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From: CliniSnips
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  • @thesebananatrees its just the thought of a needle that big scares the crap out of me and the fact that they dont take it out right away, lol and well the surgury im getting wont give u pain ill just be really numb so im not scared that scared about it becouse i wont feel it but thiss yeahhh scares me, i know wierd but

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  • @summonskall

    Lidocaine Is a numbing agent

  • very interesting, though i have no idea what lydacane is XD

  • You touched the insertion site before inserting the needle with your dirty glove. Yea.

  • Nope I'm never gonna learn this...

  • Ummm well I'm not really a fan of needles at all had some bad experiances befor, But yeah I have to get a surgury and they sed there ganna have to do an intravenous to be honist I'm scared to death becouse the needle looks huge and I'm reallly skinny :/ , point is dos it hurt from 1-10 how much, it would really help to know how much pain to expect if you could tell me that would help a lot k thx(:

  • @Erika101Bebe it isn't comfortable, but it doesn't hurt. after it's in there for awhile, you really don't notice it. in any event, i would be more paranoid about getting surgery than i would be of an IV insertion. =x

  • You just contaminated the site that you just cleaned~ what's Up with that???

  • YOU TOUCHED THE INSERTION SITE AFTER YOU CLEANED IT!!!!!! BAD BAD BAD BAD....THATS IV 101.....WOW

  • God dang I can't stand watching this sometimes, The way it all looks, oh man

  • STAY HEALTHY!! When you get your wisdom teeth out this might be the only time you might need one. IT HURTS.

  • I do not care where we all came from as long as we care for our patients and their families and we are all have humbly hearts that all it matters who says we have to compete who is better nurses or who is better on what they do as long as we do our job the right way, we treat all our patients with respects that is all that matters not competition, be humble respect one another

  • It didn't hurt nearly as bad this time.

  • Also, IVs hurt the worst of any kind of needle, worse than a blood-donating needle, in my experience ; ; I don't mind getting shots at all but I had one going into a colonoscopy, and it took 8 attempts, since I was so dehydrated (drink water, kids.) I actually wasn't expecting as much pain as there was.

    I'm getting my wisdom teeth out tomorrow, so we'll see how it goes when my veins aren't tiny XD

  • ; ; I think a good nurse is a good nurse and a bad one is bad. You'll find good ones and bad ones no matter what country they come from.

  • Not all people are easy to hit. As an x junkie I stuck myself literally tens of thousands of times and when I was in the hospital they couldn't hit me so I had to show them where to go and how to keep the vein from rolling. Wish I could have done it myself

  • phillipinos eat dogs, and suuuuuuck as nurses!!!!

  • HEY..... FILIPPINOS SUCKS..... INDIAN NURSES DO BETTER CANNULATION ON ANY GIVEN DAY....

  • Doesn't feel as bad as it looks.

  • 1:59 onwards is a stupid move...

  • how in the hell did i end up on this video,,,, i was watchnig breakdance moves

  • @Efnantank grow up fag

  • WOW!  Thanks for the video.

  • Even kids don't need lidocaine.

  • filipino nurses are way better than this sht..

    

  • @hubByWiFey0214 I agree coz my mom and grandma are nurses and they're damn good at starting IV's, but this is supposed the be an educational vid to help inexperienced students. Ur comment is kind of uncalled for, buddy.

  • @hubByWiFey0214 I agree! I'm proud to be one! This is just like eating peanuts when a Filipino Nurse do this, without even getting messy (with blood oozing everywhere) LOL!

  • @hubByWiFey0214 hell yeah

  • stupid IV therapist..

  • I have IV checkoffs today..I've watched this video like 20 times this week haha

  • how about if u cant see the veins?

  • I was terrified of iv drips right up to the moment of my operation. The sight of needles in my arm made me want to vomit. But when I came out of the anesthesia and realized that I couldn't even feel the line in my arm I felt stupid for worrying so much. It was all in the mind. But I had to endure the fear in order to overcome it.

  • "Tiny bubbles, in my line. Make me happy, make me feel fine".

  • "Ok,im gonna need to do a single man heart transplant.Heres the IV."

    "Btw,what university did you get your medical degree?"

    "None,the power of tutorials on youtube."

    "OH GOOOOOOOOOooo......d (falls asleep)"

  • lidocaine + iv insertion = double ouch.

  • For christ sake, this is the worst vid ever..

    - injecting lidocaine? are you nuts?

    - a blind man could stick a pink needle in that huge vein..

    - Insertion technique is really wrong: stick till flash, push 3 mm deeper, remove needle about 1cm then insert the whole needle+catheter in the vein.

  • I hope that wheal stopped bleeding

  • MIssing an IMPORTANT step! Gotta release the tourniquet BEFORE flushing the vein. Or you'll blow the vein. DUH.

  • Watching countless of these videos helps with getting over the fear. I hope.

  • Ok if you're dumb enough to puncture the SIDE OF THE BAG while spiking it... Stop trying to work in a medical setting, see an optometrist and take up the bagpipe.

  • this will help immensely .. i start my anesthesiology rotation from next week - and the one thing i always hated doing was putting in hep locks in the ER .. so this will help even more :)

  • im not a nurse, nor do i wanna become one, but i think these videos are interesting and great for anyone interested. especially anyone wanting to work in the medical field!!

  • here in the 3rd world country like the philippines we dont use anesthetic during iv line insertion

  • joy comes with the morning, Jesus is lord

  • I really like your insertion technique, but you contaminated the injection site when you touched it after cleaning it. Also, before starting the drip, flush the Heplock with NS to ensure patency, then apply the Tegaderm, and loop a bit of tape around the line near the connector to make sure it stays close to the skin.

  • @NiteStarGirl very true. i do not like that non-retractable needle theyre using. thats a surefire way to end up with an accidental stick. especially with a combative or seizing patient.

  • u contaminate the incision site...very not acceptable. u r not a good nurse u should know that its a big no no to touch the site if u already clean it...such stupid to show this given it show the wrong way,

  • u contaminate the incision site...very not acceptable. u r not a good nurse u should know that its a big no no to touch the site if u already clean it...such stupiod to show this given it show the wrong way,

  • Is the metallic needle left in the vein for infusion???

    I only know that the plastic catheder remains in the vein itself and the needle is just for the insertion..

  • lidocaine? pussy, and y bother using one, i mean ID injection of that thing hurts more than the fucking IV

  • To the medical community/industry; Ever heard of TOPICAL anesthetics, you barbarians?! It's no wonder I'd rather have my IV's in the crook of the arm rather than the hand!

  • @1958boomergirl we're not barbarians. That IV is the patient's lifeline, and through it we can give medicine and fluid that will go straight to work, especially when seconds count. sometimes, if youre in pre-op or something, they'll give you a lidocaine, but they usually wont for time's sake. plus a nurse will always have to get a doctor's order to give it. out in the field on an ambulance though, we only use it for cardiac patients, and have bigger fish to fry than worrying about if an iv hurts

  • i always had to have IVs in my arm, not my hand. My veins are too hard to see in my hand.

    and now, I find needles easier, because I'm a diabetic. yay...

  • The insertion into the hand is fine if all the patient is going to get is a drip. But nurses NEVER take into consideration that the patient may have to get IV contrast in Radiology with IV flow that may be up to 4ml per second or higher.

  • Great Stick. Did u come in from the left side of vein and puncture from an angle? Or, did u just insert right on top? Great job!

  • i hate when people get that shit done and they look away and hold there breath. i watch them take shit outta my veins

  • @Emosk8er4life69 you must be such a badass eh emo? lol

  • @420chronmasta

    did i concider my self a badass?

  • @420chronmasta

    did i say ima badass, eh nigger?

  • @Emosk8er4life69 It was a joke...Nigger.

  • @420chronmasta

    whos to say my comment wasnt....nigger

  • @Emosk8er4life69 Dont be a Nigger...Nigger lol

  • @420chronmasta

    nigga please

  • the analgesic injection looked worse than the catheter insertion.

  • I thought the iv catheter should be about 1mm visible?

    Any clarification bout this? thnx

  • 4). The IV was secured with catheter clearly bent in the vein. The person starting this IV should have made sure the catheter was resting in the anatomical direction of the vein. The production value of this video is clearly at the professional level but the technique of the person starting this IV was painful to watch. The producers should have hired someone with more expertise.  I could have started three IVs using proper technique in that hand in the same amount of time.

  • @TheMedicMac

    Adding some points to med students:

    1) You can use previous established IV catheters just stop infusion 1min, put the tourniquet and draw 5mL waste aliquot blood.

    2) Check fluids given through PVC are compatible with each other, and that some are better by CVC, they ask that for EM/ED rotations.

    3) In RF, set it up on opposite arm of arteriovenous fistula of dialysis.

    4) 25guage is for anesthetic, 22 guage for normal IV, 18 guage for crystalloid fluid resus.

    3)

  • @FearOfTheFlesh

    Also remember in ACLS if IV route not established within 3 tries or 30 sec depending where you go, you go IO route, they really hammer you for this and locations (my prefered location is peripheral medial tibia, but prefer is proximal medial tibia)

    If asked for what veins to choose stick with the obvious: metacarpal veins, distal basilic vein, cephalic vein or median veins. What to avoid? Veins overlying joints

    If you miss vein take it out completely to retry

  • @FearOfTheFlesh

    If like here you see the catheter not advancing instead of pushing the needle in causing possible posterior wall damage or going through the vein's posterior wall, "float it in" which basically means infuse saline during advancement, if still not going through as long as you can see dripping blood its fine, just secure it, they won't ding you for it...usually..-_-'

    They want you to do it rapidly cuz its usually not ur job, so make sure no more than 5min for entire thing.

  • 1). Hanging a bag of fluid is the exception to the rule for most IV starts, most IVs are started with a saline lock.

    2). The person starting this IV cleans the site with betadine and then proceeds to contaminate the site by touching it.

    3). The person starting this IV allows the needle to advance back into the catheter several times after beginning to retract it, putting the patient at risk of pulmonary embolism by shearing off the tip of the catheter and allowing it to enter the circulation.

  • This provider was rougher with the patient than need be, the one finger catheter insertion, and the rough almost crooked needle insertion. Also, touching the site after sterilization is wrong.

  • My hands are off limits for IV's. The last attempt ended when the nurse lied to me, went for it, and the vein blew out. She came very close to losing her teeth. In the summer of '81 a nurse was digging in my hand for 20 minutes because my family didn't have the the guts to stop her so I went through hell for 20 minutes and I promised myself it would never happen again. I need bypass surgery right now but, the doctor refuses honor my Living Will so it is a no go.

  • i love to start IV with these retractable needles. Its a smart invention.

  • I was stuck with this. Ouch!

  • nichts für schwache nerven O.ô

  • My hands are off limits. The last attempt ended when the vein collapsed, after I said it in a clear voice, "don't go in my hand," I came within a second of hitting the nurse. In '81 a nurse went digging for 20 minutes because my grandmother didn't have the guts to make her stop. I am in need of bypass surgery right now, but it will not happen because the danger to my only kidney is too high, and I am too weak to fight with a nurse over the IV..

  • Had this done on friday for a tooth extraction and didnt feel a thing

  • I had this done in the ambulance. My EMT was good.

  • Nice vid! thx for posting!

  • I had this done to me today before I got a CT scan (because I have a lump in my throat, I am 26 and have been shitted on my whole life so this just correlates perfectly with my luck) and when the nurse put the needle in, there was a huge eruption of blood right after. I had to look the other way b/c of so much blood and she said, "this is a good sign because it shows I hit a vein". Story of my shitty ass soon to be over life. Fuck the world and especially evil selfish women!

  • @ jpride1127 I, myself am a nursing student and I do not agree with you about the books part. We don't think books prepare us for everything that we're going to be faced with in the real world, that's the purpose of completeing two years worth of Clinical. Clinical gives us the opportunity to experience and learn first-hand (with guided help) what needs to be done so that we can best serve you in every way possible.

  • @MsClass2009 I totally agree with you! I'm an EMT-IV student right now and i went on my first clinical yesterday and I felt completely ill prepared because sure you know everything in the book but you barely get to apply it at all! I feel so much more aware and prepared now after just one clinical. The books give you the knowledge you need, but it's practicing that actually allows you to learn to properly execute that knowledge!

  • I don't why the demonstrating person touched the insertion site again after having disinfected the site --> contaminated..................­.

    Second, the demonstrating person did not give tractions on sides of the vein being IV accessed.........

  • I don't watch when it's put in. Owwww!

  • On the clean vs. sterile debate, I will say this. The procedure in general is "clean", but the actual venipuncture site should be "sterile". Hence the betadine swab. The nurse should not have palpated again after swabbing. One trick I have seen Red Cross blood drive phlebotomists use is to outline the edges of the vein with a surgical marker, leaving a narrow bare landing strip to aim for. Then swab. Then stick a sterile site. Otherwise, this video shows great technique. Well Done!

  • @rmcdaniel423 Unless she also sterilized the tip of the glove on that finger, she did break sterility. If she did, it was fine. Your suggestion of outlining the veins is great!

  • subdermal hurts, i dont mind cannula going in bareback.

  • ewwwwwwww

  • if you need lidocaine for an iv you are the biggest pussy on earth

  • @arvydas0069 agreed 

  • @arvydas0069 i need it and im fucking 18 years old because im scared of needles

  • @likitty20 you don't need it. You need to get over it

  • @arvydas0069 Ooops! I guess that makes me the biggest pussy on earth. I always need lidocaine---preferably as a topical anesthetic. :(

  • @arvydas0069 Say that after a nurse digs in your hand for twenty continuous minutes and no one says a word..

  • @ldleold I find that hard to believe unless you are 400 lbs

  • I used to have a lot insertions like this one :/ it doesn't hurt so much, but when you're stressed, than it's a BIG problem to find a good vain, because stress makes vain thinner

  • Pretty good video...this nurse didn't waste much time. The more you wait, the more the patient anticipates the poke..

  • That was a good video and a tidy job. The person putting the cannula in was assertive - this is the best technique (in my opinion only). I've seen so many people do venepunctures where they take a 'softly softly' approach - this just makes the pain go on longer! Regards - an exercise physiologist

  • I love how everyone immediately tries to criticize every single thing about every video on youtube...get a life people

  • geez what is with all these 20G needles....I can understnad on the hand and some female patients but if you have a trauma victim or heat illness patient i'm goin with 18G in the AC or even a 16G just to get them replenished. - Coming from a US Navy Corpsman

  • @griekoth green cap, not the pink lol...like I said below, it blows my mind that someone would request lidocaine for a simple cannulation...I guess it's just for the person to feel better emotionally about the process....like it's going to immunize them from the evil needle

  • When my dad had this done, he bled when the needle went in...

  • My Nurse Didnt get it on the first try it took her two tries and she still didnt get it so she get a Male nurse and he did it right away. but it wasnt in my had it was in my arm. i wonder why?

  • the placement of tourniquet is incorrect it should be away from the venipuncture site i mean it should not be toward the site because it will cause some trouble if happen for once.

  • She touched the site after sterilising it; and she pushed the cannula in too far, leaving the patient at risk for a sore at the site. Not the best video; but okay....

  • this realy helped!!! :D

  • the nurse didn't tape the iv site well,

  • i have had that numbing medicen in my hand and it hurts worse than getting the IV its self!!!!! I have to get an IV for surgery (tonsils and andoides removed) in5 days......SCARED!!!!!!!!

  • This is so helpful! Thank you. :)

  • Yikes! She did just retouch the cleansed area with her gloves. If you need to repalpate (IV insertion is less about what you see and more about the feel of the vein...) you can cleanse your finger with alcohol then retouch. That little swipe of betadine wasn't even enough to thoroughly cleanse the area anyway.

  • I get fucking woozy when i see it, this is the mosty disgusting thing ive ever seen, Im like about to pass out......

  • Nice... sterilize it then touch your sterile site with your gloved finger... like a professional.

  • im 13 and i went to the hospital for the first time last year ... i cut myself open and had 9 stitches i was 12 at the time ... i was petrified of wat was gonna happen with an IV - it didnt hurt much .. i had a pressurised drip which was cold ... that hurt more than the insertion XD i had no numbing cream or anything either. ... it was just a little irritating at first :)

  • oh god just did my first IV injection on a parvo puppy i almost puked when i inserted the iv and heard the skin pop :(

  • After cleaning the site you're not suppose to touch it, she just infected the patient

  • @jtgba217 She had gloves on... Hence no actual human to human contact. Also, inserting an IV isn`t a sterile procedure, its a clean one... All they technically need to do is use alcohol swabs, just like they do when they give you a needle and research has shown that even that doesn`t clean the skin. Its done more so for the patients mind over matter.

  • @jhoov1407 OMG do you actualy know what you are talking about?? IV cannulation IS a sterile procedure, in that it is a NON TOUCH procedure! even if she was wearing sterile gloves, she has still contaminated the site as she has touched other areas. Alcohol swabs are NOT recommended for this procedure, and it is not like getting a needle as this procedure enters into you're VEIN! In the uk, 2-3% of patients who have this procedure will develop infection in the blood stream of which 60% will die

  • she wasn't suppose to touch the site after it had already been cleaned.. she just infected the the patient.

  • Thus happens to my bro apart from he bent his arm and the fluid began to be injected into his muscle before this however they couldn't find a Vien the all kept rejecting it

  • nice iv skills!!

  • Lignocaine? For an IV Set? Not in the UK! We use EMLA (Eutectic Mixture of Local Anesthetics) which is a topical cream, which does contain Lignocaine, but avoids the use of needles for pain relief. This is the fabled "Magic Cream" used in Paediatrics :)

  • very accurate and completely clear

  • The nurse did not use a flush...supposed to flush before attaching the tubing. She also touched the skin after prepping it.

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  • ok did the nurse just clean with betadine then touch the skin again!!!! thats such a big NO NO!!!

  • Thats the first thing I noticed too!!

  • these bloody hurt like hell

  • @CoasterK Do they? When I preform IV injections on my hand, or otherwise, its virually painless.

  • @yellasmama

    if the gloves (and other objects she touched) are sterile, she's okay.

  • @yellasmama

    that's ok

    as you notice all things in their are sterile

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  • @jpride1127 the gloves are clean not sterile. u are never suppose to feel for the vein after u clean it... if u do, then u need to clean the site again!!! and ur right honey, im not a nurse... i am in nursing school!!! which means i know the rules in and out... better than someone who has been doing it for a while and has gotten TOO relaxed with the proper techniques!!!

  • @yellasmama I'm also in nursing school, while we don't start IVs in school we are taught this is a clean procedure, not a sterile one.

  • @jpride1127 It is definitely sterile. 

  • @UNCRatDog How is it sterile when you are not using sterile gloves?

  • @jpride1127 The site is sterilized, and once sterilized, the sterilized needle is used to puncture the skin and the sterile catheter is inserted. Your hands aren't sterile, but the site and IV/Catheter needle are. This is an invasive procedure where you're inserting something directly into the bloodstream. You definitely don't want to introduce bacteria into the blood. If you palpate after cleansing the site, you contaminate it. OR, you can clean one finger well with alcohol and use that.

  • @yellasmama I take offense to that comment. While some, nurses AND nursing students, are or become "relaxed", does not mean that all do.

  • @UNCRatDog That comment is why nursing students kill people. As a student, I would prefer an experienced RN over a student anyday. Students tend to think the book prepares them for all situations, which it doesn't.

  • @jpride1127 Yes I agree, he/she will be a terrible nurse IF they ever finish school and pass boards.

  • @UNCRatDog no all dont, but obviously this person did!!! just proving a point & i really dont care if u "take offense"!!!!

  • @yellasmama wow.. it's so easy for you to criticize

  • @yellasmama Lol. I am student from Slovakia. And this mistake on exam means for student: Bye bye, have a nice day. See you next time...

  • Who usualy inserts these? Nurses or Doctors?

  • I think the nurses for the most part.

  • @CoasterBoy567 registered nurses usually insert IV's. doctors have other things to do.....I am a registered nurse.

  • Ooh, okay. I just wonderd because I plan on being a RN myself.

  • it's a great career. I hope you consider joining the army.

  • @warrentur do you join the army and then become a nurse? Or after or how does that work?

  • nurses

    I just did one this week as a consolidating student

  • congrats!

  • nurses are primarily responsible for IV access. some doctors can but most donot.

  • Now we have bugs that are not killed by biocides, how can you inject the skin twice and expect the procedure to be sterile ?. This procedure is now not as safe as you imagine.

  • this guy have a good vein, I need a video from fat peeps and hard to feel vein even see.

  • True, let us see how this person can insert iv line in babies, oedematous, shocked and fat patient

  • i hatev fat patient, not that I hate them personally but I hate putting Iv onthem coz its fuckin hard.

  • wow, i really love inserting IVs

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  • I hate IV's. I hope I never have to go to the hospital.

  • @tbursee I was afraid of them, but I put some numbing cream on before surgery, and I didn't feel it go in.

  • You and me both. I can't do it.

  • It didn't hurt at all for me...

  • that hurts a lot more than from the median cubital?it gives me the creeks and i have visible veins :P

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  • the local anesthesia (lidocaine for example) is pointless i think.. well you can still feel the needle of that injection... useless,,, the patient will still feel the pain... and you can't do this in an emergency situation...

  • Totally agreed, getting your iv first stick is crucial and won't hurt as bad, but sticking twice? Come on, lido is hardly necessary.

  • How do you decide what size needle you use

  • pink cannula ( 20 GA ) , blue cannula ( 22 GA )

    those R mostly 4 adults !! the bigger the size the smaller the needle !! that makes green cannula ( 18 Ga ) the biggest needle !! Yellow cannula is about ( 24 Ga ) I think !! and it's the smallest it's 4 pediatrics .. hope this helps

  • Wrong tho.

    Biggist Needle is Orange.14 G

    Smallest is Purple (I belive 26 G)

  • no not wrong !! u have both orange and purple cannulas where u R ... I don't !! I've never heard of them or seen any !! so to me blue one is the biggest and yellow one is the smallest