A week ago, a colleague @nerdymedic posted this question posted this on Twitter.
“Can you shed some light on the “bevel down” technique that some profess for peds?”
It was an interesting question, to which I replied:
Bevel down vs. bevel up when inserting IV catheters. I have always inserted peripheral IV catheters bevel up because entering with the bevel up allows the sharp tip to pierce the skin first, paving the way for the rest of the needle. I noticed that entering the vein with the bevel down causes painful tearing of the skin. I work with adult patients and have only inserted IVs in a few peds patient mostly school age kids, and use bevel up. However, when accessing a dialysis fistula, I use bevel down as it causes less damage and less bleeding.
I think most nurses were taught to insert bevel up. There are a few who insert bevel down and have found it very helpful resulting in a successful insertion. What do you think? Do you insert bevel up or bevel down? If you work with peds, do you use the bevel down insertion? Take our poll: