Starting an IV in the Hand: Clinical Tips |

[@janicegebhart1053]

I did my very first IV insertion and it was a success 😁 I was so proud of myself.

[@LevelUpRN]

That's great!

[@josh_7569]

Good stuff!!

[@Lp-ru3z]

I had to shoot up my dad as a kid when he was dope sick try hit a vain scare up claps and the guy shaking and getting yelled at

[@michaelax3025]

Whoopee big deal

[@kariyamayur7804]

Please i want to know

[@BritneyDarren]

First time I did my first IV insertion it was magical and it made me so happy

[@LevelUpRN]

Love that!! The best - sweet success!

[@Chronically_JBoo]

Another pro nursing tip from a patient. When a patient specifies where to put the IV because of rolling veins, you should listen and not keep jabbing away. Some ppl prefer the hands some do not

[@FortheBudgies]

Thank you so much. I just had the most painful IV experienced because the nurse shot daggers at me when I suggested previous successful locations. She went straight for the hands and when she missed in the left hand and hit a tendon she told me she had to put it in my right hand since I couldn't tolerate the left. I've had at least 20 IVs and blood drawn every 6 months for 25 years and never had anyone miss a vein. She was clearly new, which is totally fine, but don't blame me when you hurt me and only know how to place one in a single vein and refuse to try anywhere but the hand. I'm a super easy stick and not at all squeamish, of I nearly jump out of the bed when you stick me then stop don't keep pushing harder!

[@inhaledexhaled5460]

I always say to everyone before they go in, no searching once you enter the skin. Once youre in, try for the vein then get out. If youre not confident dont go in at all. Ive given this warning to every person for yrs and have mixed results. Some people ignore and go jabjabjabjabjab and think that bc they havent exited the skin it means the needle is fine. I literally threaten them if you dont take it right now then i will, and have done before. Ive reported every single nurse, phlebotomist and dr that has treated my veins like shit bc of their own ego or impatience.

[@DewtbArenatsiz]

You can't tell nurses anything unfortunately. They know your body far better than you do

[@tracyadelizzi6831]

I hate the hand. The forearm is most comfortable for me. And I've probably had close to 100 ivs.

[@CelticCatholic]

I was in Australia and the nurse was like man you’re right and grabbed a ultrasound lol 😂 Here in America im like hey do it in the hand it’s easier.

[@CarrieMK]

And now I know how to make my next IV insertion easier for the nurse!

[@SMP-RN]

A pro tip: avoid placing an IV at a joint, unless the need is for a procedure then will be dc’d. Any IV needed for more than that will be uncomfortable, the infusion will be interrupted every time the joint is bent and pt will need a new IV. Standard of care should always be 1 IV for duration of treatment.

[@marywilliams9858]

What is dc'd? In Emerg now. I wrote a complaint about a doctor and now I am treated like a celebrity.

[@SMP-RN]

@@marywilliams9858 discontinue or discharge

[@maximinus5151]

So then no IVs in the AC? That's like the go to location 2/3 of the time.

[@kelsimichelle595]

Areas of flexion also increase risk for complications such as infiltration etc. short term=okay, long term=bad outcomes AC IV’s are easy to get, which is why most nurses go for them. This is okay for short term use, but you will have an unhappy patient if they can’t move during infusions, which are likely in hospital setting, or if they develop an infiltration due to catheter manipulation from movement etc. Best to utilize the veins in the forearm or top of hand if possible.

[@shanika78]

I press down on the vein to get a pop back/response -to let me know it’s not a rolling vein and a more stable vein to use.

[@MrGSWarriors1]

Now let’s do it on a 78 y/o dehydrated ESRD pt 😂

[@LevelUpRN]

Haha, it's always the ESRD patients who are the trickiest IV starts! --Meris

[@bittersweetbeguiling]

I had an L&D nurse who was the only nurse to stick me without me feeling anything more than a pinch. She said she used to work in geriatrics. I wish I had her on speed dial whenever I need an IV 😂

[@LisaHale-yl2vr]

I can't even get blood work, my veins are so bad. Arterial blood draws can't be done without a doctor. Shit I had to get a pic in order to have my gallbladder removed and they did the pre-op blood right before surgery. In 2021 I contracted a spinal infection (MRSA in my blood and spine), epidural abscess, chronic osteomyelitis and sepsis. I was hospitalized for 4 months and wasn't expected to survive, had a central line (neck), picc line. I now have a serious phobia of needles. My L1, L2 and L3 healed fused together and I have an incomplete spinal cord injury partially compressed nerve roots so I have some mobility issues but honestly I am lucky to be alive. The nurses do such a great job, you guys are the real heroes in the hospital. ❤

[@heyitsangelynk]

Or a person who’s oedematous, has paper for skin and on blood thinners 😬

[@SMP-RN]

Ultrasound!

[@lizbrown6943]

I was stuck 14 times, including hand, when I had my son. On 3rd day of 7 day stay, an anesthesiologist stuck me and it stayed. Big money for 2 minutes of work.

[@Patricia-e7c]

@@lizbrown6943 insanity! If you can6get it in 2 sticks, you find someone else!

[@Patricia-e7c]

Yep, agree 100%! Also some lab results can be altered by leaving the tourniquet on for too long.

[@veemurk2304]

@Patricia-e7c yes particularly lactic acid definitely gets altered results when tourniquets are left on too long.

[@Patricia-e7c]

​@@veemurk2304 AS I recall the WBC will be altered as well.

[@sueparker33]

The human body is amazing and is fascinating especially the rolling vein thrombosis and they are not right to do so period. Any way a helpful tuition lesson to put a IV insertion into a vein. Easily said then done period.

[@lazaroluis8242]

Anchor the (anatomical right) vein at the biforcation, this will correctly anchor the vein that’s intended for the IV. I see a lot of RN’s and PCTs do this process wrong, then call the lab to come draw for blood instead

[@pennychurchward1481]

The wrist vein is great for chemotherapy as we only need to use for s few hours

[@RobertThobias-ji2fd]

Very important for learning

[@LevelUpRN]

Thanks for watching!

[@KayDejaVu]

Never learned about bifurcation in nursing school. We did an IV insertion but this info was not given. Thank you.

[@AishaAliyu-u4b]

Great I made it successful proud to be here

[@LevelUpRN]

Thanks for watching!

[@virginiaokafor9807]

Thanks for sharing. Could you also give tips for anticubital sites and hard to find veins.

[@veemurk2304]

EXCELLENT explanation!!

[@LevelUpRN]

Glad it was helpful!

[@winternightsky6945]

I'm getting ready to start nursing school next year and trying to get all the help i can lol.

[@goldenhydration]

This is so helpful 😃, thank you! I can't wait to start inserting IVs!!

[@LevelUpRN]

Glad it was helpful!

[@LiamBlanco-mz9zr]

​@@LevelUpRN😮

[@shaynewheeler9249]

🍨 🍦🎂

[@latifahgordeeva6198]

This was very helpful for hard sticks

[@Folkrally]

This is great! Thank you for taking time to educate healthcare professionals across the world

[@AAtkinson]

Been a nurse for 2 years, did not know that about stability above the bifurcation!

[@LevelUpRN]

Appreciate you watching!

[@Duol.NguotGatdoar]

Am very interesting to see how I insert iv cannula keep going to show us more me am nursing student

[@LevelUpRN]

Thanks for watching!🤗

[@jinettejean4998]

Educative information ❤ Thank you

[@LevelUpRN]

Glad it was helpful!

[@worshiperjoelmasih18]

In last 3 days i have successfully inserted 7 cannulas 😊

[@MyNameHere101]

When i was younger I had a nurse tryna put in an IV, she was like 45+ years experience and she said i was one of her most difficult patients ever because of how invisible my veins are 🫣 She had me lean over the side of the bed with a hot towel wrapped around my arm just so she could find it 😅

[@joannedonaldson5818]

They dont do hand drips anymore in Australia they put it in the middle arm the hand hurts real bad

[@PinkYellowGreen2023]

Thanks for sharing!

[@LevelUpRN]

You are so welcome!

[@jessicateneyck2650]

You would be putting it in the wrist that bends constantly. You will end up with a blown iv. Go higher.

[@rumjhumkhatun2944]

I am a nurse from Bangladesh 🇧🇩

[@erickadw1]

But everytime they bend their hand, the infusing pump will stop and beep. Ot won't be long that you'll have to choose another site. But that's a good vein

[@LevelUpRN]

Sometimes, that's our only option :( Certainly, a site on the forearm would be better, but a lot of patients just don't have great access, and something is better than nothing! --Meris :)

[@maximinus5151]

So you'll probably put it in the AC as an alternative which will still stop the infusion.

[@cv1909]

Very good video with lots of info

[@LevelUpRN]

Glad it was helpful!

[@stenyethanmathews945]

Use heat. Any kind of heat. Heating pad. Hot water compress. Hot blanket.

[@LevelUpRN]

Thank you!

[@LTT-7915]

thank you so much mam 🙏😊

[@albertineikupu7769]

So helpful thanks

[@jacqulineloncke8696]

Thanks you for sharing with me 💯 support 💯

[@kienfemichaeltemesgen9168]

Thank you for lesson

[@LevelUpRN]

Very welcome! Thanks for watching. 😊

[@leopardappygirl]

No. The catheter tip will lie over the joint thus increasing risk of phlebitis and requiring use of an armboard.

[@maximinus5151]

Unless you have an ultrasound certified nurse standing next to you then you don't have a choice. Put the IV where you can to not delay treatment.

[@SHINE-h8d]

Yep we have the same eye

[@DanielSanchez-tv6vh]

God bless y'all. ✝️🙂🙏

[@AC-kw4st]

I haven’t gotten to do an IV on a real person yet. I am nervous and also excited at the idea of trying it! I notice myself looking at veins and thinking some of them look so easy to try it on! 😂

[@LevelUpRN]

Familiarity with the technique will make it so much easier when you actually go to try it for the first time! You've got this! --Meris :)

[@khoiduy1151]

Hi, I'm a practioner! So while I was doing IV infusion with a buterfly needle for an old patient, the blood didn't flow into the tube as it should and of course, I didn't miss any step but I suspect the force I applied on the entry point of vein. I would like to know what I really did wrong?

[@asianboy2177]

should the tourniquet be placed lower like that when inserting IV in the hand?

[@yazidabdoolkarrim-uy7zw]

Ur cannula will go over a joint … really painful and restrict mobility if ur patient is gona keep the cannula for few days

[@LevelUpRN]

Certainly we should avoid joints and areas of frequent motion when possible, but at times we have to just use whatever veins our patient has in order to fluid resuscitate them or administer lifesaving medications. Being able to successfully start an IV in the hand is an important skill to have! :) --Meris

[@Vaishnavivenkatesh-e4k]

Can physiotherapy students do this

[@zainabuabdi8549]

Thanks alot

[@LevelUpRN]

You are welcome!

[@gailcunningham3372]

I'm not a nurse so I NEED to ask..why would u NEED to go into hand for a vein??..please and Thank you 🙏❤

[@marywilliams9858]

The veins are big but so is the pain.

[@nischawallace]

Can a pregnant mom give the doctor or nurses any hand (left or right) to do this?

[@sbcollegeneeeds]

around the wrist? wouldn't it be uncomfortable for the patient?

[@fakhrealam1636]

Good 👍

[@LevelUpRN]

Thanks!

[@PiaLoveBSNRNCCBTP]

❤❤❤❤

[@JanetKonneh]

I'm trying to do this

[@michaelfuxeklint4909]

👍👍

[@LevelUpRN]

😊

[@IbrahimAbdiAli-er6gg]

Tnks

[@dr_underground9476]

🎉🎉🎉🎉thnk u

[@LevelUpRN]

You are welcome!

[@paulpoppenfuse7071]

Thank you

[@LevelUpRN]

You're welcome!

[@paulpoppenfuse7071]

@@LevelUpRN video helped me out for the future

[@ماجدالهروش-ض7ك]

Very good

[@LevelUpRN]

Thanks

[@maniac_mike6062]

It used to be so easy now all my veins either hide run away or it can't be found do you have to put a machine on me to find beans internally but I take insulin and I'm broke I don't have those fancy machines I can hook up to my side and pump patches into them or vials of liquid I have to do all my injections manually and I can't get them anymore I've looked at some painful places as well. I really need some advice if any have some

[@jbdbean]

A nurse but an iv into my hand and it was the most uncomfortable spot ever!!! Never again will I ever have nurses place one there! It’s always in the way too 😢

[@michellenainkristinabusch1221]

For me, either an IO or my port. I have absolutely no veins.

[@ketachamaragh9059]

Great tip 😊

[@parvazumrani7279]

good work dr sahab

[@itsbhavika3243]

How to reduce swelling

[@sourgirrll]

what about the oncology patients 😭

[@LindseyJones-gr5ok]

👍

[@Joshy05]

I’ve had one in the hand, it’s quite painful

[@shanika78]

The curved vein I would go for.

[@AbdulAhad-t5q]

❤

[@hajiyaser2494]

nice

[@patriciapatty9936]

Is it weird that my veins hide everything I'm not well 😂 a pediatrician was called to help find my vein just before having my baby

[@lizzieandmocha1131]

I'm going to be prepared when the apocalypse hits

[@LevelUpRN]

😂 We do what we can. LOL

[@affsheen136]

How to cure swelling and painful vein point 3 days one venflan

[@chevyfinn]

This person has great veins!!! 💉💉

[@ruthylopez1575]

Hahaha, I thought the same thing 😅

[@justyouandme4ever]

Yeah it's a man so

[@effingeff3981]

​@@justyouandme4everunrelated smh. If it is, then I'm a man.

[@Prince-se2ek]

Excuse me mam where is your gloves 🤔

[@TFS_PLAYERZ2891]

I had a IV in september 12/11 to 22 september

[@AliAwan-o2e]

Who. Is the num of barnola

[@jasonbriggs2572]

I NEED THE MFKNN STRESS BALL!!!!!! I keep missing the sh*ttt!!!

[@joypaul7309]

How many IVsaline can be given to a deadly diarrhea patient

[@michaelax3025]

Got to love these Tik-Tok nurses they do anything for views

[@April8989]

So everytime the pt. bends the wrist, flow is obstructed, and the pump alarm sounds, waking you up. SO IRRITATING to the pt.

[@patrickol4300]

Great information for drug abusers !

[@newbirth35]

The hand IV hurt so much I thought I would throw up, pass out, or both.

[@notyourmama6511]

My veins are not visible in my hand. Left elbow or foot only.

[@Charuchaska]

Amazing information

[@LevelUpRN]

Thank you!

[@EdgarAllanGo]

I hope the tourniquet was on pretend mode 😬 I was thinking the same placement though! Winner 🥇 Those rolling veins will getcha

[@Nads49]

Why is your tourniquet on so long nurse?

[@misty3787]

I now find myself admiring straight veins on literally anyone 😂 ... Help😂

[@LevelUpRN]

😀

[@marcussurleyadventures1928]

Yeah, but it’s on articulated joint! i would go for the veins in the lower left side of the hand

[@rvrmdude]

Most people recommend distal to proximal . Hand is the first option.

[@FortheBudgies]

That is just about the most painful place to have an IV! Why would you put it directly in the bend of the wrist where it will hurt every time the patient uses their hand?

[@sleepergirl04CRNA]

Is it the lighting or do you have dirt underneath your fingernails?

[@sugarbaby2392]

Dirt

[@dillonbuckley4618]

Yeah I’m not putting an iv in a hand unless I have to

[@sumeshkumarliberty3742]

Please speak in cg 👍👍

[@mattfake8634]

My favorite part was watching you not put the cannula in…

[@rusc9275]

saved

[@oliviaclark5479]

why a gentle fist instead of tight?

[@BittuBaisa-bt9mz]

Are ye sb chhodo ye btao pain kitna hota h mko bhi lgne wali h or heart beat bht badh rhi

[@afternoon.46]

Novità del secolo ?

[@BlackberryGlow]

I am scared of needles and I can't do this 😭

[@bigred6978]

Ask for numbing cream if they offer it

[@hayley339]

Ugh I have to get a cannula tomorrow