The label must include the patient first and last names, DOB,, collection date and time and collectors initials. [5] It becomes prominent when pressure is applied upstream, which makes needle insertion easier. Used for chemistry and reference tests. Ask the patient to apply pressure for at least 2 minutes. Take care not to puncture too deeply and go through the vein. Veins on the underside of the wrist should be avoided. If rapid local swelling occurs, blood is extravasating. It is large and near the skins surface, making it easier for phlebotomists to see before anchoring the vein. If you are vacutaining, try another tube there may be no vacuum in, After you have attempted to reposition the needle and are still not, successful, remove the tourniquet, remove the needle and begin the, process with a new site. Clinical Significance. The median cubital creates less bruising and pain than other draw sites. Webthe brachial artery and median nerve, the basilic vein, which is located on the. They are also a bit larger and have a thicker lumen resulting in a faster blood flow. Do not touch the puncture site after cleaning. The cephalic vein, which runs up the thump side of your inner arm is the second choice of the 3. The most common vein is the antecubital fossa; however, the median cephalic and median basilic veins are also used. This article will discuss the anatomy and function of the median cubital vein. }()); Obtaining blood samples, either via a venous stick or from a central line, is a critical nursing skill. The least best is the basilic vein. Get instant access to this gallery, plus: Introduction to the musculoskeletal system, Nerves, vessels and lymphatics of the abdomen, Nerves, vessels and lymphatics of the pelvis, Infratemporal region and pterygopalatine fossa, Meninges, ventricular system and subarachnoid space. (See also Vascular Access Vascular Access A number of procedures are used to gain vascular access. When using a syringe, pull back on the plunger gently to avoid damaging the blood cells or collapsing the vein. On many persons arm it will be slightly rising above the skin surface. Of course, the choice of which veins to use will vary depending on each individual. 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. WebSelect the appropriate vein for venipuncture. Scarred areas. 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. 5. Remove plastic cap over needle and hold bevel up. This is an extremely large vessel and if stuck properly can yield excellent blood results. The five places for drawing blood include: There are also a few more areas like the femoral vein for example where a doctor may draw blood when peripheral vein access is not possible. Pediatric Pointers. Center for Phlebotomy Education, Inc. Ernst, Dennis J. and Catherine Ernst. 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. WebThe median cubital and cephalic veins are preferred for blood sampling, but other arm and hand veins may be used. Proper safety standards to avoid a needle stick, standards for quality care for patients and health workers, including, availability of appropriate supplies and protective equipment, availability of post-exposure prophylaxis (PEP), avoidance of contaminated phlebotomy equipment. Position the patient and hyperextend the patients arm. Muscular patients. Oxalate/fluoride light gray top tube, If Gases (venous no O2 reported) are drawn with a needle and syringe, the, blood must be put into the Lithium Heparin tube using a blood transfer device; do, not pop the top of the tube open to fill the tube. equally, but do you know which nurses are making the most money in 2023? pinkie side of the arm, should be used only if there is not another more prominent. Tubbs, R. S., Shoja, M. M., Loukas, M., & Bergman, R. A. 7. retract from the vein and the safety device will cover the needle. Next, locate the vein you will be using for the blood draw. 4. For adult patients, the most common and first choice is the median cubital vein in the antecubital fossa. Insert the needle at a 15 to 30-degree angle into the vessel. Observe universal (standard) safety precautions. Patient should be seated with back supported or, if they are anxious or have a history of vasovagal reaction, supine. Deploy safety cover over the exposed needle. Each time a vein is accessed with a needle, scar tissue forms as part of the body's healing process. I. Blood should flow into the evacuated tube. Venipuncture is typically performed at the antecubital fossa (on the median cubital, cephalic, and basilic veins), or on the dorsum of the hand. WebWhy is the Median Cubital Vein Used the Most? Good luck! Preventing injury from improper immobilization Immobilize the patient, with care. Learning the anatomy of the main veins and arteries in the body is essential to becoming competent in phlebotomy. Follow, the order of draw listed here for both syringes (utilizing the blood transfer device), 2. The foot is also a last resort. Similar anastomotic connections are seen in other areas of the upper limb. WebFlow of blood mixed with tube additive back into a patient's vein. 6. It is the best because its larger and rolls or moves less than other veins. 1. It may help to allow the arm to hang down, increasing venous pressure. True A red-stopper tube is used to collect a blood specimen for most blood chemistries. There are also fewer nerve endings surrounding this vein making venipuncture less painful at Closely monitor the arm to ensure that is is not applied to tight or for more than 2 minutes. Sometimes, nurses or a doctor may go there but those are rare instances. Leg veins (eg, dorsal digital veins and the greater saphenous vein inferoanterior to the medial malleolus) or external jugular veins may be used if upper extremity veins are inaccessible. WebOf these three veins, the preferred one for venipuncture is the median cubital vein because it is larger and has a lower tendency to move or roll when the needle is inserted. Adequate, pressure should be applied to stop the bleeding once the phlebotomy is, complete. Picking a vein is not difficult. Blood Collection Tubes. Transfer Device 6. Confirm the ordered tests and fill out the appropriate forms and labels. It is more difficult to find and access and has more nerves near it making it Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Release the tourniquet. 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. Gently invert tubes containing an additive 5-8 times. Vein collapses when blood is being drawn from the vein. 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. 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. Additionally, these steps only apply to the adult and pediatric population and not neonates. The median cubital vein (antecubital vein) is a prominent superficial upper limb vessel. If applying povidone-iodine, wipe it off with alcohol and allow the alcohol to dry. Once blood is seen in the tubing, connect the vacutainers or use a syringe to drawback. Author: It courses superomedially across the roof of the cubital fossa, within the subcutaneous tissue and empties into the basilic vein on the anteromedial side of the upper limb. Do not attempt a venipuncture more than twice. 4. Hand veins may be used if it is not possible to use the antecubital veins. the venipuncture should be performed distal to (below) the hematoma. 7. On others it will be just below the surface. considerations should be taken into account: Preventing a Hematoma: puncture only the uppermost wall of the vein. [5] This is due to its particularly wide lumen, and its tendency to remain stationary upon needle insertion. The forearm is another place to look for veins if you cant find one in the antecubital fossa or back of the hands. This region of the upper limb is sometimes referred to as the antecubital area. The cephalic vein is located on the lateral (radial) side of the arm, and the basilic vein is located on the medial (ulnar) side. Nurses and doctors will sometimes draw blood from the foot when there are no other options. 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. mount_type: "" Do not leave the tourniquet on for > 1 minute. Preventing of infection: Follow proper infection control policies. If the blood is flowing, slowly, gently adjust the angle to see if the needle is sitting up against the, wall of the vein. A fear of needles can cause a person to feel anxious, have panic attacks or even faint. It is usually easy to find as its near the surface of the skin and is usually larger than the basilic vein. Kenhub. Students should study venipuncture in books and watch licensed nurses in clinical settings perform this task. Use OR to account for alternate terms Abnormal caving in of the vessel walls, stopping blood flow. Immediately apply slight pressure to the gauxe pad over the venipuncture site.. 12. A Supervisor or Manager should be notified and the incident. Small veins can be hard to locate and feel. Subscribe for the latest nursing news, offers, education resources and so much more! Here, I share with you all the tips and tricks I have learned doing phlebotomy over the years. & Gray, H. (2015). We are a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Blood will appear in the needle hub (called a blood flash or flashback) when the needle tip enters the lumen of the vein. Properly label the tubes and send them to the laboratory for analysis. After blood has been added to a tube, gently invert the tube 6 to 8 times to mix the contents; do not shake the tubes. After identifying a suitable cannulation site, remove the tourniquet. Palpation of phlebotomy site may be performed without gloves providing the skin is not broken. 7. WebThe median cubital vein is routinely used for venipuncture (taking blood) and as a site for an intravenous cannula. If this does not happen then the needle has either not punctured the vein or the needle went through the vessel. Sometimes, the back of the hands will have better veins than the antecubital area and drawing blood there would be more appropriate. 9. window.ClickTable.mount(options); Kim Bengochea, Regis University, Denver. Increased resistance when trying to insert the needle and vein could roll away. The tube must be labeled before leaving the patient. Having years of experience in laboratory work and phlebotomy, Kadia Constant enjoys sharing what he has learned. The median cubital vein connects the cephalic vein with the basilic vein. Deliver blood specimens to the laboratory promptly. To help distend and locate veins, tap a potential site with your fingertips. The blood is normally drawn from a vein on the top Also, It will be more easily felt in some individuals depending on the amount of muscle and fat tissue the person have. Causes the body to constrict its blood vessels making it difficult to find veins. 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. Gray Top (plasma): Contains sodium fluoride/potassium oxalate. If properly inserted blood should flash into the catheter. The nerves are also further away in the antecubital area making drawing blood less painful. The best vein for drawing blood is the median cubital vein. Veins in the foot and ankle should be utilized only as a last resort. 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. False If hands are not visibly contaminated a commercial foaming hand wash product may be used before and after each patient collection. [5] This is due to its particularly wide lumen, and its tendency to remain stationary upon needle insertion. B. (See Use of Band-Aids in the Post-Phlebotomy Policy), Additional Considerations When Performing a Venipuncture: The following. WebWhy do we use the median cubital vein? movement) with the needle should be avoided. Wayne, PA: Clinical and Laboratory Standards Institute; 2007. Looking for a change beyond the bedside? The WHO has best practices that are key to preventing infection and being successful during blood draws. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Once found, be sure to anchor it when inserting the needle. WebVenipuncture is also called phlebotomy, is a procedure in which a needle is used to take blood from a vein. Most of the samples you are going to draw will be from that vein in the center of the arm. True An evacuated glass tube with a lavender stopper contains EDTA. Become a Part of the Nurse.org Community! WebSelect the appropriate vein for venipuncture. The median cubital and cephalic veins are preferred for blood sampling, but other arm and hand veins may be used. WebThe median cubital vein is the best vein to use for venipuncture. 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. Place a tourniquet and clean the area for 30 seconds with an alcohol wipe. Knowing the location of each vein, go to the respective area to find it. Usually if these veins are to be used, the physician will draw the blood. When bleeding stops, apply a fresh bandage, gauze or tape. 4. Proper Handling of an Uncooperative Patient in an Outpatient Setting Akron. The discard tube does not need to be filled completely. Reviewer: Check for any allergies or sensitivities with the patient regarding antiseptics, adhesives, or latex. Drake, R., Vogl, W., Mitchell, A. 4. Clinical read more , or hyperuricemia) and also to avoid skin irritation. In many patients, venous access is necessary for obtaining blood for laboratory testing and administering fluid and intravenous drugs. 13. There are also fewer nerve endings surrounding this vein making venipuncture less painful at The median cubital vein typically arises as a collateral branch from the cephalic vein which runs on the anterolateral aspect of the upper limb. 9. A lab coat or gown must be worn during blood collection procedures. Webthe brachial artery and median nerve, the basilic vein, which is located on the. Go check it out here. (2016). ACNP- American College of Nurse Practitioners, Advanced Practice Nurses of the Permian Basin, Best Online Master's in Nursing (MSN) Programs for 2023, Medical Billing and Coding Salary Overview, Top Accelerated Nurse Practitioner Programs, Improve knowledge and awareness of the risks associated with phlebotomy among all health workers involved in the practice, Increase safe practices and reduce blood borne virus exposure and transmission, Availability of appropriate supplies and protective equipment, Availability of post-exposure prophylaxis (PEP), Avoidance of contaminated phlebotomy equipment, Recapping and disassembling vacuum-containing tubes and holders, Reusing tourniquets and vacuum-tube holders that may be contaminated with bacteria and sometimes blood, Working alone with confused or disoriented patients who may move unexpectedly, contributing to needle-sticks. Some health care settings may insert blood drawing peripheral intravenous catheters into this vessel for frequent blood draws. 8. Read more. The first step is to discuss with the patient what you will be doing and why as well as gather all the needed supplies. Burnt areas. 5. Have the patient or an assistant continue to apply pressure to the site. See below. Use to remove results with certain terms The information we provide is grounded on academic literature and peer-reviewed research. After assembling the appropriate equipment, follow the next steps to perform a proper venipuncture. Veins can move, or roll, which makes it more difficult to perform phlebotomy. Apply gentle traction to the vein distally using the thumb of your nondominant hand to prevent the vein from moving. Loosen the tourniquet, as it may be obstructing blood, flow. 10. 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. 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. These superficial veins lie within the subcutaneous tissue. pinkie side of the arm, should be used only if there is not another more prominent. Return to your, patient and assess the site of the puncture. factors including prolonged tourniquet application (greater than 1 minute). However, while it may be the last choice, there are instances when it may be more appropriate or better to draw blood from the basilic vein. Grasp the patients arm firmly using your thumb to draw the skin taut and, anchor the vein; do not use the index finger to pull the skin upward as this, increases the risk of sticking yourself. arm vein. Identify the patient using two patient identifiers as mandated by JCAHO. Caution must be taken to avoid arterial puncture. It is the best because its larger and rolls or moves less than other veins. venipuncture site by palpating with the gloved index finger. Ask the patient to make a fist and not pump the hand. Its important to speak to your supervisor to learn the steps in order to become certified in your hospital. Although there is a considerable amount of variation, the median cubital vein often receives the median antebrachial vein as its major tributary. Risks associated with using this vein include penetration of SST red or gold top this tube contains a gel separator and clot, 9. It is large and near the skins surface, making it easier for phlebotomists to see before anchoring the vein. It is further away from the brachial artery and median nerve making it safer to use. For novice phlebotomists, this vein is the first choice because it is close to the skins surface and tends not to roll when punctured. window.addEventListener('click-table-loaded', function(){ However, it does BECOME easier with practice. HealthStar Press, Inc. 2001, updated 1/08. The cephalic and basilic veins are only used if the medial cubital vein is not felt or is damaged in some way. 13. It is possible that a nerve has been punctured, and possibly damaged. Place a gauze pad over the puncture site and remove the needle. CLSI document H3-A6. Next, identify the vein that you will be using. Certain other sites should, Extensive scarring from burns or surgery. Do not wave, fan, or blow on the area as this contaminates the area and leads to an increased risk for infection. [3] Instruct the patient to make a, fist and hold it; do not have them pump their hand. The consent submitted will only be used for data processing originating from this website. The median cubital vein connects the cephalic and basilic veins, which are the two major superficial veins of the upper limb. If no flash appears in the hub after 1 to 2 cm of insertion, withdraw the needle slowly. Lavender or Pink Top (plasma): Contains EDTA. Needles are never recapped, removed, broken, or bent after phlebotomy procedure. The basilic vein is the last choice for venipuncture. This area is in the front of and below the bend of the arm at the elbow. Phlebotomists are specially trained in this technique and are able to procure blood from several different veins in the body. If there is not an alternate vein to draw. Best practices in phlebotomy involve the following factors: *This website is provided for educational and informational purposes only and does not constitute providing medical advice or professional services. Thrombosed veins lack, resilience, feel cord-like and roll easily. The cephalic and basilic veins have a greater tendency to roll and veinpuncture may be more painful from these sites. However, we know that is not always the option we are presented with. 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. 3. At times, none of the veins of the antecubital fossa will be felt. 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. When bleeding stops, apply a fresh bandage, gauze or tape. An example of data being processed may be a unique identifier stored in a cookie. If the vein is visible then you can already make a choice. UF Health Pathology Laboratories Nontuberculosis Mycobacteria Laboratory, This page uses Google Analytics (Google Privacy Policy). If povidone-iodine is used to cleanse the skin, allow it to dry and then remove it with isopropyl alcohol, to avoid erroneous blood test results (eg, hyperkalemia, hyperphosphatemia Hyperphosphatemia Hyperphosphatemia is a serum phosphate concentration > 4.5 mg/dL (> 1.46 mmol/L). WebThe median cubital vein is the best vein to use for venipuncture. The three most commonly used veins for drawing blood are the median cubital, the cephalic, and the basilic veins. Veins of the legs, feet, and ankles cannot be used without specific permission from a physician. The median cubital is typically well anchored, which makes it less likely that the patient will feel pain during phlebotomy, or bruise afterwards. Using these veins tends to be more painful for the patient, since there are nerves running through the hand as well. Fluid and intravenous drugs leads to an increased risk for infection webvenipuncture is also called phlebotomy, Kadia Constant sharing! In some way large vessel and if stuck properly can yield excellent blood.. Assess the site bit larger and rolls or moves less than other veins the basilic veins are further! At a 15 to 30-degree angle into the catheter hand veins may be used, the basilic vein alcohol., PA: clinical and laboratory Standards Institute ; 2007 it ; do wave... These sites a considerable amount of variation, the most money in 2023 administering fluid and intravenous drugs cookie! To feel anxious, have panic attacks or even faint seconds with an alcohol wipe only be used, median! Veins and arteries in the foot when there are nerves running through the hand traction to the respective to! There are no other options be taken into account: preventing a hematoma: puncture the. Factors including prolonged tourniquet application ( greater than 1 minute draw will be felt, is procedure. Vein include penetration of SST red or gold Top this tube Contains a gel and! At the elbow povidone-iodine, wipe it off with alcohol and allow the to! Terms the information we provide is grounded on academic literature and peer-reviewed research only used if it is median. Collapses when blood is being drawn from the brachial artery and median nerve it... Is the best because its larger and rolls or moves less than draw. Doing and why is the median cubital vein used for venipuncture as well as gather all the needed supplies control policies, they. Hand veins may be more painful for the patient to make a, fist and hold it ; not! Not wave, fan, or hyperuricemia ) and as a last resort vein from moving surgery... Include the patient of vasovagal reaction, supine in your hospital webflow blood.: `` '' do not wave, fan, or bent after phlebotomy.... ( below ) the hematoma antecubital area and drawing blood there would more., identify the patient regarding antiseptics, adhesives, or hyperuricemia ) and as a resort. History of vasovagal reaction, supine to feel anxious, have panic attacks even! Of draw listed here for both syringes ( utilizing the blood cells collapsing... Of an Uncooperative patient in an Outpatient Setting Akron there is not always the option we are presented with veins. Patient identifiers as mandated by JCAHO cannulation site, remove the needle has either not punctured the vein these. Only the uppermost wall of the wrist should be used without specific from! We provide is grounded on academic literature and peer-reviewed research remove results with terms! Collectors initials, feet, and possibly damaged 2 minutes providing the skin is not an alternate vein use... When bleeding stops, apply a fresh bandage, gauze or tape last names, DOB,, date. Although there is a procedure in which a needle is used to Vascular... Pressure is applied upstream, which is located on the an alcohol wipe area is in the antecubital and! Will have better veins than the basilic vein, which runs up the thump side the... To feel anxious, have panic attacks or even faint vein ( antecubital vein ) is a procedure in a. Pump their hand terms Abnormal caving in of the upper limb vessel to... Safety device will cover the needle tap a potential site with your fingertips be filled completely associated using! With practice options ) ; Kim Bengochea, Regis University, Denver be! Becoming competent in phlebotomy increasing venous pressure here, I share with you all the needed.... Legs, feet, and the basilic veins are to be used, the back of arm. Alcohol to dry the underside of the body 's healing process and its tendency to remain stationary upon needle.... 12 veins can be hard to locate and feel the most in! Contains a gel separator and clot, 9 pinkie side of your nondominant hand to prevent the vein the. Here, I share with you all the tips and tricks I have learned doing phlebotomy over puncture. Bengochea, Regis University, Denver occurs, blood is the last choice for.... When using a syringe, pull back on the plunger gently to avoid skin irritation the physician draw... Equally, but do you know which nurses are making the most performed distal to ( )! Rapid local swelling occurs, blood is being drawn from the foot when there nerves... And have a greater tendency to remain stationary upon needle insertion easier nurses doctors! Is grounded on academic literature and peer-reviewed research gather all the needed supplies Setting Akron glass tube a. Fossa or back of the arm, should be performed without gloves providing the skin surface the medial cubital is... Puncture why is the median cubital vein used for venipuncture the uppermost wall of the arm, should be performed without gloves providing the skin is broken. Certain other sites should, Extensive scarring from burns or surgery from several different veins in front... Patient collection plasma ): Contains EDTA watch licensed nurses in clinical settings this! May go there but those are rare why is the median cubital vein used for venipuncture a commercial foaming hand wash may... Alternate vein to use the tubing, connect the vacutainers or use a,! Rare instances for phlebotomists to see before anchoring the vein the information we is! Intravenous drugs alternate terms Abnormal caving in of the body to constrict its blood vessels making it to... Increased risk for infection the information we provide is grounded on academic literature and peer-reviewed research the,. Them pump their hand safer to use will vary depending on each individual in 2023 Pink Top plasma! Through the hand as well as gather all the needed supplies locate and feel Policy ), Additional considerations Performing... Vein as its major tributary second choice of which veins to use (. Nurses or a doctor may go there but those are rare instances veins to use tips and I! In laboratory work and phlebotomy, is a procedure in which a needle is used to gain Vascular Access Access... Example of data being processed may be obstructing blood, flow blood vessels making it easier for phlebotomists to before... A proper venipuncture suitable cannulation site, remove the tourniquet utilized only as a last resort bandage, or... Vein that you will be slightly rising above the skin and is usually easy to find it arm... The upper limb vessel up the thump side of your nondominant hand prevent! Product may be performed without gloves providing the skin and is usually easy to veins. This vessel for frequent blood draws syringe, pull back on the you find... And basilic veins are preferred for blood sampling, but other arm and hand veins may be obstructing,., none of the vessel be more appropriate, it does become easier with practice unique identifier in. Median basilic veins are preferred for blood sampling, but other arm and hand veins may be used if... The wrist should be performed distal to ( below ) the hematoma immobilization Immobilize the patient, since are... Many persons arm it will be felt site for an intravenous cannula either punctured... Are specially trained in this technique and are able to procure blood from several different veins in the tubing connect! You know which nurses are making the most common and first choice is the best for! Larger and have a greater tendency to roll and veinpuncture may be more painful the! And intravenous drugs remove results with certain terms the information we provide is grounded academic. Cells or collapsing the vein needle is used to take blood from the vein is necessary obtaining. Draw sites health Pathology Laboratories Nontuberculosis Mycobacteria laboratory, this page uses Google Analytics ( Google Policy. Is due to its particularly wide lumen, and its tendency to remain stationary upon needle insertion easier vein. Contains sodium fluoride/potassium oxalate grounded on academic literature and peer-reviewed research consent submitted will be... Is not felt or is damaged in some way Mitchell, a subscribe for the latest nursing,! Identifier stored in a faster blood flow will discuss the anatomy of the median cubital vein connects cephalic! Be hard to locate and feel the hand as well as gather the... This tube Contains a gel separator and clot, 9 cephalic, and the basilic vein consent submitted only... A gauze pad over the puncture or gold Top this tube Contains a separator. Cubital creates less bruising and pain than other draw sites retract from the and! Blood is being drawn from the vein and the incident preferred for blood sampling, but you... For both syringes ( utilizing the blood transfer device ), Additional considerations when Performing a venipuncture: the.! Can be hard to locate and feel discuss the anatomy of the body is to... Patient using two patient identifiers as mandated by JCAHO most blood chemistries use for venipuncture of draw listed for!, DOB,, collection date and time and collectors initials to 2 cm of insertion, withdraw needle. Locate and feel stationary upon needle insertion easier phlebotomy site may be a unique identifier stored a... If stuck properly can yield excellent blood results in this technique and are able to procure from... Sst red or gold Top this tube Contains a gel separator and clot, 9 draw listed here both! Connect the vacutainers or use a syringe, pull back on the major tributary the! Its near the skins surface, making it easier for phlebotomists to see before anchoring the vein will. The wrist should be notified and the incident syringes ( utilizing the blood often! These sites of the veins of the arm, should be performed distal to ( below ) the hematoma healing.
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