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EMT-I---IV sticks

Discussion in 'Firefighter/EMS Talk' started by kjg26, Apr 21, 2007.

  1. kjg26

    kjg26

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    Feb 18, 2007
    We are about a week into our thrid and final quarter of EMT-I training. we got to do IV sticks today. it was a really intersting experience. Several in the class are deathly afraid of needles. Two went into histarics. Overall really had a good day, got to do two sucesful sticks. Just thought i'd share!
     
  2. Skintop911

    Skintop911 Uber-Practical

    1,804
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    Nov 2, 2003
    Midwest, USA
    Be sure to try sticking folks that don't have the garden hoses for veins. You'll also want to try those sticks in the back of a bus in motion.
     


  3. breech

    breech

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    Aug 26, 2004
    T E X A S
    Ah.. I remember those days. I actually blew my training partner's vein. She wasn't happy but I got a kick out of it. :animlol: She was a good friend of mine.
    Starting an IV hauling ass down a bumpy road is fun. Sometimes you don't have those "hey, give me a sec" moments in EMS.
    Have fun and WATCH that needle.
     
  4. kjg26

    kjg26

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    Feb 18, 2007
    her veins were not good by any means. Mine on the other hand are garden hoses. First day of class my instructor shook my hand and said,"oooo can i poke you? i could get you with a 14g from across the room" i thought it was pretty funny. I've got 6 or so ride alongs in may, can't wait!
     
  5. breech

    breech

    356
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    Aug 26, 2004
    T E X A S
    Man I haven't poked anyone with a 14 in years. Usually everyone I provide care to gets an 18.
     
  6. jmshady

    jmshady

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    Nov 27, 2005
    INDIANA
    LOL come work with me it is rare that anything smaller than an 18 is started by me. This month I have started 8 14ga and 6 16ga.

    kjg26

    Get as much time just doing sticks as you can. Experience is the best teacher. the classmate and the 89 year old renal failure pt is a huge difference. There are days I could not hit an IV on the first attempt for anything. Those are the times experience comes into play. Pick your vein and stick it, don't piss around thinking about it. If you have doubts it is never a bad idea to let your partner attempt. You will miss, that is a fact. Everyone misses now and again. Do not let it get you down.
     
  7. kjg26

    kjg26

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    Feb 18, 2007
    luckly my previous job included starting IVs on dogs and cats, so i'm pretty comfortable sticking people. I think if i can hit a dog/cat vein through hair i should be good to go as far as MOST people go. Or at least have some experience under my belt
     
  8. Lynn D

    Lynn D Bullseye?

    715
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    Jan 6, 2006
    What bullseye?
    Re: sticks. If your agency/school allows, see if you can spend some "lab and line" time in your local ED. As a new RN in an ED unit, several of us were given this task when we were "extra". Did loads for my ability to get into difficult veins or non-existent ones.

    Otherwise, get all the practice you can. My advice? Two-fold. Choose your site carefully, and be patient. Sometimes it takes a bit longer for the vein to "come up" than we might want. Waiting usually brings the reward of the "flash" we're looking for.

    Best of luck to ya.
     
  9. gruntmedik

    gruntmedik Honk Honk CLM

    6,795
    258
    Jan 2, 2005
    Taylorsville, KY
    Good advice so far. Start low, then work your way up the arm if need be. Make sure you release the tourniquet before you remove the needle--makes much less a mess. :supergrin: And keep track of the needle---Do NOT stick it in the bench seat!!! If all else fails, and you can't see anything to stick, remember the anatomy--stick where the vein should be.
     
  10. hotpig

    hotpig IAFF Local 4766 CLM

    I used to require my students to start a IV and do a blood draw on me before I let them loose on the general public. After teaching a class a year for few years I realised that I was a idiot.;)
     
  11. gruntmedik

    gruntmedik Honk Honk CLM

    6,795
    258
    Jan 2, 2005
    Taylorsville, KY
    Honest, officer, those aren't track marks. :animlol: :rofl: :animlol: :rofl:
     
  12. DaleGribble

    DaleGribble Sandwich!

    7,293
    427
    Mar 20, 2003
    Land of the toothless!
    Best advice yet that no one ever gave me.

    For the first month I was doing IV's in a moving ambulance every single pt had awesome veins and I had a 100% stick ratio so naturally I thought I was hot **** right out of the gate. Then the real world slapped me in the face and my percentages fell hard.

    After two monhs of sub 50% IV rates I finally figured out on my own that if I looked to see where my veins are I can probably find the same one on my pt. It's worked pretty damn good so far, especially on AC's.
     
  13. demaster

    demaster

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    Feb 9, 2007
    CT
    I also agree with most of what the people say. Just a side note, start from fingers up because if the patient is going to be admitted or have to have surgery, they will pull your line and start a new one. Reason being "its not a stirle environment".

    I have started numerous lines, but my patients always warranted a line. Always cover your ass and know your protocols.

    Good luck, and make sure you feel the vain before you stick it .
     
  14. hotpig

    hotpig IAFF Local 4766 CLM

    I often close my eyes while checking for veins. It helps we to focus on the feel rather than look for the blue.
     
  15. Lynn D

    Lynn D Bullseye?

    715
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    Jan 6, 2006
    What bullseye?
    +1

    I do it also...helps me trust whats really there. 'Cause the good ones aren't always the visible ones!
     
  16. D25

    D25 The Quick

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    Jan 26, 2003
    +1 on checking for veins without looking.

    And remember, while holding a 14g just above someones arm, say, "Now your gonna' feel a little pinch.";)
     
  17. mylt1

    mylt1

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    Jan 7, 2007
    here lately i havent been able to start a line while setting still. i have to be going 80 down a bumpy ass highway in our monster medic to get a line started. my normal stick is just a 20g unless its trauma or CVA they get 18 or larger in the AC. the joys of our protocols, "provider discretion".
     
  18. Lynn D

    Lynn D Bullseye?

    715
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    Jan 6, 2006
    What bullseye?
    Not to hijack....

    Today at work:

    #20 in R FA of lady with "bad veins"....
    #20 in L FA of LOL with fractured hip, and a "blind" foley in same
    #20 in s/p Liver transplant with a PICC that was infected and needed out.....

    Phew! I'm tired.

    BTW, liver guy had an AC that was almost horizontal. I wasn't sure, but kept the faith, and was rewarded!
     
  19. Sludge

    Sludge

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    Apr 29, 2007
    Fort Worth
    for some of your harder to stick patients... put your constricting band above the AC and then a second one mid fore arm.... I will also swab area with an alchol prep to get the "moist skin shine" going on... it sometimes help locate veins that are hidden, once you have found one, clean and prep the area again...
     
  20. mylt1

    mylt1

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    Jan 7, 2007
    LYNN D i had a hispanic male having a TIA last week and his AC was parallel with the joint. i think that was the first AC i have ever had that was running the wrong way. this guy had nothing in his left arm but i could see that AC even in the dark.