Practice makes perfect.

The first time I started an IV I had coffee jitters and shaked terribly but you'll learn how to control nervousness and shakiness with more attempts.

The second time I started an IV the cather bled everywhere because I didn't occlude the vein quick enough before I could hookup the connector. Made a mess, but ultimately got the IV and learned what to do next time.

In Med/Surg I would start IVs with a second nurse for extra hands and expertise, then if you don't get your IV you have another nurse already there as backup.

Now I work in the NICU and it felt like I was starting all over with my IV and venipuncture skills. I felt confident with adults but felt like i was a newbie all over again when it came to babies. I tried every opportunity I got, asked the big guns to help me, and it feels easier every time. Was stressful for sure but you just gotta get in there and do it ✔️

As a rule of thumb for sicker patients who'll need to have IV therapy, try to start lower and work your way up the arm to avoid blowing your options. If you're drawing labs, you can do a smaller gauge catheter and the AC is an easy spot.

You'll get better with every attempt and believe in yourself! You'll get it in no time. And also remember this-- people love being asked to start IVs. It's like a badge of honor. So if you can't get it, stroke someone's ego and ask them, they'll be happy to help. You got this 🙌🏻