By - stephanienich
I love these. The blood doesn’t come pouring out
This is the only type I’ve ever used. Cannot imagine using the gushy type (whatever they’re called) I would panic so much
I actually haven’t even seen those in years. Even the caths without the tubing attached usually have a seal inside so the blood doesn’t poor out when you retract the needle. The seal breaks when you attach the J-loop.
I blow my iv every time with these.. looking for tips or tricks
As soon as you see flash advance just a little then begin threading as you pull the needle part out. Make sure to always loosen the needle before starting because it can get stuck if you don’t.
I would also add to make sure that the plastic cap is attached to the loop, especially with the 18 gauges. They sometimes come lose in the packaging, and I ended up blood on my shoes once or twice because of this.
As soon as i see the blood i usually stop and if it flows all the way up all advance the catheter.
Don’t retract the needle fully until you try to advance the catheter. That way, you can advance the needle again if you aren’t in deep enough. These catheters are also designed so that if you go through the vein, you can pull back in the vein and advance everything past the initial infiltrate. It’s not super common, but I’ve done this a couple of times.
Everybody has issues with them at first, but they’re very nice once you get the hang of them. My old hospital actually had a significant decrease in IV infiltrations within a few months of switching over to these.
I started one!! Yay!! Thanks everyone!
Only know how to use these, love em once you get the hang of it. The trick is once you see flash to thread and pull out the needle at the same time so you don’t go through the vein.
Bingo. I’ve gotten almost every IV I’ve ever done using these
Same here. I rarely missed IV’s with these, plus there are some tricks I could do with them that just don’t work with other brands.
They’re trash. I’m sorry.
Signed, an ED nurse who has mad IV skills...except with those 😂
Thank you!! I feel the same!
I blow them every time.,
Attach a flush to the end and flush the catheter. Poke and Once you get first flash back, advance slightly while flushing. As soon as you get reliable blood return, advance the catheter.
The nexia's have super stiff/sticky catheter that are impossible to advance with one finger and it's super easy to blow. This is the best way I've found to keep your veins from blowing. I think it allows some flush to flow around the catheter and advance?
Note: I understand that the design is to not flush but works better when you do
These don’t need to be primed. If you do you’ll need to waste before drawing labs. Way easier to just let the blood flow and then clamp and draw labs. If you don’t get good flow It won’t aspirate anyway so it’s a good early indicator if it’s a patent IV
I understand that they aren't intended to be primed, but flushing while floating the catheter (after initial blood return) can keep you from blowing the vein.
Oh yeah floating an IV is totally a thing. I think I misunderstood what you meant then. I won’t float It though unless I’m getting bad return. It’s not a starting point thing. That’s after the needle is out though.
Everyone has trouble with these at first because the insertion and threading technique are a little different. My last job as a tech only had these, so I got really good with them. They had switched from angiocaths rights before I started. I love how you can pull the needle party-way back, try to advance the catheter, then reinsert the needle if you’re not deep enough. I also love not having to mess with attaching the tubing.
My current hospital uses cheaper IV’s and I really had a hard time with them at first, even though I had used them years ago. The flash is harder to see, and I hate how they have the long chamber that sticks out the back. I had trouble getting my hand position right the first few times, and accidentally retracted the needle more than one.
Pretty much every nurse and tech I’ve worked with that has used multiple IV brands has grown to prefer these once they get the hang of them.
Those are trash. Angiocath is far superior