Purpose of this study is to see if a Peripheral Intravenous Catheter PIVC will last longer if inserted by a Registered Nurse (RN) who specializes in inserting PIVCs. Main question it aims to answer:

1. We believe that the use of the ultrasound, an RN who specializes in PIVC placement with the use of ultrasound and the use of best of class medical technology, may improve first stick success with PIVC insertion and the length of time the PIVC stays in place without showing any related complications

After being informed about the study and potential risks, all patients giving written informed consent, patients will be randomized using Research Randomizer. At that time, the IV Therapist will insert a PIVC using standard of care medical equipment (control) or use ultrasound guidance, if needed, to insert a PIVC using the bundle with the best of class medical devices. Daily, a research RN will round, assess the site and take a picture. When therapy is complete or the PIVC malfunctions, the research RN will document the reason why the PIVC failed and that patient will no longer remain in the study.

Inclusion Criteria:

• 18 years or older with not upper limit
• requires an IV for fluid and or medication administration
• able to read and write English and willing to complete written, informed consent

Exclusion Criteria:

• Unable to speak and read English
• Vulnerable populations such as minors (under age of 18)
• Incompetent or mentally challenged
• Prisoners
• Pregnant women or the unborn
• presented in the hospital prior to study start date