A week ago instead of having our typical clinical (8 hour shift on the floor) my group had a "SimLab" day. These four hours were dedicated to learning all about IVs and then we got to practice placing them. I'm not going to lie, going into the lab I was very nervous. Sticking a needle into someone's vein petrified me because I just keep picturing the needle digging around in someone's arm. Yeah, I know that's weird and disgusting but that is what I kept picturing from all the horror stories I have heard (no I have never had an IV myself nor have I ever given blood because I never seem to meet the requirements). Anyways, the first hour or so was spent talking about IVs and then we were given patient scenarios and had to pick out the proper gauge and site for the IVs. Then we got to practice on fake arms and hands. Can I just say that it is totally cool to me that there are simulation arms and hands out there that have "blood" in them so that the experience is as close to real as possible?!?! Sticking it into the arm, I became like a pro. Oh except that one time I forgot to place pressure above the site of entry after taking the tourniquet off and blood came pouring out before I could attach the tubing! Oops. Better to learn it in the lab then make that mistake with a patient!
Then came the dreaded moment...practicing on a partner. Despite my hesitation I knew that I needed to practice this skill. In one of my past entries I talked about Fran, an IV specialist I had the pleasure of following one day, and I aspire to be as good as her so I need all the practice I can get. A lot of people talk about IV placing being the most traumatic experience in the hospital and I want to be one of those fabulous nurses who can cause as little pain and get it in in a jiffy. Back to lab, so I decided I would insert the IV first because I figured the longer I waited the more my nerves would get worked up. I spent some serious time with God praying about IVs that morning; specifically that I would have a steady hand and do well but I said another quick prayer (so all my bases were covered, ha!). Then my amazing instructor came over and I went for it.
Here I am inserting my first IV on my partner Brea. Unfortunately I missed the vein so I didn't get the flashback of blood (a sure sign you're not in the right place). But it was ok, my instructor lovingly came along side me and talked me through the process of getting it into the vein. I was very hesitant to dig around so after a few minutes I took it out.
Wanting to give it another shot the only guy in our group, Z, volunteered his arm. (Guys have great veins for practicing by the way). So I set him up, found the vein and inserted the IV. Flashback right away! Success! Surprisingly he jumped back when I inserted it which caught me off guard since Brea hadn't but then he laughed and said that he didn't even feel it. Funny guy, almost gave me a heart attack.
Then it was Brea's turn. It's hard to tell but my arm is turning purple because she too missed the vein and had to dig a bit until it placed right. Surprisingly it didn't hurt, maybe a pinch here or there but I did loose feeling in my arm! Ha. She did great though - and when you see that flashback somehow your day gets that much better.
Here is my lovely clinical group all bandaged up after Simlab.

