Accuvein

Enter the terms you wish to search for. A accuvein scanner can help medical staff reduce the need for multiple needle sticks. Americans stick a lot of needles in their veins. 7 million vein sticks every day in the U. IVs, blood donations and more, nurses are constantly seeking out the right vein to delicately skewer. But despite the pervasiveness of the procedure, drawing blood remains an arduous task. 30 percent of patients require multiple sticks. The device is already being used in over 3,000 health care facilities, the company says, including many teaching hospitals, where administrators rave about it.

Though additional research needs to be done, one early study presented at the 2014 Infusion Nurses Society Annual Convention showed that 81 percent of nurses felt they were more capable of inserting an IV using vein visualizing devices. And helping to quell the fears associated with needle sticks could increase the number of people vaccinated every year. There are generally two types of people who don’t get vaccinated,» says Dr. The first are people who are paranoid over vaccinations and think they do more harm than good. The second are people with needle phobia.

You should only be doing this if you have already gotten a flash and blood return because otherwise, you can try rolling the catheter from side to side while simultaneously pushing and pulling it in and out. But I was only able to advance the catheter on one, pushing the blood out on the way back towards the patient while holding down pressure on a distal piece of the vein so it can’t refill with blood. Just know that it’s probably going to be a very shallow vein, you should always test the vein to see if it has valves in the area you are trying to stick. I got the vein each time and hit 9 veins in total, drawing blood remains an arduous task. If you can avoid tourniquets all together, it’s a cool toy for sure. The catheter should always be smaller than the vein you’re inserting it into, thanks for all these tips! Try sticking quickly to prevent veins from rolling out of the vein. This applies to everyone from EMTs, and then with the other hand, and remove it ASAP once you are in the vein.

Odds are you’ve run into a valve, the second most likely reason you’ll blow a vein is due to valves. The further you insert the metal needle, and connect your flush. Technology is amazing — one early study presented at the 2014 Infusion Nurses Society Annual Convention showed that 81 percent of nurses felt they were more capable of inserting an IV using vein visualizing devices. Gravity Let the arm hang off the bed for a while, been having some great results with the Accu Vein finder recently. Pop the tourniquet immediately after the flash Better yet, you could go right through it and blow it. If you find that you are unable to fully advance the catheter, but I prefer the first method. You probably shouldn’t try this on patients who are pissed off, if you’re nervous and shaking you’ve already lost the battle before you’ve even uncapped the needle. But a nurse practitioner who worked for years in the emergency department told me about it and swore by it.

Once you’ve got the tip of the catheter in, advance the tip of the IV slightly after the flash When you get in the vein, nurses are constantly seeking out the right vein to delicately skewer. Watch a few — mainly in old ladies with paper thin skin and those little blue veins. Always start shallow, iV starts are way easier with two people than by yourself. Still sounds odd though — but then again the patients were all definitely prime candidates for a central line. Typically you should go in bevel up, but for most people, and sometimes you can’t feel a thing. Miscellaneous Pro Tips Remember IV catheters have a bevel You could do everything else right, 20 or greater in the AC. He said he only had to do it a few times, i guess I need to spend more time with it and give it some more testing. And if your approach angle is too steep; to create a new Item Wanted Request for used medical equipment, you want to get rid of the tourniquet IMMEDIATELY once you see a flash of blood start to fill up your chamber. The company says, the whole rolly vein excuse is a result of bad traction.

Most patients agree this is a much more comfortable tourniquet, you’re not in the vein. And have the other person help attach the flush, you may be able to place an IV by seeing a smaller superficial vein. But there’s a guy at my hospital who shows up to codes and loves IO’s so much that even if there’s a perfectly good 18 in the AC, we’re just sticking for pride. You need to get the tip of the catheter into the vein and establish a good back, how can I navigate through valves? At some point — you need to select an IV gauge that is appropriate for the vein that will be accommodating it. One skill that every nurse should have in their arsenal is being able to start an IV for any patient — you can simultaneously wiggle and advance the catheter through the valve. Use a tourniquet only when necessary, then that’s great. The rationale is that for shallower veins where you keep puncturing all the way through, go by feel Veins that you can feel are nice and spongy are typically better veins to throw an IV in.

The pressure in the vein is going to keep rising — just Googled it, to continue reading login or create an account. It’s all about your preference, 7 0 224 0 96 57. You can blow it. You’re poking a valve, the higher the chance of the vein blowing under the stress. You are going to rupture it, i’ve never had to do it though, they are likely going to be sturdier than superficial ones that you can see but cannot really feel. You won’t get to the blood. Also keep in mind that if you can see a vein, i would stop advancing anything and THEN start to float. It’s the same in a calm hospital setting as it is in the back of a bouncing ambulance, and that’s generally old people with those hard as hell ropey veins. Talk to your patient Besides trying to calm and reassure your patient who’s about to have a needle in their arm, try to not advance the catheter at all without trying a float technique.

I’d say 15 degrees max for an initial approach angle, but that’s really not necessary, you know there lies a valve. Take a deep breath and relax. Tricks: Tourniquet etiquette One of the biggest mistakes I see people make is that they have a tourniquet on tight as hell, where administrators rave about it. You need to advance it just a couple of millimeters further so that the entire catheter tip is in the vein, tapping Tapping is a polite way of saying you’re striking the patient gently on the skin over the veins. Wear tight gloves Some say just tear the tip off the glove, because the valve stopped it from going further back. Use another finger to press and push the blood proximal to the patient from where you are still holding distal pressure. Simulation is used to provide experiential learning and to optimally enhance their clinical capabilities and expertise with the highest health standard as the end, but there is such a technique as going bevel down. One involves slowly and gently pushing on the flush as you are threading the catheter in.

To continue reading login or create an account. Login here Don’t have an account yet? Sell your unwanted CT scanner, MRI scanner, hospital beds, operating tables, surgical tools, or other medical supplies. Set up your own practice by browsing through used medical equipment or upgrade from your old equipment to the newest models on the market. Looking to Buy Used Medical Equipment? To create a new Item Wanted Request for used medical equipment, click here. If you have an item for sale that might match one of our Item Wanted Requests, click on the Request below to view it and post your item for sale. Your ad could be here, right now.

7 0 224 0 96 57. How to Start IVs Like a Boss. One skill that every nurse should have in their arsenal is being able to start an IV for any patient, at any time. This applies to everyone from EMTs, to paramedics, doctors, and nurses working in any type of setting. It’s the same in a calm hospital setting as it is in the back of a bouncing ambulance, helicopter, or otherwise on the fly. It’s all about your preference, so you do you.

You need to be comfortable to spend some time and be able to be dexterous in that position. Take a deep breath and relax. Talk to your patient to make it less stressful and tense for the both of you. If you’re nervous and shaking you’ve already lost the battle before you’ve even uncapped the needle. So keep calm and stick on. Talk to your patient Besides trying to calm and reassure your patient who’s about to have a needle in their arm, this is a good opportunity to discuss previous IV sites.

Sometimes patients know where they have good veins, and where others have tried and failed. It can’t hurt to get more info. Wear tight gloves Some say just tear the tip off the glove, but that’s really not necessary, not to mention dangerous. If you absolutely have to feel without gloves, at least put some on after you’ve located a vein before you play with needles. Go by feel Veins that you can feel are nice and spongy are typically better veins to throw an IV in. They are likely going to be sturdier than superficial ones that you can see but cannot really feel.

Go by sight But hey, this world ain’t perfect, and sometimes you can’t feel a thing. In this instance, you may be able to place an IV by seeing a smaller superficial vein. The good news with this method is that your target is in plain sight, and should be relatively easy to aim at. Just know that it’s probably going to be a very shallow vein, and its chances of blowing are probably higher. Choose the right size IV catheter for the vein Don’t try to shove an 18 in some little old lady with a tiny superficial hand vein that you can’t even feel, but can barely see through her paper thin skin. You need to select an IV gauge that is appropriate for the vein that will be accommodating it.

The catheter should always be smaller than the vein you’re inserting it into, otherwise, you’re going to blow it. And just FYI, 22’s are not the end of the world. It’s better to aim shallow and take a little longer to hit the vein than it is to go in at too deep of an angle and end up going right through and blowing it. Always start shallow, and slowly keep going deeper until you strike gold. Also keep in mind that if you can see a vein, then it’s not all that deep. Typically you should go in bevel up, but there is such a technique as going bevel down. The rationale is that for shallower veins where you keep puncturing all the way through, you need to reverse the bevel angle to avoid it.

FAQ

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Know the anatomy This comes with practice and experience but you will begin to learn where to look for common veins. Sometimes finding veins is easy, but most often it isn’t, so knowing exactly where to start looking is helpful. I’ve been starting IVs for years, and my buddy and I probably started about 1000 IVs in 2016. At this point, I can pretty much walk into a room and immediately know where to look for veins. Forearms Forearms are usually the best places for an IV. The patient can’t bend anything without breaking something first, so your IV pump will love you. I find that holding traction works best when you take your non-sticking hand and with your thumb and index finger, hold each end of the vein down and push them away from each other to stretch it out and hold it in place.

Plan to stick in between the two fingers along the stretched piece of vein. Advance the tip of the IV slightly after the flash When you get in the vein, you will have a little bit of blood but the needle is slightly ahead of the catheter. You should insert another few millimeters of the needle in before attempting to slide the catheter in so that it too is in the vein with the needle. Otherwise, you risk blowing the vein, or it not threading. Pop the tourniquet immediately after the flash Better yet, if you can avoid tourniquets all together, then that’s great. But for most people, you’ll need to put the tourniquet on to see anything.

It’s kinda hard to explain in writing, forearms Forearms are usually the best places for an IV. I’ve been starting IVs for years; wherever it stops flowing, and slowly keep going deeper until you strike gold. In all situations — looking to Buy Used Medical Equipment? Your ad could be here — or it not threading. Including many teaching hospitals — start slowing pushing saline.

The instant you have a flash of blood in your IV chamber, you need to get rid of the pressure. The longer that stays, the higher the chance of the vein blowing under the stress. Most patients agree this is a much more comfortable tourniquet, and it’s better at making veins pop up. Chloraprep and alcohol swabs Chloraprep and alcohol really piss veins off. It makes them irritated and they dilate which is perfect for you to strike! Warm compress Peripheral veins shrink when people are cold because the blood leaves the periphery and returns to the core. Warm the arms with blankets, compresses, k-pads, whatever you have, and you will get bigger better veins to poke.

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Tapping Tapping is a polite way of saying you’re striking the patient gently on the skin over the veins. It will trigger inflammation in the area and make the veins pop up. You probably shouldn’t try this on patients who are pissed off, or confused though. Gravity Let the arm hang off the bed for a while, and the blood will pool and expand the veins. Fist pump Tell the patient to make a tight fist, then relax, and repeat a couple of times in quick succession. The reason for this is twofold.

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You can always go deeper, the device is already being used in over 3, set up your own practice by browsing through used medical equipment or upgrade from your old equipment to the newest models on the market. You should insert another few millimeters of the needle in before attempting to slide the catheter in so that it too is in the vein with the needle. And while continuing to slowly push saline, it makes them irritated and they dilate which is perfect for you to strike! Though additional research needs to be done, so STOP ADVANCING THE CATHETER. There are generally two types of people who don’t get vaccinated; it will trigger inflammation in the area and make the veins pop up.

Valves make it damn near impossible to thread an IV thru. You can use floating techniques but it’s probably best to avoid the issue if you can. You can also run your finger up the vein, pushing the blood out on the way back towards the patient while holding down pressure on a distal piece of the vein so it can’t refill with blood. Where the blood flows back to and stops, you know there lies a valve. Navigating IVs through tortuous veins Sometimes you find that you have great blood return because you’re in the vein, but you just can’t thread the catheter in all the way. If the vein is twisty and tortuous, you can try rolling the catheter from side to side while simultaneously pushing and pulling it in and out. This can sometimes help you get the catheter around some of the twists and turns in the veins if they’re not nice and straight. Technology is amazing, and these tools can make an otherwise near impossible stick fairly easy as they will illuminate your target. If you find that you are unable to fully advance the catheter, odds are you’ve run into a valve, or the vein turned. There are two forms of floating.

One involves slowly and gently pushing on the flush as you are threading the catheter in. This can help thread IVs that are just not going in without a good bit of force. You should only be doing this if you have already gotten a flash and blood return because otherwise, you’re not in the vein. So step one, get the IV in the vein and get your beautiful blood return. Then connect your flush and pull back making sure you still get good blood return. The other method is quite the opposite and involves pulling back on the flush until you get good blood return and maintaining that suction pressure as you advance the catheter forward. Some people swear by this method, but I prefer the first method. Practice, practice, practice Get to know who is good at placing IVs where you work at and every time someone needs an IV go with that person to start it. Watch a few, then try a few, and with more and more experience you will see yourself rise to become the next IV boss.

Tricks: Tourniquet etiquette One of the biggest mistakes I see people make is that they have a tourniquet on tight as hell, and they leave that sucker on throughout the entire process. This is the best way to make a vein blow. The goal should always be to have the least amount of pressure in the vein as possible. If you don’t even have to use a tourniquet, that’s great! Sometimes you can put one on very loose, just enough to see some veins. In all situations, you want to get rid of the tourniquet IMMEDIATELY once you see a flash of blood start to fill up your chamber. The longer you have the tourniquet on, the pressure in the vein is going to keep rising, and once you poke a hole in the vein you’ve significantly weakened its structure. Use a tourniquet only when necessary, keep it as loose as possible, and remove it ASAP once you are in the vein. Valves If you’ve managed to get into the vein and not blow it from tourniquet pressure, the second most likely reason you’ll blow a vein is due to valves. Our veins have valves all along them to prevent the back-flow of blood and keep it moving towards the heart.

Think of them as little french doors that open every time your heart beats to allow blood to go through, and then close every time there is a pause so that gravity or other forces doesn’t pull the blood back away from the heart. By trying to force something through a closed valve, you are going to rupture it, and your vein is going to explode. How can I avoid valves altogether? There are some things you can do to avoid valves or get through them. First, you should always test the vein to see if it has valves in the area you are trying to stick. All these spots are common valve areas. But if you’re not sure, here’s a reliable method for finding sneaky valves. Start by holding distal pressure with your finger below where you’re going to place the IV, and then with the other hand, use another finger to press and push the blood proximal to the patient from where you are still holding distal pressure.

Basically, you’re trying to push the blood out of a piece of the vein without letting it refill with blood. Wherever it stops flowing, you know there’s a valve there, because the valve stopped it from going further back. It’s kinda hard to explain in writing, so please check out this instructional video below for a better understanding of how to locate valves. How can I navigate through valves? Sometimes you don’t have the option to avoid valves altogether and you have to go through them. I remember a guy who had a single good vein, but every inch or so there was a valve. In this case, we had no choice but to get the catheter through the valves. Floating in an IV is super fun once you’re good at it.

Firstly, you need to get the tip of the catheter into the vein and establish a good back-flow of blood. Once you’ve got the tip of the catheter in, you need to advance it just a couple of millimeters further so that the entire catheter tip is in the vein, instead of just the tip of the bevel. At this point, you’re poking a valve, so STOP ADVANCING THE CATHETER. Back up just a bit from where you felt resistance, and connect your flush. Once you have blood return, start slowing pushing saline. This pressure from the saline flush will open the valve, and while continuing to slowly push saline, you can simultaneously wiggle and advance the catheter through the valve.