Easier IV Placement

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Easier technique for IV placement
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As a paramedic this technique has really helped me ensure I hit nearly all my cannulations. Works fantastically on any vein. I now routinely teach this to our students with great results.

nickosgood
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Whos watching this before bedtime like me....u guys psycho too💀💀

milgonfoong
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I have been an ICU nurse for years and never learned this trick, I can't wait to give it a try. Thank you so much for sharing!

zipfish
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Thank you 😊 soooo very much! I’m a RN and trying to gain more knowledge in IVs…grateful for your valuable knowledge

thelmajoryman
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Thank you Dr Chung for unselfishly sharing your technique, this will not only benefit nurses like me but especially our patients too. Salute to you Dr Chung

sereneliving
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Some good points. We should be mindful that the tourniquet isn't too tight (it must allow venous filling via arterial flow) this is especially important if BP is low, skin is fragile, etc. Rubbing or gently tapping a vein is effective and far less painful than slapping them on the back of the hand like a naughty toddler. There is often a good vein to be found between the middle and ring fingers, proximal to the knuckle. Once you've wiped the area with the alcohol or IV swab, no more touching or tapping the area with anything (but the cannula). If cannulating into the back of the hand, come a little more proximal than demonstrated here. You need to consider the length of the cannula cap and where it with end up after cannulation. As you can imagine, if the cap protrudes past the knuckle there is a greater likelihood of it being dislodged. If the vein bifurcates, aiming between the branches helps. Don't surprise the patient, especially a nervous one. Talk to them confidently, win them over with reassurance and warn them e.g. "This part doesn't hurt I'm just cleaning the area and looking for a good vein". "OK, just a moment or two of pain now, I'll be quick, don't flinch or it'll take longer", etc. Acknowledge their pain afterward. with a "Well done, you did well". Secure that cannula like the precious resource it is. You don't want to do it again! Learn from others & be confident. Good luck!

GarthThomson
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Man, I wish I could have seen this about 30 yrs ago. The animation and explanation is AWESOME!!! Makes so much sense.

KonaSitkaRose
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It's 12:05am and im 17 years old with no interest in becoming anything in the field of medicine what am I doing here

gerardgarcia
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Of course this technique is gonna work when the patient is young and healthy and not 77 years old dehydrated with hx of CHF, HF and blown veins from being admitted 4 days agp

Astronomical
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This technique does not hurt anymore than other techniques. The patient cannot feel you lift up the needle/catheter because you are using the blunt side of the needle.

myungchung
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Great technique!!! I never miss now - and with the older folks I rarely even use a tourniquet. This was a great addition to my bag of tricks in the back of an ambulance!!!

kristynalittle
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Great method. Thank you for explaining it so well and for making this video. It has increased my success rate dramatically and I've shared it with other nurses.

felipeferreira
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Great tip! I just started doing IVs at work and any help I can get I appreciate. So far I’m batting 0 out of 2. Your method makes a lot of sense from an anatomical perspective and it explains how I “blew” my IVs.

speedjunky
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I’m trying to face my fear of needles. I almost fainted

tanum
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Thanks so much Dr. Chung. This technique helped me become successful in starting a patent IV on my patient.👍🏾

chinezemadu
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I thought this was over the top and I tried it and it works like a dream. haven't missed since. As a student I was missing left and right now I'm getting the hard to get IV's that the experienced RN's are missing.

Kartracer
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I just start using this technique and have gotten all of my patients on the first try!! Old and young, good and bad veins.

christastachura
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This is a DAMN GOOD demonstration! I've been watching IV insertion videos for a one day class I'm taking soon (I'm an LVN). This video REALLY helped me understand the specifics of why it's done this way. I'm going to watch this video every day until I take my class. Thank you so much!

tiinasanders
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Hi Doctor, thank you for this video. The most informative one I’ve seen so far. You made IV cannulation so much easier for me!

juliereeni
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This was one of the best videos i have seen. I am in AEMT school getting ready for IV section. Thank you for this.

geminiburglar