PLEASE HELP ME! I CAN NOT FIND MY VEIN - AND I NEED IV ALMOST EVERY DAY, ON MY OWN SINCE NURSES DONT WANT TO HELP ME...STUPID SERBIA!!! PLEASE, ANYONE WITH GOOD HART , CONTACT ME AT : mcbasileus@yahoo.com . Thank you ahead, I am really desperate, and crying while writing this.
Really? Not even sure what to say . . . there's so much wrong with this video, not the least of which is the music. And the technique is horrible! Wow!
Don't stick yourself with that needle. Sharps container. For me I would use what I see fit on the patient. If they have pipes I would go with something bigger or if it's trauma related. I have a habit of starting with 20's.
here with refererence:Select d smallest gauge,shortest cathter or needle appropriate 4 d type of sol'n n duration of infusion.Large gauge cath r 4 admin of bld n large amnts of fluids.(Study Guide for d NCLEX-RN 6th Edition MOSBY. Pg 100) So, it depends on the situation.
man, what you are doing totally break the rule of sterility and possibly nursing practice!
and for those people who kept on insisting that you should start with a needle of at least G18,
FYI - it is a rule to start the smallest needle first before using bigger one. not unless the patient is critically ill (severe blood loss, hypovolemia, hemorrhage etc)
It's our own experience with the ill that determine what we use in our own practice. I prefer the stiffer iv that 18g iv's provide. let me as you "certified iv therapist" have you ever worked a code with a 22g because you chose to listen to your own advice. IYou've never started an iv on super sick person before you really knew what was wrong have you? In ER we start iv's for the worst that could happen. ER nurse at a busy level 1 trauma center.
Certified in the Philippines...lol...sterility...in the Philippines...lmao. So do you do IV's for the girls that get injured in "The Donkey Show"?... Preaching about nursing practice from the Philippines when everything they learn is from Americans...priceless.
@MrJusticeLord So does that mean you Americans (assuming you're American) are superior? Jeezuz. I've had it with this racial superiority complex I see everywhere on YouTube. You talk a lot of crap about a foreign country from which you have no background experience on.
LOL the Philippines is the last place that comes to mind when I think of sterility. You state they are breaking the rules of sterility, yet offer no explanation as to why. Perhaps you should elaborate? Why are you watching videos on how to start an IV if you are a "certified therapist"?
@HonuGirl50 Because he was probably looking for tips on how to further enhance his skills? You people are frikkin close-minded. And reeeeaaalllly? The Philippines? The least sterile place in the whole world? Always picking on the smaller, less experience, problematic countries. Instead of picking on us, why don't you just leave us alone. You first world people have a major racial superiority complex.
I've worked in the ER but as a Tech. I was told depending on the pts vein size, that's how you would decide on the gage of the needle to start an IV....Correct me if I'm wrong, but so far I haven't had any issues nor complaintsfrom the ER nurses.
ya i get 22 my dad has huge veins and they use 22g they use larger ones for emergencys or if fluids need to be pumped quick and i got lots of fluids i mean enough to make me not fit in my jeans through it in under 4 hours so ya
why are you starting a 24 ga needle in an AC vein? i have been a paramedic for four years, only AC vein that requires a 24 ga is a pediatric. If anyone does an AC it should be at the least an 18 ga. just FYI.
and i understand it's just practice i'm just saying. Always use the largest bore catheter that you can safely place in that vein, and if you are doing an AC either there is no other place or you need a large vein for eithe large fluid placement or medication, therefore utilize the largest catheter, within reason for the complaint and requirement for the complaint, for the vein that you are using.
see, you are a paramedic, so of course that is what YOU would do. as a nurse, one would use the smallest possible within reason. and since this is just practice, then that it perfectly reasonable.
oh no! a nurse would not use the smallest possible - they would still use the largest possible - and a med-surg nurse would NEVER use the antecub if there was another option. Large bore iv allows for blood or rapid infusion and the antecub limits the patient's mobility...nobody wants to hear the iv pump beeping all night "occluded"
like I said, if you need to give blood or there is a medical emergency and you need lots of fluids fast, you need a larger catheter. If the pt. goes into shock, you won't be finding any veins, so why not put at least a 20g in, if you've got good veins to work with?
that would be true if you were working with at an risk pt, but that is not a general rule. if i am just giving NS or abx, and there were no other underlying diagnosis, then it wouldnt be appropriate to stick them with anything bigger than needed. by your logic, why dont we just stick everyone w/ 18s?
I believe that any pt sick enough to be in a hospital is "at risk". I understand your concern with pt comfort, and not subjecting them to unnecessary pain, however, the difference in the amount of pain from inserting a 20g vs. a 22g is minimal, and can save the pt an added "poke" later. 20g is the smallest that blood can be run through. I think most nurses opt for the smaller catheter based on their own comfort level, not the pt's.
If possible it is best to start at a lower location on the arm when initially starting an IV. Also apply pressure, to prevent the bloody mess. On my first IV starts I would always forget to apply pressure and I would get alot of blood spill out. The less you come in contact with body fluids the better.
I"m sortof Vein Conservative. I like to leave other options open especially if the patient starts circling the drain. I prefer the AC because the vein is typically bigger and as long as the person keeps their arm open it flows well. I like to leave the hand available incase we need to draw additional labs later on from that arm.
Like your comment but your left hand with gloves is touching bed cloths and forearm and later you use the hand to hold cannula. Please check my videos to see where you are going wrong. This procedure can seriously harm your patient and you due to infections.
here's my metaphor for an iv, an IV is like a Flooded cave rescue because finding a vein is like rescuers finding a victim trapped inside a cave maybe for the 1st,2nd,3rd,4th,5th try.
One of the best Iv videos I have seen on Youtube thanks for posting it. Just a question if a Iv is left uncapped could fatal bleeding occur or will it clot ?
Just a hypothetical i know it would not happen at a hospital.
Depends on the patients medical history but for the sake of general cases, yes it would lead to a fatal bleeding...it would be very hard to notice that before it got to a deadly point. It also depends upon where the IV was inserted.
well gettig an IV doesnt hurt if you get someone who knows what there doing. I had two or three nurses come in and stuck me nine times to find an IV and then they finaly got it on the 10th try thats why i said they hurt. I am looking at going to nursing school.
The antiseptic agent should be applied at the site and wiped outward in a circular motion, except for chlorhexidine, which should be applied in a back and forth motion. So maybe it was chlorhexidine?
does it really matter? they are just practicing. I used to do the same thing. Yes it is for people in the hospital, but obviously they know what they are doing and they are using the right technique, so i think they are ok.
Ummmmm this person is obviously in nursing school, you can see that she discontinued the IV as soon as she was done. She is just practicing technique.
lol...fat boys!!!
bigworld3001 1 month ago
great learning tool. Music was great.
fw190fw140 1 month ago
Practice...lol
707BLACKDEVIL707 3 months ago
PLEASE HELP ME! I CAN NOT FIND MY VEIN - AND I NEED IV ALMOST EVERY DAY, ON MY OWN SINCE NURSES DONT WANT TO HELP ME...STUPID SERBIA!!! PLEASE, ANYONE WITH GOOD HART , CONTACT ME AT : mcbasileus@yahoo.com . Thank you ahead, I am really desperate, and crying while writing this.
lafamilliaHP 4 months ago
Very well done..
ldleold 6 months ago
Really? Not even sure what to say . . . there's so much wrong with this video, not the least of which is the music. And the technique is horrible! Wow!
nelunt 6 months ago
@nelunt Amen.
TehKellMatt 3 months ago
AC insertion is NOT preferred.
Anoetos 6 months ago
Comment removed
frankcblazik 7 months ago
Wheres the bung?
jinxr87 7 months ago
Horrible. This should be removed. Why are there no good videos on how to start an IV? It's not that hard, people.
babaganoo22 9 months ago
@babaganoo22 Take a look at this video (type in: 'Instructie venflon safety', first vid).
halllo123Z 8 months ago
they didn't show releasing the tourniquet?
hemming3 9 months ago
Annoying music ruins it!
texsmart1 11 months ago
I can't watch a f-ing video on starting an IV with this shitty music
codjh9 11 months ago
its really hard to take this vid seriously with this music lol
GallopingCloud 1 year ago
Can you now show how u do it to yourself with only 1 hand that would help me better then this video.
18iser 1 year ago
If you keep the tourniquet applied for TWO minutes, the samples usually hemolyse and the results come back with pseudohyperkalemia.
worse, the smaples get hemolysed and you will get a call from lab , repeat sample please.
please double check it and correct this.
you can also google the terms of "pseudohyperkalemia" and you will know.
Thanks
benshehzad 1 year ago
digging the beat
TracyMacToDaRack 1 year ago
Music: No.
bluescrubs10 1 year ago
Don't stick yourself with that needle. Sharps container. For me I would use what I see fit on the patient. If they have pipes I would go with something bigger or if it's trauma related. I have a habit of starting with 20's.
dalmain77 2 years ago
This has been flagged as spam show
Do you have any advice on the fear of needles? I have to have my wisdom teeth out and they have to give me an IV.
MsGymnast77 2 years ago
here with refererence:Select d smallest gauge,shortest cathter or needle appropriate 4 d type of sol'n n duration of infusion.Large gauge cath r 4 admin of bld n large amnts of fluids.(Study Guide for d NCLEX-RN 6th Edition MOSBY. Pg 100) So, it depends on the situation.
leebherty 2 years ago
ok, really?? what is with the music. lol
swagbucks4ever 2 years ago 18
I'm pretty sure it Stick-Em by the Fat Boys
MrJusticeLord 2 years ago
i am a certified IV Therapist in the Philippines.
man, what you are doing totally break the rule of sterility and possibly nursing practice!
and for those people who kept on insisting that you should start with a needle of at least G18,
FYI - it is a rule to start the smallest needle first before using bigger one. not unless the patient is critically ill (severe blood loss, hypovolemia, hemorrhage etc)
DythMetal 2 years ago
It's our own experience with the ill that determine what we use in our own practice. I prefer the stiffer iv that 18g iv's provide. let me as you "certified iv therapist" have you ever worked a code with a 22g because you chose to listen to your own advice. IYou've never started an iv on super sick person before you really knew what was wrong have you? In ER we start iv's for the worst that could happen. ER nurse at a busy level 1 trauma center.
Scotchtwin18 2 years ago
Certified in the Philippines...lol...sterility...in the Philippines...lmao. So do you do IV's for the girls that get injured in "The Donkey Show"?... Preaching about nursing practice from the Philippines when everything they learn is from Americans...priceless.
MrJusticeLord 2 years ago
@MrJusticeLord So does that mean you Americans (assuming you're American) are superior? Jeezuz. I've had it with this racial superiority complex I see everywhere on YouTube. You talk a lot of crap about a foreign country from which you have no background experience on.
punkrocker8t3 1 year ago
LOL the Philippines is the last place that comes to mind when I think of sterility. You state they are breaking the rules of sterility, yet offer no explanation as to why. Perhaps you should elaborate? Why are you watching videos on how to start an IV if you are a "certified therapist"?
HonuGirl50 2 years ago
@HonuGirl50 Because he was probably looking for tips on how to further enhance his skills? You people are frikkin close-minded. And reeeeaaalllly? The Philippines? The least sterile place in the whole world? Always picking on the smaller, less experience, problematic countries. Instead of picking on us, why don't you just leave us alone. You first world people have a major racial superiority complex.
punkrocker8t3 1 year ago
I don't see how she does that with her hair down. I can't do iv's with mine down, I find my hair to be in the way. lol.
amandafromhaha 2 years ago
wow, it's been so long since I've heard Fat Boys....... memories.......
peachy6969 2 years ago
i thought..
IV's went in the hand..
cuz when i got surgery..
i had to get an IV but it was in my left hand
Lovebirds159 2 years ago
I've worked in the ER but as a Tech. I was told depending on the pts vein size, that's how you would decide on the gage of the needle to start an IV....Correct me if I'm wrong, but so far I haven't had any issues nor complaintsfrom the ER nurses.
Cam12284 2 years ago
It is more based on infusion rate required than patient vein size.
digitalis112 2 years ago
ya i get 22 my dad has huge veins and they use 22g they use larger ones for emergencys or if fluids need to be pumped quick and i got lots of fluids i mean enough to make me not fit in my jeans through it in under 4 hours so ya
ElisabethandJaniceTH 2 years ago
why are you starting a 24 ga needle in an AC vein? i have been a paramedic for four years, only AC vein that requires a 24 ga is a pediatric. If anyone does an AC it should be at the least an 18 ga. just FYI.
firemedic21 2 years ago
and i understand it's just practice i'm just saying. Always use the largest bore catheter that you can safely place in that vein, and if you are doing an AC either there is no other place or you need a large vein for eithe large fluid placement or medication, therefore utilize the largest catheter, within reason for the complaint and requirement for the complaint, for the vein that you are using.
firemedic21 2 years ago
see, you are a paramedic, so of course that is what YOU would do. as a nurse, one would use the smallest possible within reason. and since this is just practice, then that it perfectly reasonable.
conorandalyssa 2 years ago
oh no! a nurse would not use the smallest possible - they would still use the largest possible - and a med-surg nurse would NEVER use the antecub if there was another option. Large bore iv allows for blood or rapid infusion and the antecub limits the patient's mobility...nobody wants to hear the iv pump beeping all night "occluded"
susanb29 2 years ago
why wouldnt you use the smallest possible for the job? if a 22 is big enough for the infusion, why would you use anything bigger?
conorandalyssa 2 years ago
like I said, if you need to give blood or there is a medical emergency and you need lots of fluids fast, you need a larger catheter. If the pt. goes into shock, you won't be finding any veins, so why not put at least a 20g in, if you've got good veins to work with?
susanb29 2 years ago
that would be true if you were working with at an risk pt, but that is not a general rule. if i am just giving NS or abx, and there were no other underlying diagnosis, then it wouldnt be appropriate to stick them with anything bigger than needed. by your logic, why dont we just stick everyone w/ 18s?
conorandalyssa 2 years ago
I believe that any pt sick enough to be in a hospital is "at risk". I understand your concern with pt comfort, and not subjecting them to unnecessary pain, however, the difference in the amount of pain from inserting a 20g vs. a 22g is minimal, and can save the pt an added "poke" later. 20g is the smallest that blood can be run through. I think most nurses opt for the smaller catheter based on their own comfort level, not the pt's.
susanb29 2 years ago
That has a weird smell. What is the IV catheter made from?
redbike2008 2 years ago
If possible it is best to start at a lower location on the arm when initially starting an IV. Also apply pressure, to prevent the bloody mess. On my first IV starts I would always forget to apply pressure and I would get alot of blood spill out. The less you come in contact with body fluids the better.
gricel84 3 years ago
I"m sortof Vein Conservative. I like to leave other options open especially if the patient starts circling the drain. I prefer the AC because the vein is typically bigger and as long as the person keeps their arm open it flows well. I like to leave the hand available incase we need to draw additional labs later on from that arm.
jmm121884 3 years ago
Like your comment but your left hand with gloves is touching bed cloths and forearm and later you use the hand to hold cannula. Please check my videos to see where you are going wrong. This procedure can seriously harm your patient and you due to infections.
medifix 3 years ago
Hey you forgot to dispose the needle in a sharps container :)
Just playing with ya, nice post :)
valor423 3 years ago
Fat Boys background music... classic! I will be human beatboxing it everytime I stick somebody from now on!!!
dinocarroll13 3 years ago 11
accepted...
zeathan 3 years ago
What's with the music, bad choice. Seriously !!!
castper28 3 years ago
here's my metaphor for an iv, an IV is like a Flooded cave rescue because finding a vein is like rescuers finding a victim trapped inside a cave maybe for the 1st,2nd,3rd,4th,5th try.
gregorkrause 4 years ago
Hello
One of the best Iv videos I have seen on Youtube thanks for posting it. Just a question if a Iv is left uncapped could fatal bleeding occur or will it clot ?
Just a hypothetical i know it would not happen at a hospital.
AUSnipes 4 years ago
Depends on the patients medical history but for the sake of general cases, yes it would lead to a fatal bleeding...it would be very hard to notice that before it got to a deadly point. It also depends upon where the IV was inserted.
MikeWalczak 4 years ago
well gettig an IV doesnt hurt if you get someone who knows what there doing. I had two or three nurses come in and stuck me nine times to find an IV and then they finaly got it on the 10th try thats why i said they hurt. I am looking at going to nursing school.
chefd907 4 years ago
That's a fun song!
roadie50 4 years ago
she showed the wrong way of wiping the area she keeps on goin back and forth when it was supposed to be in circular motion
chizaih 4 years ago
The antiseptic agent should be applied at the site and wiped outward in a circular motion, except for chlorhexidine, which should be applied in a back and forth motion. So maybe it was chlorhexidine?
xtreme1981 3 years ago 2
It is chlorhexidine.
wgeed 3 years ago
she already did.. the tourniquet is loose prior to flushing
griftah81 4 years ago
why wasn't the torniquet released prior to the flush or the bung being attached? o.O
dundas112 4 years ago
what did u gave him in the iv fluids,insulin,medication,or blood tell me now!
IV is or people in hospital not at home!
killeryoshi888 4 years ago
does it really matter? they are just practicing. I used to do the same thing. Yes it is for people in the hospital, but obviously they know what they are doing and they are using the right technique, so i think they are ok.
cartozian1638 3 years ago
Ummmmm this person is obviously in nursing school, you can see that she discontinued the IV as soon as she was done. She is just practicing technique.
bluexrhapsody81 3 years ago
does doing it in the back of an ambulance with a behavioral pt. who you have to tie down count?
waterborne 4 years ago
only if your on a dirt road>??
ne014x 4 years ago
iv's hurt like hell to get.
chefd907 5 years ago
there not that bad
ne014x 4 years ago
thanks for this post
blascologique 5 years ago
try giving a IV to a person with 2nd class shock and 30-50% blood loss while riding in a humvee, its hard but good stuff
saRc24 5 years ago
Amen Corpsman
DevilDog90 5 years ago
Try it a med chopper, and add an unknown drug allergy!!
Edcampbell2 4 years ago
or in the back of a unit on a dirt road with a 20 year old fire fighter driving who thinks hes fuckin evil kineveil
ne014x 4 years ago
Where did you learn this?
bboyflapps 5 years ago
Nursing School
Edcampbell2 4 years ago