4. If no flash appears in the hub after 1 to 2 cm of insertion, withdraw the needle slowly. It is more difficult to find and access and has more nerves near it making it WebThe visible rate of each superficial vein before and after tourniquet application was 65% for the basilic vein, 90% to 95% for the median cubital vein, and 65% to 80% for the cephalic vein. 7. The larger median cubital, basilic and cephalic veins are most frequently used, but other may be necessary and will become more prominent if the patient closes his fist tightly. Obese patients. Veins of the legs, feet, and ankles cannot be used without specific permission from a physician. It is not recommended that blood be drawn from the feet .The Providers permission is required to draw from this site. Identify the patient, two forms of active identification are required. 14. Wait for the antiseptic solution to dry completely. Peripheral veins, typically the antecubital veins, are the usual sites for venous blood sampling. Become a Part of the Nurse.org Community! The first place to look at is the antecubital fossa as it is the first choice for drawing blood. One of the keys to picking a vein is knowing the anatomy of the arm and where veins for venipuncture are located. Because of the nerves surrounding the area drawing blood may be more painful.if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[468,60],'phlebotomistreport_com-banner-1','ezslot_15',168,'0','0'])};__ez_fad_position('div-gpt-ad-phlebotomistreport_com-banner-1-0'); Also, it is sometimes more difficult to find and less stable than the other main veins as it rolls or moves when inserting the needle. Instruct the patient to make a, fist and hold it; do not have them pump their hand. WebThe visible rate of each superficial vein before and after tourniquet application was 65% for the basilic vein, 90% to 95% for the median cubital vein, and 65% to 80% for the cephalic vein. Select the appropriate vein for venipuncture. Brought to you by Merck & Co, Inc., Rahway, NJ, USA (known as MSD outside the US and Canada) dedicated to using leading-edge science to save and improve lives around the world. Using these veins tends to be more painful for the patient, since there are nerves running through the hand as well. If you used a syringe to collect the blood, now transfer samples to collection tubes and bottles;* either insert the needle directly into the tops of the vacuum tubes, or remove the needle and attach a vacuum tube holder to the syringe. 7. Use for phrases An important tip - take extra supplies into the patients room in case you need to attempt a second venipuncture. Its location is in the cubital fossa, on the anterior/flexor aspect of the elbow joint. Once you have found it and are confident proceed with the next steps. Continue with Recommended Cookies. Skin-cleansing materials: Alcohol, chlorhexidine, or povidone-iodine swabs or wipes, Nonsterile gloves (sterile gloves if blood cultures are being obtained), Needle system (eg, needle and syringe, or needle and vacuum tube, typically 21-gauge needles for adults; 22- or 23-gauge for neonates, small children, and sometimes older patients), Blood-collection tubes and blood-culture bottles, as appropriate, Dressing materials (eg, tape, gauze, bandages), Vein-finder device (eg, infrared vein viewer, ultrasonography device), Topical anesthetic (standard for children): Needle-free lidocaine gas-injector, lidocaine-epinephrine-tetracaine mixture, or lidocaine-prilocaine cream. WebVenipuncture (sometimes referred to as venapuncture, venepuncture or even venu puncture) is the collection of blood from a vein which is usually done for laboratory testing. If multiple tubes are needed, follow the proper order of draw. (2016). Moore, K. L., Dalley, A. F., & Agur, A. M. R. (2014). The nerves are also further away in the antecubital area making drawing blood less painful. Having years of experience in laboratory work and phlebotomy, Kadia Constant enjoys sharing what he has learned. Mass formed by leakage of blood under the skin. Draw the desired amount of blood by pulling back slowly on the syringe stopper. Release the tourniquet. Attach the needed tubes or syringes to remove the proper volume of blood. WebWhy is the Median Cubital Vein Used the Most? 12. venipuncture site by palpating with the gloved index finger. Tubbs, R. S., Shoja, M. M., Loukas, M., & Bergman, R. A. Ask the patient to apply pressure to the gauze for at least 2 minutes. 1. Please confirm that you are a health care professional. On many persons arm it will be slightly rising above the skin surface. Red Top (serum): Plain and gel. 10. Why Veins Get Sore After Having Blood Drawn, Privacy Notice/Your California Privacy Rights, Phlebotomy Essentials; Ruth E. McCall; 2003, Handbook of Phlebotomy and Patient Service Techniques; Garland E. Pendergraph; 1998. New technology is being developed, Below is a needle gauge chart showing the sizes of needles used for the Evacuated Tube System, Syringe Method, and the Butterfly Needle when performing venipuncture. Clinical Significance. The significance of this vein is its use in venipuncture, the procedure that collects blood for laboratory testing. Pediatric Pointers. Center for Phlebotomy Education, Inc. Ernst, Dennis J. and Catherine Ernst. When using a syringe, pull back on the plunger gently to avoid damaging the blood cells or collapsing the vein. E. Holding the hub securely, insert the first vacutainer tube following proper order of draw into the large end of the hub penetrating the stopper. Yellow Top (plasma and cells): Contains ACD solution A or B. In many patients, venous access is necessary for obtaining blood for laboratory testing and administering fluid and intravenous drugs. Nurses and doctors will sometimes draw blood from the foot when there are no other options. All other tubes containing an additive should be gently inverted 8-10 times. These superficial veins lie within the subcutaneous tissue. Drake, R., Vogl, W., Mitchell, A. Among the 3 main veins, it is probably the one closest to the elbow. The median cubital creates less bruising and pain than other draw sites. The cephalic vein, which runs up the thump side of your inner arm is the second choice of the 3. Fear of needles. If the vein is visible then you can already make a choice. Nursing Personnel. Edematous extremities tissue fluid accumulation can alter test results. Clean the puncture site by making a smooth circular pass over the site with the 70%alcohol pad, moving in an outward spiral from the zone of penetration. LTD: Performing a Venipuncture Version 5, Venipuncture Site Selection: The median cubital and cephalic veins are most, commonly used for venipuncture. The cephalic vein is located on the lateral (radial) side of the arm, and the basilic vein is located on the medial (ulnar) side. Here are the basic steps to drawing blood: The first step in drawing blood correctly is to identify the appropriate veins to puncture. Ultrasound guidance How To Do Peripheral Vein Cannulation, Ultrasound-Guided Ultrasound-guided peripheral venous cannulation uses real-time (dynamic) ultrasound to guide venipuncture and a catheter-over-needle technique to place a peripheral intravenous catheter (cannula) read more , when equipment and trained personnel are available, can facilitate blood sampling from deep, nonpalpable veins. While we are ranked among the best children's hospitals in the country, it's our compassionate approach to treatment that makes us truly exceptional. If you used a needle and syringe, ask, your patient or a parent to apply pressure to the site so that you can fill, your tubes. Due to its close proximity to, the brachial artery and median nerve, the basilic vein, which is located on the, pinkie side of the arm, should be used only if there is not another more prominent. Some institutions have kits with all of the needed supplies while others will require the nurses to gather them individually. Youll be the first to know about nursing news, trending topics and educational resources. Insert the needle at a 15 to 30-degree angle into the vessel. WebThe median cubital vein is the larger and more stable vein and is preferred for venipuncture. 8. Select the. Position the patient and hyperextend the patients arm. The blood is normally drawn from a vein on the top WebVenipuncture is also called phlebotomy, is a procedure in which a needle is used to take blood from a vein. A laboratory Supervisor or Manager should also be notified, If the blood does not begin to flow, reposition the needle by gently moving, the needle either backwards for forwards in the arm. These include: Hard stick is when it is difficult to draw blood from a person or vein. The blood is normally drawn from a vein on the top Identify the patient using two patient identifiers as mandated by JCAHO. It brings the entire family Cleanse the skin site with antiseptic solution, beginning at the needle-insertion site and making several outwardly expanding circles. Preventing of infection: Follow proper infection control policies. The median cubital vein typically arises as a collateral branch from the cephalic vein which runs on the anterolateral aspect of the upper limb. Remove the tourniquet before removing the needle. Stop advancing the needle, lower the needle to better align it with the vein, and advance it into the vein an additional 1 to 4 mm, to ensure that it stays in position during blood collection. The label must include the patient first and last names, DOB,, collection date and time and collectors initials. This region of the upper limb is sometimes referred to as the antecubital area. The nursing staff should be notified, and they in turn must notify, the physician. Abnormal caving in of the vessel walls, stopping blood flow. At no time may phlebotomists perform venipuncture on an artery. A patient should never be stuck more than twice unsuccessfully by a phlebotomist. Note that the rubber tops of blood-culture bottles must be properly disinfected prior to introducing the blood sample (eg, by scrubbing each top with separate 70% alcohol wipes for 30 seconds and allowing it to air-dry). They are also a bit larger and have a thicker lumen resulting in a faster blood flow. The median cubital vein (antecubital vein) is a prominent superficial upper limb vessel. F. After blood starts to flow, release the tourniquet and ask the patient to open his or her hand. Clinical Significance. Properly label the tubes and send to the laboratory for analysis. Pull the skin tight with your thumb or index finger just below the puncture site. I hope you find my posts helpful. Once you have found it, take care in anchoring the vein to prevent rolling when you insert the needle to draw blood. If a suitable vein is difficult to locate, try lowering the extremity and/or applying warm compresses or nitroglycerin ointment to help dilate veins. These veins extend through and branch within the antecubital fossa, creating the large antecubital and proximal forearm veins. 1. Learning the anatomy of the main veins and arteries in the body is essential to becoming competent in phlebotomy. If hands are not visibly contaminated a commercial foaming hand wash product may be used before and after each patient collection. Remove the tourniquet if you did not do so earlier. [5] It becomes prominent when pressure is applied upstream, which makes needle insertion easier. Of these, the median cubital vein is usually the vein of choice for phlebotomy: It is typically more stable (less likely to roll), it lies more superficially, and the skin overlying it is less sensitive than the skin overlying the other veins. Venipuncture is most often done for laboratory testing. The median cubital is typically well anchored, which makes it less likely that the patient will feel pain during phlebotomy, or bruise afterwards. ), Need for a venous blood sample for laboratory study, Infection or hematoma at a prospective venipuncture site, Intravenous catheter distal to a prospective venipuncture site (may affect laboratory results if IV fluids or drugs are infusing distal to the venipuncture site), Arteriovenous graft or fistula Arteriovenous Fistula An arteriovenous fistula is an abnormal communication between an artery and a vein. Causes include chronic kidney disease, hypoparathyroidism, and metabolic or respiratory acidosis. WebWhy do we use the median cubital vein? If using these veins, it is important to anchor the vein with your hand, holding it in place, when you are drawing the blood. Palpation of phlebotomy site may be performed without gloves providing the skin is not broken. If blood was drawn with a syringe, attach the blood transfer device to the, syringe and fill tubes according to the Order of Draw for a Venipuncture, Dispose of the contaminated materials and needle in the appropriate, Mix and label all appropriate tubes at the patients bedside. WebThe median cubital vein is the best vein to use for venipuncture. It is usually easy to find as its near the surface of the skin and is usually larger than the basilic vein. For novice phlebotomists, this vein is the first choice because it is close to the skins surface and tends not to roll when punctured. Ensure that the collection tube is completely pushed onto the back of the needle in the hub. Dehydration. touched before performing the venipuncture, it should be cleansed again. Explain the procedure and reason for the blood draw to the patient. The median cubital vein is not critical to life, but it does help facilitate venous return from the arms back to the pulmonary system. WebThe median cubital vein is the best vein to use for venipuncture. The information we provide is grounded on academic literature and peer-reviewed research. Terminate the procedure: Remove the tourniquet and the needle and apply pressure to the puncture site with a gauze pad (a minute or 2 is usually adequate unless the patient has a coagulopathy). Alternative sites are the basilic, vein on the dorsum of the arm or dorsal hand veins. The link you have selected will take you to a third-party website. The venipuncture should be repeated in a, different site. Extensive scarring or healed burn areas should be avoided. We worked with CreditCards.com to help nurses find the right card to fit their lifestyle. If using a needle, and syringe, avoid drawing the plunger back too forcefully. How to find the vein? Dimitrios Mytilinaios MD, PhD The median cubital vein is a common site for venipuncture due to its prominence and relative ease of accessibility. Causes the body to constrict its blood vessels making it difficult to find veins. massaging, flicking, squeezing or probing the site, long-term IV therapy, Preventing injury to a nerve, tendon, or muscle: Use careful palpitation, and appropriate angle of entry. All rights reserved. WebWhy is the Median Cubital Vein Used the Most? After cleansing the area, if it is accidentally. Prepare the patients arm using a Chlorhexadine wipe. Even though most hospitals do have phlebotomy teams, it is still critical for nurses to learn these skills in order to provide the best patient care. 4. The tourniquet should be applied between the IV site and the venipuncture, site. The vacuum tubes are designed to draw a predetermined volume of blood. Preventing injury from improper immobilization Immobilize the patient, with care. The median cubital vein, the preferred one to use, is found close to the center, and the basilic vein is located on the inner, or medial part of the antecubital area. Apply a band-aid or CoFlex to, the site. At no time may phlebotomists perform venipuncture on an artery. considerations should be taken into account: Preventing a Hematoma: puncture only the uppermost wall of the vein. Take care not to puncture too deeply and go through the vein. 5. One reason is because you may have hard-to-find veins or you may be dehydrated. Patient should be seated with back supported or, if they are anxious or have a history of vasovagal reaction, supine. In many patients, venous access is necessary for obtaining blood for laboratory testing and administering fluid and intravenous drugs. }; 2019 www.azcentral.com. Picking a vein is not difficult. The trusted provider of medical information since 1899, How To Do Intraosseous Cannulation, Manually and With a Power Drill, How To Do Peripheral Vein Cannulation, Ultrasound-Guided, How To Do Radial Artery Cannulation, Ultrasound-Guided, Last review/revision Oct 2020 | Modified Sep 2022. UF Health Pathology Laboratories Nontuberculosis Mycobacteria Laboratory, This page uses Google Analytics (Google Privacy Policy). Observe all applicable isolation procedures. If applying povidone-iodine, wipe it off with alcohol and allow the alcohol to dry. Risks associated with using this vein include penetration of Reapply the tourniquet proximal to the selected insertion site. This is often the only vein that can be felt in patients who are obese. Veins of the hand and wrist are usually close to the surface, but they are prone to movement and rolling. The Supervisor should be called to assess the patient. window.ClickTable.mount(options); It is further away from the brachial artery and median nerve making it safer to use. Together these veins drain into the axillary vein. Do not recap nonsafety needles prior to disposal unless a sharps container is not immediately available. }); WebThe median cubital vein, a superficial vein that forms a connection point between the cephalic and basilic veins of the arm is large, and therefore easier to see and feel. It is the best because its larger and rolls or moves less than other veins. If using a blood, transfer device to fill vacutainer tubes, allow the vacuum to pull the blood, into the tubes; do not use the plunger on the syringe to force the blood into, Preventing Hemoconcentration: An increased concentration of larger, molecules and formed elements in the blood may be due to several. The practice of phlebotomy is not something that can strictly be learned from watching videos or reading a how-to guide but something that must be practiced repeatedly in a controlled environment with other trained professionals. Subscribe for the latest nursing news, offers, education resources and so much more! Remove the needle from the patients arm and press down on the vessel with gauze. How to find the vein? When that happens it can be difficult to locate veins. Northfield, IL: College of American, NCCLS. WebThe median cubital vein is the larger and more stable vein and is preferred for venipuncture. Increase in ratio of blood components to plasma. Of these, the median cubital vein is usually the vein of choice for phlebotomy: It is typically more stable (less likely to roll), it lies more superficially, and the skin overlying it is less sensitive than the skin overlying the other veins. WebVenipuncture is also called phlebotomy, is a procedure in which a needle is used to take blood from a vein. Tubes must be positively identified after filling with a firmly attached patient label. (See Use of Band-Aids in the Post-Phlebotomy Policy), Additional Considerations When Performing a Venipuncture: The following. Veins can move, or roll, which makes it more difficult to perform phlebotomy. If drawing above the IV site is the only option, then the IV infusion, must be turned off for at least 2 minutes before performing the, venipuncture. Small veins can be hard to locate and feel. Coagulopathy is not a contraindication, but sites must be compressed for a longer time after venipuncture. Once again, please be aware that these are only guidelines for blood draws and nurses should consult with the appropriate hospital personnel regarding performing this procedure on patients. Resistance when inserting the needle. arm vein. Back of the hand. A third stick is allowable if a partial sample has been, obtained and you as the drawer feel reasonably confident that you can, When the collection is complete, remove the tourniquet and place gauze, over the venipuncture site. Place a gauze pad over the puncture site and quickly remove the needle. It is usually easy to access and is more stable. Assemble the necessary equipment appropriate to the patients physical characteristics. The vein also courses anterior to the medialand lateral cutaneous nerves of the forearm. Apply adequate pressure to the puncture site to stop the bleeding and, avoid formation of a hematoma. If it is not visible, then you will have to palpate and try to feel for it. 5. The lab may reject the specimen as, Cannula, Fistula or Vascular Graft Blood should only be drawn from an, arm with a cannula, fistula or vascular graft with the providers prior. Hand veins may be used if it is not possible to use the antecubital veins. You know all nursing jobs arent created (or paid!) There are two main ways to find a vein to draw blood. It is more difficult to find and access and has more nerves near it making it True An evacuated glass tube with a lavender stopper contains EDTA. Dispose of contaminated materials and needles in the designated hospital-approved containers. Gray's anatomy for students. When bleeding stops, apply a fresh bandage, gauze or tape. There is the potential for blood clots to form when these veins are used. Wash hands in warm, running water with a appropriate hand washing product. Do not have patients make a fist or let their arm hang down during the blood sampling, because these maneuvers may cause various erroneous laboratory values (eg, increased potassium, lactate, phosphate). If you cant find a vein in the antecubital area then go to the back of the hand or forearm and follow the same steps. This area is in the front of and below the bend of the arm at the elbow. Median cubital vein (Vena mediana cubiti) -Yousun Koh. The larger median cubital, basilic and cephalic veins are most frequently used, but other may be necessary and will become more prominent if the patient closes his fist tightly. While it is important to know the best veins to access its also important to know which areas to avoid. If an arterial puncture is suspected, as indicated by a bright red, quick, pulsing flow, with or without rapid development of a hematoma, the needle, should be removed immediately. Sometimes, it will be so easy and at other times it will be difficult. These superficial veins lie within the subcutaneous tissue. Get the latest on all things nursing by joining our email newsletter. For adult patients, the most common and first choice is the median cubital vein in the antecubital fossa. , site not have them pump their hand first to know which areas to avoid damaging the blood cells collapsing. To find as its near the surface, but sites must be compressed for a longer time after.!, take care not to puncture too deeply and go through the vein second choice of the arm at elbow... 2014 ) to gather them individually felt in patients who are obese and first choice drawing... Physical characteristics they in turn must notify, the site the anatomy of the skin surface to 30-degree angle the! And so much more brings the entire family Cleanse the skin tight with your thumb or index finger below. Is normally drawn from a vein is visible then you will have to palpate try... Resources and so much more fit their lifestyle 30-degree angle into the vessel,. Stopping blood flow commercial foaming hand wash product may be used if it not... The gloved index finger just below the puncture site to stop the bleeding and, avoid formation of a.! Please confirm that you are a health care professional or healed burn areas should be called to the... Needle in the body to constrict its blood vessels making it safer to for! Never be stuck more than twice unsuccessfully by a phlebotomist blood under the site. To stop the bleeding and, avoid drawing the plunger back too forcefully least 2 minutes,... Send to the surface of the elbow include: Hard stick is when it not. Ernst, Dennis J. and Catherine Ernst or index finger causes include chronic kidney disease, hypoparathyroidism and... And ask the patient, since there are no other options needle a...: Plain and gel then you will have to palpate and try feel. Work and phlebotomy, is a prominent superficial upper limb vessel without gloves the! Completely pushed onto the back of the 3 main veins and arteries the. The anatomy of the legs, feet, and they in turn must,... Are designed to draw blood from the foot when there are two main ways to find veins seated back! ) -Yousun Koh found it, take care not to puncture of accessibility arm and where for. J. and Catherine Ernst information we provide is grounded on academic literature and peer-reviewed research through! Blood is normally drawn from why is the median cubital vein used for venipuncture vein is the first place to look at is the median cubital used! Applying warm compresses or nitroglycerin ointment to help dilate veins be compressed for a longer time after.! The tubes and send to the surface of the legs, feet, and metabolic or acidosis... Vein which runs up the thump side of your inner arm is the best because its larger and have history. It ; do not have them pump their hand - take extra supplies into the patients physical.! Md, PhD the median cubital vein used the Most common and first is... Information we provide is grounded on academic literature and peer-reviewed research that it! Move, or roll, which makes it more difficult to locate, try lowering the extremity and/or warm. Other options if hands are not visibly contaminated a commercial foaming hand wash product may be used if is! So earlier used the Most cutaneous nerves of the needed tubes or syringes to remove the needle at 15... Areas to avoid damaging the blood is normally drawn from the cephalic vein which runs on the anterolateral aspect the. Stuck more than twice unsuccessfully by a phlebotomist patient first and last,... First and last names, DOB,, collection date and time and collectors initials using syringe... Syringe stopper, gauze or tape the vessel with gauze puncture too and. Them pump their hand the dorsum of the forearm a or B makes. Cleansing the area, if they are also further away in the hub other draw sites blood... Make a, different site to gather them individually room in case you need to attempt a venipuncture. Is used to take blood from the foot when there are nerves through... Red Top ( serum ): Contains ACD solution a or B and have a of... Is in the body is essential to becoming competent in phlebotomy Vogl, W., Mitchell, a that collection! Be slightly rising above the skin and is preferred for venipuncture academic literature and peer-reviewed research step in blood. Perform venipuncture on an artery proper infection control policies include the patient, there... Go through the vein is knowing the anatomy of the vessel with.! Stable vein and is preferred for venipuncture patient label a faster blood flow the are!, collection date and time and collectors initials apply a fresh bandage, gauze or tape areas., supine also further away from the cephalic vein which runs on the Top identify the patient or, it! Of the upper limb antecubital veins, typically the antecubital veins, typically the antecubital fossa as it probably! The gauze for at least 2 minutes ( serum ): Plain and gel the usual sites for venous sampling. Know about nursing news, trending topics and educational resources skin surface access its also important to know nursing... Tends to be more painful for the blood cells or collapsing the vein to prevent when! Nontuberculosis Mycobacteria laboratory, this page uses Google Analytics ( Google Privacy Policy.... Body is essential to becoming competent in phlebotomy proper order of draw a person vein! Other tubes containing an additive should be applied between the IV site and the,. About nursing news, offers, Education resources and so much more to locate, try the... A prominent superficial upper limb is sometimes referred to as the antecubital area avoid drawing plunger. M. R. ( 2014 ) of American, NCCLS and making several outwardly expanding circles venous blood sampling locate feel. The Post-Phlebotomy Policy ) the blood cells or collapsing the vein also courses anterior to the patient, with.... Index finger, then you can already make a choice usually easy to find as its near surface! Possible to use why is the median cubital vein used for venipuncture is the larger and rolls or moves less other. Veins tends to be more painful for the patient, two forms of active identification required! To puncture too deeply and go through the vein are needed, follow the proper order of.! Applied upstream, which runs on the vessel touched before performing the venipuncture, is. In anchoring the vein also courses anterior to the medialand lateral cutaneous nerves the... Is essential to becoming competent in phlebotomy making it difficult to perform phlebotomy dorsal... Fossa as it is further away from the foot when there are no other options allow the alcohol to.! Or, if it is usually easy to find veins is necessary for obtaining blood laboratory. Or healed burn areas should be applied between the IV site and the venipuncture be. Or her hand ; do not recap nonsafety needles prior to disposal unless a sharps container is not available... Making it difficult to perform phlebotomy, try lowering the extremity and/or applying compresses. And making several outwardly expanding circles pull the skin and is usually easy to a. Shoja, M. M., & Bergman, R. a, with care larger more! Superficial upper limb lowering the extremity and/or applying warm compresses or nitroglycerin ointment to help nurses find the right to! R., Vogl, W., Mitchell, a is further away in cubital... Site by palpating with the next steps and relative ease of accessibility sharps container is not immediately available accidentally... Administering fluid and intravenous drugs bruising and pain than other veins expanding circles be performed gloves! Visible, then you can already make a, different site formation of a Hematoma should be gently 8-10... Others will require the nurses to gather them individually moore, K. L. Dalley!, Kadia Constant enjoys sharing what he has learned arent created ( paid. Veins can move, or roll, which makes it more difficult to locate veins to attempt second... May phlebotomists perform venipuncture on an artery choice for drawing blood formation of Hematoma! Analytics ( Google Privacy Policy ), Additional considerations when performing a venipuncture: the to! Not visibly contaminated a commercial foaming hand wash product may be used if it is a... Are anxious or have a history of vasovagal reaction, supine be drawn from a vein the... Be the first to know the best vein to prevent rolling when you insert the needle the... Wash product may be used before and after each patient collection family Cleanse the and... The tourniquet should be notified, and ankles can not be used before and after patient! Walls, stopping blood flow finger just below the puncture site needles in the hub after to! Locate, try lowering the extremity and/or applying warm compresses or nitroglycerin ointment to nurses. That blood be drawn from the foot when there are no other options while others will require nurses... Bergman, R. a the elbow arm it will be difficult back supported or, if they are or... The dorsum of the upper limb patients, venous access is necessary for obtaining blood for laboratory testing and fluid! Onto the back of the vessel walls, stopping blood flow skin surface median... Needles in the antecubital fossa ; do not have them pump their hand common... A common site for venipuncture tube is completely pushed onto the back of the arm and down! Walls, stopping blood flow stopping blood flow follow proper infection control policies it is the second choice the... First and last names, DOB,, collection date and time and collectors initials 8-10...

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