IV Start Simulator

A Nurse's Guide practice lab. Get the line on the first stick.

Prep
Insert
25°
Finish
About this simulator

Rehearse every decision of an IV start, in order.

Most missed IVs are not about the needle. They come from a skipped step: no anchor, too steep an angle, pushing past the flash, or forgetting to lower the angle before threading. This simulator walks you through the whole sequence and grades you like a skills check-off, so the order becomes automatic before you are at the bedside.

Easy

A young adult with big, straight, visible veins. Learn the sequence, the angle and when to stop.

Medium

Darker skin, a forearm tattoo and hair hide the veins. The vein finder cannot see through ink, so you palpate and trust the depth view.

Hard

An older, dehydrated, needle‑phobic patient with fragile rolling veins, old bruises and a tremor who may pull away. Lay them flat, coach their breathing and anchor firmly.

What you will practice

  1. Choosing a catheter gauge that fits the vein
  2. Applying the tourniquet and watching the 2 minute limit
  3. Finding a vein by sight, palpation or a vein finder
  4. CHG scrub, then letting it fully air dry
  5. Anchoring the skin below the site
  6. Inserting bevel up at 15 to 30 degrees with confident speed
  7. Stopping at the flashback
  8. Lowering the angle and advancing 1 to 2 mm
  9. Threading the catheter off the needle
  10. Releasing the tourniquet before the needle comes out
  11. Pressing above the tip, attaching tubing and flushing
  12. Securing and labeling the dressing

Questions

Is the IV simulator free?

Yes. It runs in your browser with no sign-up or download.

Who is it for?

Nursing students, new grad nurses, LPNs, EMTs, paramedics and anyone preparing for an IV skills check-off. It is a way to rehearse the sequence and the decision points, not a replacement for supervised practice on a training arm or real patients.

What does it teach?

The full peripheral IV start: tourniquet, finding and palpating a vein, CHG scrub and dry time, anchoring, insertion angle and speed, stopping at the flash, lowering the angle and advancing 1 to 2 mm, threading, releasing the tourniquet, occluding above the tip, attaching tubing, flushing and securing.

Does it work on a phone?

Yes. It works best on a computer with a mouse or trackpad, and runs on a phone with a simplified layout that shows only the tools for your current step.

Where can I learn the techniques in more detail?

Every step is covered with photos in A Nurse's Guide to Intravenous Insertion by Cody Kaufman, MSN, RN, CAPA.

Every step, photographed.

A Nurse's Guide to Intravenous Insertion covers grips, difficult veins and troubleshooting in detail. 4.9 stars on Amazon.

Get the book