Answer by Gavin Harrington. Confidence votes 4.0K. A bitch is a female canine. The same word is often used in reference to something unpleasant or difficult to do. E.g- We had to deliver twenty large crates to the top floor, and the lift was out-that job was a bitch.
After reading this article, the physician should be able to: 1  Proper equipment setup and positioning for UGCVC. 2  Ultrasound criteria for possible difficult UGCVC. 3  Procedural steps involved in locating, accessing and cannulating the internal jugular vein with ultrasound guidance.
Secure the venous access device to the skin using the transparent dressing and tape (see the image below). Securing saline lock with transparent dressing for IV cannulation. Using the saline or heparin flush syringe, withdraw a small amount of blood to verify that the catheter is still inside the vein.