INS states that the maximum number of attempts at venipuncture in situations that are not life threatening is two. I am wondering if there are facilities that follow this guideline. What happens after the 2nd attempt? What defines life threatening? A dehydrated 92 year old may be hard to access in two sticks only but is it life threatening? Are there any other proffesional orginizations that follow the recommendation of two sticks only for PIV. Just wondering what the rest of IV world does?