What is a recommended practice when selecting an IV site?

Using distal veins on the non-dominant hand first is a recommended practice when selecting an intravenous (IV) site for several reasons. This approach minimizes potential complications and optimizes patient comfort.

Starting with the distal veins allows for the preservation of larger veins for future access. By utilizing the smaller and more accessible veins in the non-dominant hand first, healthcare providers can reserve more prominent veins for when larger gauge IVs may be required, such as for blood transfusions or in emergencies. Furthermore, using the non-dominant hand often results in decreased discomfort for the patient, as this hand is typically less sensitive and may be less accustomed to frequent medical interventions.

Additionally, this practice helps promote better visibility and palpation of veins, as the veins in the distal forearm and hand are often more superficial and easier to locate. Overall, this approach is part of a methodical strategy aimed at ensuring successful venous access while prioritizing patient care and future access needs.