IV ACCESS: 3 TOP MISTAKES

In this animated video, Dr Hadzic share the three most common reasons why IV access fail. In Based on 3 decades of teaching and medical education, he has witnessed these three fundamental mistakes that are basis of most failures to secure an IV access. 1) The catheter is too short 2) The needle and catheter not inserted deep enough into the vein 3) The angle of needle insertion is too steep.

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[rosejones]

I was a nurse for a long time and no one ever taught me how to do it in such a detailed fashion.. Thanks for the great teaching.

[tjmakerextraordinaire]

The entire explanation is the best teaching I’ve ever experienced. Wish all teachers on all critical procedures, would make it this clear! Thank you!

[juki]

my main issue used to be number 2 as i was too afraid of hurting the person/ lack of confidence. Also they taught us to have quite a large angle. Watching an experienced person confidently "ram" one in was helpful and practising with green or pink ivcs helped perfect myself.

[tannazm]

I have never seen someone explain so thoroughly and with such as easy-to-follow explanation. Thank you so much!!

[robertmartin]

I went to school 1 extra year to be IV RN. I also have done thousands, 16 gauge to 30 scalp vein, direct, indirect approach. Tough one was in ER, ( Cardiac side 1000 bed hospital. Not egoism, but became 1 of 8 on hard vein team. If RN missed, you might have seen me or one of others. Tried to have 1 on every shift. Guy flat lined, as I had just entered cephalic vein. No BP, Dropped angle into dead space lowering greatly, felt insertion, cardiac team now could push meds. . Nice 👍 video. Thx, memories now

[kimberlyjanssen]

Love this. I am in nursing school and learning the IV insertion skill now. This is great as I practice for my check-off. Thank you for the great teaching.

[alextarno]

Great video. I would suggest a fourth tip that is to look for vein bifurcations and puncture just before it in order to perforate it with the cannula already parallel to the vein, cause after the puncture the vein will collapse over the catheter and it will be inside yet. Most of the time I introduce the catether parallel to the vein and I catch it with a slight deviation to its direction.

[Docvergence]

I really thank u as a physician who rarely needs to do an IV insertion, I always had struggle doing this and now I think I could do it better. I hope so🙏🏻

[ariakowsarian]

Very useful, one thing that comes with experience is to know how much deeper do you need to insert the catheter after the blood flash to make sure the catheter is in the vein, since the larger diameter the catheter is, the more distance there is between the tip of the needle and where catheter actually starts, but one helpful thing with the larger diameters is that on some veins you can have the tactile feedback of the catherer falling into the vein and enlarging the passage

[archerlady]

As a kidney patient, I thank you for posting these videos. Everyone: please listen to your patients! This Spring I had to have IV anti-viral treatment after contracting COVID. Told the "specialist" the best place is next to the bend of the elbow (cephalic?) and he said "oh no, there are great veins in your hands." I told him it wasn't going to work well but he was sure. As soon as he started it was "um, where'd your vein go?" and he proceeded to DIG AROUND until he got needle and then the the IV in, with me trying very hard not to curse at him. Quite painful and unnecessary. Heck, my AV fistula would roll when nurses were trying to get the the dialysis needles in!

[kstclair]

simply the best... three examples of higher thinking about IV placement that are not the same old thing.

[VivaLaGlamXOXO]

Perfectly explained! Thank you so much for the illustration!

[luthfanh.p.]

Absolutely agree.. Im RN in Emergency room, degree of insertion is a key, only get 1 from experience. But in here, I get 2 in short time. Thanks, I know from where to improve now.

[annetallegrand]

How cool are you sir? This was super useful! You’re my new favorite professor😊

[eyang]

Thank you!. Makes perfect sense. New to ultrasound IV start and I'm still making mistakes and this helps me to understand it so much more.

[janeuzoechi]

Incredibly good at your job as a teacher, you just earned an extra subscription.

[SCROOGE]

I think one day the biggest mistakes that lead to insertion failure is the way the operator holds the catheter, the thumb on top and the index finger below making it impossible to decrease the angle after the flashback.

[srusse]

Thank you for posting this knowledge! Lowering the angle.... THATS how the needle stick is different from phlebotomy process. The blood withdraw would typically be about 30° . High angle is good to withdraw blood from venipuncture, but bad for inserting catheter into vein.

[spreadingSMILES]

Thank you, Dr. Hadzic! Your explanations were perfect and sequenced well. I found it very easy to understand with your illustrations. Great teaching, Sir!

I’m going to share this with my school’s simulation coordinator to help the incoming class of student nurses.

[Sami-Nasr]

You saved my Tuesday this week, I had a lady for sleeve gastrectomy, I managed to insert 20G cannula, no other veins visible nor palpable, Using ultrasound and remembering this video I inserted 16G in the left antecubital fossa, it went first pass, I am nearly sure the only other option would be a central venous line.