an IV access team that utilizes an ultrasound for placement. With the use of an ultrasound you can practically ALWAYS find a vein. I'm an ultrasound trained RN and once I became proficient with the equipment, there was never a patient I couldn't get access on. Sometime we do use other products than the standard peripheral IV. There are extended length catheters, Midlines, PICC lines and Central Lines that we are also certified to place at bedside when appropriate. No patient ever needs to go without access if you have the right training and equipment.
I was expecting a more anatomically accurate explanation for good iv site selection rather than this considering the human body has not changed much in so many years
We can iv to every vein???
Yes brother
all veins lead back to the heart...so technically yes...but some are better than others as there are things to consider. smaller veins, further from the heart will be less efficient at delivering the medication. there are other risks that come with certain placement locations. Most facilities will have limitations placed to maximize efficacy and safety. At Trinity Health Livonia floor staff are limited to placements in the arms and hands. Lower limb placement is only allowed with the vascular access team. there was a time years ago when we would go for literally anything we could find, but those days are gone.
Cephalic vein in arm ?
Yes. The cephalic is the big guy running up the front of the bicep
Tomorrow I will have a surgery and I had to fill out a form about my case history. There was a special question about allergies.... I only got one allergy!
With 42 years of age I have had about 14 IVs in my life and I am allergic against IVs placed in the cubital vene or the back of the hand.
My cephalica just LOVES IVs placed just below the wrist up to the lower half of my forearm. If you get an IV that's the place because it does not interfere with casual activities as you can wrap a loose gauze bandage around it for additional protection.
Putting on a T-shirt, wearing this T-shirt, changing clothes, bending your elbow, working/gaming on a laptop, whatever you do with your hands.... if you don't want any irritations or pain or handicap go for the CEPHALICA!
My anesthesiologist had to laugh when he read it and just nodded towards me. 😂
Dlaczego nie ma napisów po polsku
should tourniquet be removed BEFORE cannulating the IV?
If you remove it before the poke then you lose the benefits of the tourniquet. The vein won’t be enlarged, which will make it more difficult to access. Just make sure you remove the tourniquet before you flush the iv or you could blow the vein.
@@nursingeducation3952, and to add on that, if the patient is elderly, it’s actually better to remove the tourniquet first because their veins are fragile and will blow when poked if they are overfilled from the use of a tourniquet. Just a word from a professional poker🎯 if you notice they keep blowing, try to remove it first
I believe to prevent haemoconcentration? ones the tourniquet has been in place for more than a minute, it is important that u make where the vien is, then take out and reapply the tourniquet
Watching this to see what veins i can hit for my dope 🎉
Yup me too..once you search videos like this you know it’s bad!!
Same🥴
As a patient take your time im sick of assholes blowing my veins out and they hurt for weeks. I bet they never fully recover ever. Im probably gonna die of a blood clot later in life cause of shitty interns
Not how that works man
@@logikfn4392 hows it fucking work then, my viens took a long time to not be stiff and feel like they are gonna rip if I straighten my arm. I'm sure there's internal scarring.
Watching this for suicide purpose
What?
You have value. And who are you to remove yourself from a world that may benefit from the good you can contribute?
Hope you found something to live for and you are doing better.
The LORD JESUS CHRIST LOVES you
JESUS CHRIST loves you.
Death is not a solution for anything.
@holy9005 Hope now you are doing well.
May the lord keep you safe and sound.
Will pray for you.