Advancing the Intravenous (IV) Catheter on Insertion – Alternative Techniques (Nursing)

00:04 Hello, I'd like to take just a few minutes And talk about some alternative ways that you can advance! Your IV catheter upon insertion.

00:13 We're taking a few minutes here today, because this is a skill that students struggle with.

00:18 And honestly just knew nurses, So let's look at a few different ways that may make it easier for you.

00:24 So just know when you see several nurses inserting IVs, They all do a little bit different techniques.

00:31 So you may want to take a few of these tips, and make sure you practice these in your lab setting.

00:36 That way you get comfortable with the one that works for you.

00:40 So let's go ahead and show today we've of course, got our mannequin arm here.

00:44 So if we don't get flashed when we're doing our IV insertion, don't worry, I really want you just to focus on on how I'm advancing the catheter.

00:52 Alright, let's go ahead and get started.

00:54 So I've got my IV catheter here. And of course, when we re uncap, Make sure we do it safely and pulled away from our body.

01:02 So we've already cleaned our patient.

01:04 And we're gonna go ahead and go in, of course, at our like 10 to 15 degree angle.

01:09 So I'm going to go ahead and insert now.

01:18 So now that I've inserted, So the thing that I want to show you is this advancementpiece, So a couple of ways we can do this, so one of them Is it's sometimes hard for some nurses to use this little lip here to advance it.

01:33 So what I want to show you is this technique.

01:35 You can hold on each side of the hub.

01:38 And you notice when I'm advancing, the biggest thing is making sure the catheteris flush, Even pressing down a little bit, to keep the catheter stable.

01:48 Then I'm going to take my hands And both sides of the catheter an over to d I'm going to advance it this way, All the way the hub, then you see I've got a nice firmgrip, Then I'm going to take my ejection button to remove my needle.

02:07 So just so you see that I'm holding on, You notice that I'm touching each side here, But I'm not touching the insertion site.

02:15 So by using this method It gives you little better control on how to advance that catheter And makes it very steady for you, especially when you start learning.

02:26 So let me show you a couple ofdifferent ways before we go.

02:28 So I'm going to go ahead and remove this one now.

02:32 And of course, once you've removed this, Even though I've injected this in the safety device, Make sure before you leave your patient's bedside to put this into the sharps.

02:40 So let me show you a few other ways.

02:47 Going to uncap my needle and we're going to go ahead and goin again At our 10 to 15 degree angle. Let's say I've gotten flash soon as I've gotten Flash, I'm dropping my IV.

03:01 The other thing that you may see people do and this is what I personally do Is you see that band again, This isn't a rubberarm so it's gonna be a little bit different.

03:11 I typically make sure again im pushing just A little bit to provide pressure stability.

03:17 You see that little blue lip here, that's what I like to use to advancethe catheter.

03:22 So I'm going to almost push down a little bit against the patient's skin, Put my nail right here at that hub, and then I'm pushing and with one finger, You notice I'm only advancing the catheter, Then I'm holding pressure holding my hub And then that's when we're going to eject the safety button and remove, And put on ourpigtail.

03:46 So that's a one handed technique. So I'm going to go ahead and remove this now.

03:51 So the one handed technique is perfectly fine. Many experienced nurses do this.

03:57 I personally like it just for the reason why is it keeps My hand out of the way I see better visualization.

04:04 Also it keeps me from pushing too hard on the catheter and kinking the catheter.

04:09 Now let me show you one more way may see a nurse perform this as well.

04:20 Okay, so we're gonna go ahead and stick So, what you may see so I have some mixed feelings about this one.

04:32 You may also see once you get flash again, I'm pushing down just nice confirm pressurehere on the patient's skin.

04:40 So that catheter doesn't wobble.

04:42 You may some people take their thumb And advance the catheter withtheir nail this way.

04:50 That's fine. And then let me show you let's go ahead and finish this.

04:54 Hold pressure hold my hub and removed that.

04:58 So here's the only problem that I have with this, If you're advancing this way, you can imagine how much stronger your thumb is, Or the pressure when you push it.

05:08 So what can happen is this, You see how that can maybe kink the catheter a little bit more.

05:14 That's another possibility that if you feel exterity wise you need to use, That's perpectly acceptable. Just know when we're using our thumb, We've got a little bit more force here so we could potentially kink the catheter, So it's just totally up to you using both hands on the hub, You can use one finger behind the guide or use your thumb.

05:36 But again, I strongly encourage youto practice this in your lab setting.

05:39 Thanks for watching.