First, a quick reminder that all my courses (the IV Video Course, Pediatric Venipuncture, ultrasound IV Insertion, and Phlebotomy for Nurses) are 30% off right now! They each come with 2-4 CEs, so in many cases they’re eligible for reimbursement from your employer! Click the link in my profile or go to www.theivguy.com/courses to learn more. . I know some people get nervous about patients with hairy arms, so I have two solutions for you. . First, you can simply shave the area with an ELECTRIC razor (bladed razors increase the chance of infection). Just make sure to palpate the area for a good vein first. This will not only help you visualize the area, but will help the dressing adhere and lengthen the time between dressing changes. . The second option is to simply ignore the hair! Completely put it out of your mind and go solely by feel (which you should be doing anyway) when palpating. The needle will have no trouble going through hair, trust me. . But of course if you think it will be a real challenge for dressing placement or longevity, please, shave away! . This clip is also a great example of lowering the insertion angle after getting flash. This is done because flash happens when the bevel of the needle is in the vein, but since the catheter sits just behind the bevel it is often still in the wall of the vein when you first see flash. Pause, reduce your angle of insertion, advance another 2-6mm (depending on gauge), then thread your catheter. .
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