How to Start an IV | IV Catheter Insertion & Flush Technique in Hand | Nursing Skill

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How to start a peripheral IV in the dorsum of the hand: clinical nursing skill technique.

Starting an IV (intravenous catheter) can be an intimidating experience for nurses, especially nursing students and new nurses. However, nurses will perform IV insertions often, so this is an important nursing skill to learn.

Before starting an IV, always follow the protocols of your facility, as well as manufacturer's instructions for any supplies used.

In this video, Nurse Sarah demonstrates how to start a peripheral IV in the dorsum of the hand. Prior to inserting the IV, you'll want to do the following:

-Gather supplies
-Perform hand hygiene
-Prepare supplies (including priming the saline flush, removing air from extension tubing, opening packages, completing labels, and any other steps required by your facility.
-Locate a suitable vein
-Perform hand hygiene
-Don gloves

If the patient has a lot of hair, you might want to use clippers to trim the hairs prior to starting the IV. You may also apply a tourniquet to help veins move near the surface of the skin.

Next, you'll want to clean the site using the cleaner that came in the IV start kit, such as ChloraPrep.

Once the site has dried completely, you can insert the IV. Stabilize the vein with your non-dominant hand, and insert the IV's needle into the vein, watching carefully for blood return (or a blood flash) in the chamber. Advance the IV around 2mm more to ensure the plastic cannula is in the vein, then thread the cannula into the vein and press the needle safety button.

This video also demonstrates how to flush the IV using the push-pause method, how to secure the IV using the Tegaderm dressing that came with the IV start kit, considerations of the different cap types and the clamp sequence, and more.

For more information, watch the complete tutorial.

#nurse #nursing #iv #startiv #ivtherapy


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Hey, everyone! Thanks so much for watching. Don't forget:

RegisteredNurseRN
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I remember watching these videos. Hopless mother of 2 no diploma trying to figure my way out. Got my GED and got into an LPN program. Today I am an RN holding a bachelor's degree preparing to enroll in anesthesia programs. I said that to say this, if I can do it so can you! This may be the beginning of a life you never saw for you. Never give up and keep going 💪🏾... peace and love!

stefenieleger
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Hey sarah!! Can i just say thank you for helping me get my RN yesterday, i passed in 75 questions . And most of that is thanks to your great lectures. You are TRULY a saving grace to nursing students.

jacobeddington
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Hey Sarah, I started watching you 3 years ago when I started nursing school, now I have been a RN in a geri med unit for a year. Thank you from Canada :)

kisong
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Kudos to you and your husband for showcasing a real demonstration! 😊

simonewade
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Passed my NCLEX first try in 79 questions! I’ve been watching ur videos for years now so thank you for helping! Definitely keep watching as I begin my practice!

BritBelle
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I am returning to Nursing after 16 years at home with my children. I am so thankful that you have posted this video. It helps me to see the “new” IV dressing and site prep supplies and how to use them. I have enjoyed your other videos as well. Thank you so much!! Great job!

mistylawton
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Who’s sittin at work on a low acuity day watchin this after failing yet another IV start? 🙋🏻‍♀️

melodies
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This vid came right on time. RN for a year but with little IV insertion practice. Now starting in the ED and that will all be changing 😲 Thanks for the help!

Zaloomination
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First of all I will say that guy that let Sarah perform her video ON HIM is a hero if it weren't for him we wouldn't be educated on this so besides Sarah we all should take a moment to thank this guy that let her perform her video💖💖💖

Baileys.small.engine.repair
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Thank you for doing this on a real arm. It's so much more helpful.

angelg
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I am forever grateful to Sarah for these videos. But her husband is truly the unsung hero 😂💛

alleykat
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Hi Sarah from the bottom of heart. I want to thank for everything you do. I just found out that I passed my Nclex you helped with it and throughout nursing school. Your videos are amazing. Thanks thanks thanks

JohnsonChatelain
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I'm a student from Egypt and I learned many things from this Chanel. Thank you 😊❤️

mohammedabdulhamid
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I’ve been intimidated for over a decade but not today after watching this video. Thank you

shayrichardson
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For some reason I only saw putting pressure on the vein before pulling out the needle in one hospital, and I've had clinical practice in 3 other hospitals as well. I wonder why? It's so much more clean than letting the blood gush out everywhere and having to clean it up afterwards. Thank you for the beautiful demonstration!

alexaf.
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As a retired nurse I find your video's wonderfully informative. Wish I had this when I started. 40 years ago,

dbn
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Hey 👋 am a student nurse in Ghana and I am happy watching this because I am doing my clinical . thank you 😊 so much

florencesiaw
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Your videos helped me out in Nursing school and I was able to pass my NCLEX! Thank you so much and may the Lord continue to bless you to bless countless students with knowledge and understanding!

mkerone
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I literally owe you my tuition you are a blessing to us nursing students!!!

paulinamartinez