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Comment “IVTIPS” and I’ll send you a cheat sheet with vein anatomy, IV insertion strategies, and practical nursing school hacks. Keep poking the vein and wondering why your catheter won’t advance? Spoiler: you probably hit a bifurcation—and just blew it. A bifurcation is where the vein splits into two branches, usually near a valve. It feels like a small bulge under the skin. If you try to start an IV there, you’re likely to: -Hit the valve -Blow the vein -Or fail to thread the catheter The fix?
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