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Venipuncture sites diagram1/17/2024 ![]() ![]() Sometimes, you don’t have options and have to go with what you find. What is the patient here for….a short stay or is to be hospitalized? Will they be receiving vesicant drugs or blood products? If so, select a vein that is large and use an appropriate sized needle.Īsk the patient where they would like you to draw blood or start an IV? Most patients are experts on this and know where the best vein is located. Quick Things to Consider Before Starting an IV: Learn more about how to prevent rolling veins. To help prevent this, have the patient make a light fist to keep the veins from moving. However, these veins will easily roll if not stabilized. These veins are great for blood draws and IVs. In addition, watch for this vein rolling and being deep on patients who have a lot of subcutaneous fat.ĭorsal Venous Network: these are the superficial veins found on the top of the hand. Problem: it is not as large as the previous two veins so it may not hold an 18 gauge. Median Vein of the Forearm (median antebrachial vein): this vein comes out of the palm of the hand and runs along of the inner part of the forearm. Tip: when going for this vein for an IV go below the bend of the arm rather than in the bend. It is relatively large so this vein can hold an 18 gauge and easily a 20 or 22 gauge IV. For instances, I use this site if this is the only IV site the patient has (or the patient refuses to have an IV anywhere else) OR the patient needs an 18 gauge IV in a large vein for a test (ex: CT PE Protocol).Īccessory Cephalic Vein: this vein comes off the cephalic vein (hence its name) and is easy to stabilize. ![]() I only use this site for an IV when I have to. IVs in this site will be very uncomfortable for the patient and infiltration can occur. Problems with this vein: It’s in the bend of the arm, so it’s not that great for IVs. In most patients, it is very large and easy to access. This vein is a gold standard for blood draws. Medial Cubital: it’s located in the bend of the arm where the cephalic and basilic veins connect. In addition, to the vein’s quirks: what gauge of needle can it usually handle and does this vein tend to be a “roller”. Know your veins! What I mean is that you must know the name of the veins in the arm and their locations. Remove your gloves, perform hand hygiene techniques, and thank the patientĢ0.To be successful at drawing blood or starting IVs you must: Check and inspect the patient’s arm, then apply a bandageġ8. Place gauze, remove the needle, and apply appropriate pressure to the siteġ6. Fill tubes using the correct order of draw and mix tubesġ3. Establish blood flow and have the patient open his or her fist, then release the tourniquetġ2. Properly anchor the vein and insert the needleġ1. ![]() ![]() Reapply the tourniquet, have the patient make a fist, and uncap the needleġ0. Put on clean gloves and prepare your equipmentĩ. Select a vein, release the tourniquet, and ask the patient to relax their fistĨ. Apply the tourniquet, ask the patient to make a fist, and assess the antecubital spaceĦ. Approach, identify, and prepare the patient for the processĥ. In a phlebotomy course, these steps will be broken down and taught with hands-on training by professional educators.ģ. Here is our master list of steps to practicing venipuncture successfully. ![]()
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