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In this video tutorial, Sarah Redston, an RN, discusses the challenge of accessing rolling veins for IV insertion. She demonstrates a common scenario where a visually appealing vein rolls away upon touch, making it difficult to insert a needle. To address this issue, she recommends having the patient make a fist to stabilize the vein prior to insertion. Additionally, she suggests gently pulling down the skin before sticking the needle, which helps prevent the vein from rolling and ensures a successful IV placement. This technique is shared as a helpful tip for starting IVs effectively.