why is the median cubital vein used for venipuncture

1. 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. For children, swab the site 3 times using only alcohol. (2016). Reapply the tourniquet proximal to the selected insertion site. For adult patients, the most common and first choice is the median cubital vein in the antecubital fossa. Next, identify the vein that you will be using. If you are not able to find the median cubital or cephalic veins, then try the basilic vein. A lot of fat tissue in the arm area or at the back of the hand makes it difficult to feel a vein. Prep the venipuncture site by cleansing the area with an alcohol prep pad for 30 seconds and allow to air dry for 30 seconds. Veins can move, or roll, which makes it more difficult to perform phlebotomy. In most cases, another puncture in a site below the first site is advised. Scarred areas. It may help to allow the arm to hang down, increasing venous pressure. Remove the tourniquet before removing the needle. The upper extremity on the side that a mastectomy was performed. To help distend and locate veins, tap a potential site with your fingertips. WebWhy do we use the median cubital vein? These tubes are used for coagulation tests and need to be completely filled to ensure the proper ratio of blood to anticoagulant. Blood is usually drawn using the veins of the arm, although the hand veins may also be used. Read more. This area is in the front of and below the bend of the arm at the elbow. Well-fitting gloves make palpation of the vein easier. These veins extend through and branch within the antecubital fossa, creating the large antecubital and proximal forearm veins. While it is important to know the best veins to access its also important to know which areas to avoid. The Supervisor should be called to assess the patient. Curated learning paths created by our anatomy experts, 1000s of high quality anatomy illustrations and articles. The median cubital vein is not critical to life, but it does help facilitate venous return from the arms back to the pulmonary system. Instruct the patient to make a, fist and hold it; do not have them pump their hand. The median cubital vein connects the cephalic and basilic veins, which are the two major superficial veins of the upper limb. WebThe best vein for drawing blood is the median cubital vein. 14. element: document.getElementById("fbct048686f7"), Used for Genetics testing. If you have that picture then the next steps become easier. Do not dry the site with gauze and do not blow on the area to dry as this, will contaminate the site. The World Health Organizations (WHO) best practice guidelines for blood draws include the following: The overall purpose of establishing the guidelines is to. Mass formed by leakage of blood under the skin. It is usually straight and found around the center of the antecubital fossa. Over time and with several repeated punctures, significant amounts of scar tissue builds up. These tubes are used primarily for chemistry tests. 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. 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. Some persons have good veins and others have veins that are difficult to find. 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. These superficial veins lie within the subcutaneous tissue. DO NOT SHAKE OR MIX VIGOROUSLY. Perform hand hygiene and don proper PPE. Using these veins tends to be more painful for the patient, since there are nerves running through the hand as well. Gloves are to be discarded in the appropriate container immediately after the phlebotomy procedure. Standring, S. (2016). If the vein is visible then you can already make a choice. Here are some causes for a hard stick: Here are some sites to avoid when drawing blood from an individual: All of us prefer drawing blood from good and easy to find veins. Palpate with your gloved finger to locate the middle of the target vein. Remove the tourniquet if you did not do so earlier. Subscribe to our newsletter to be the first to know about our daily giveaways from shoes to Patagonia gear, FIGS scrubs, cash, and more! Put on the tourniquet and feel for the vein. Author: Use for phrases 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. All rights reserved. The best vein for drawing blood is the median cubital vein. Nurses and doctors will sometimes draw blood from the foot when there are no other options. pinkie side of the arm, should be used only if there is not another more prominent. Closely monitor the arm to ensure that is is not applied to tight or for more than 2 minutes. 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. 4. The least best is the basilic vein. 12. 1. The cephalic vein is located on the lateral (radial) side of the arm, and the basilic vein is located on the medial (ulnar) side. Place a tourniquet and clean the area for 30 seconds with an alcohol wipe. The median cubital vein passes anterior to the bicipital aponeurosis, below which lie the brachial artery and median nerve. Release the tourniquet. Advertisementsif(typeof ez_ad_units!='undefined'){ez_ad_units.push([[468,60],'phlebotomistreport_com-large-leaderboard-2','ezslot_3',169,'0','0'])};__ez_fad_position('div-gpt-ad-phlebotomistreport_com-large-leaderboard-2-0'); How to find the vein? Contaminated surfaces must be cleaned with freshly prepared 10% bleach solution. All rights reserved. Mass formed by leakage of blood under the skin. Gloves are to be worn during all phlebotomies, and changed between patient collections. Have the patient or an assistant continue to apply pressure to the site. 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. The foot is also a last resort. After assembling the appropriate equipment, follow the next steps to perform a proper venipuncture. Notify your supervisor or patients physician if unsuccessful. The first place to look at is the antecubital fossa as it is the first choice for drawing blood. Do not have the patient bend his/her arm; this may cause the. Do not inject blood into vacuum collection tubes; allow the vacuum to draw the blood into the tube. How To Do Diagnostic Peritoneal Lavage (DPL), 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. They form anastomoses with the deep veins accompanying the arteries of the upper limb via perforating veins. Edematous sites (swollen sites filled with serous fluid), From an IV cannula (unless permitted by your institution), Sites above an IV cannula in the same vessel, Arm with a preexisting or current blood clot, Evacuated Collection Tubes (tubes specific to labs ordered), Personal Protective Equipment (ie gloves), Bio-hazard leak-proof transportation bags. Next, locate the vein you will be using for the blood draw. For adult patients, the most common and first choice is the median cubital vein in the antecubital fossa. In many patients, venous access is necessary for obtaining blood for laboratory testing and administering fluid and intravenous drugs. On many persons arm it will be slightly rising above the skin surface. The three most commonly used veins for drawing blood are the median cubital, the cephalic, and the basilic veins. Veins in the foot and ankle should be utilized only as a last resort. Kenhub. If it is deeper in the arm it may take a little longer to feel and find it. Remove the needle from the patients arm and press down on the vessel with gauze. venipuncture site by palpating with the gloved index finger. It is more difficult to find and access and has more nerves near it making it WebFlow of blood mixed with tube additive back into a patient's vein. They are the cephalic, median cubital, and basilic veins. }); Place a gauze pad over the puncture site and remove the needle. After cleansing the area, if it is accidentally. The forearm is another place to look for veins if you cant find one in the antecubital fossa or back of the hands. That makes them more visible and easier to locate and feel for venipuncture. 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. Deposit used blood-collection devices (with needles) into a sharps container. Identify the patient using two patient identifiers as mandated by JCAHO. How to find the vein? 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. The least best is the basilic vein. Veins of the hand and wrist are usually close to the surface, but they are prone to movement and rolling. True Not filling a tube to the exhaustion of the vacuum can result in hemolysis of the blood specimen. This is an extremely large vessel and if stuck properly can yield excellent blood results. Avoid drawing blood from a hematoma. Attach the appropriate needle to the hub by removing the plastic cap over the small end of the needle and inserting into the hub, twisting it tight. Hand veins may be used if it is not possible to use the antecubital veins. Edinburgh: Elsevier Churchill Livingstone. False 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. This region of the upper limb is sometimes referred to as the antecubital area. 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. The median cubital creates less bruising and pain than other draw sites. This is an extremely large vessel and if stuck properly can yield excellent blood results. Properly label the tubes and send them to the laboratory for analysis. 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. Youll be the first to know about nursing news, trending topics and educational resources. An OSHA acceptable, puncture proof containermarked Biohazardous. Remove the tourniquet as the last amount of blood is drawn. [3] Go check it out here. 3. 10. 3. Through a combination of revolutionary treatments and extraordinary patient experiences, our care does more than heal. 3. Increase in ratio of blood components to plasma. Clinical Significance. 2019 www.azcentral.com. Do not recap nonsafety needles prior to disposal unless a sharps container is not immediately available. Dress the site with gauze and tape or a bandage. Once blood is seen in the tubing, connect the vacutainers or use a syringe to drawback. link to 3 Types Of Needles Used For Venipuncture. Looking for a change beyond the bedside? Used primarily for hematology and blood bank testing. Some institutions have kits with all of the needed supplies while others will require the nurses to gather them individually. Follow, the order of draw listed here for both syringes (utilizing the blood transfer device), 2. G. When blood flow stops, remove the tube by holding the hub securely and pulling the tube off the needle. Clinically Oriented Anatomy (7th ed.). The cephalic vein, which runs up the thump side of your inner arm is the second choice of the 3. When bleeding stops, apply a fresh bandage, gauze or tape. Phlebotomy teams generally only make rounds at specific times in hospital settings, therefore, if a lab test is ordered immediately it could be the responsibility of the nursing staff to draw the specimen. The median cubital vein connects the cephalic vein with the basilic vein. Learn more about the MSD Manuals and our commitment to Global Medical Knowledge. Butterfly needles attached to a syringe may be preferred for difficult venipuncture (eg, small veins in neonates, fragile veins in older people). 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. Become a Part of the Nurse.org Community! Continue with Recommended Cookies. 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. Deploy safety cover over the exposed needle. retract from the vein and the safety device will cover the needle. Make sure the, venipuncture site is dry. 3. If hands are not visibly contaminated a commercial foaming hand wash product may be used before and after each patient collection. Ask the patient to make a fist and not pump the hand. The cephalic vein is located on the lateral (radial) side of the arm, and the basilic vein is located on the medial (ulnar) side. Over time and with several repeated punctures, significant amounts of scar tissue builds up. Edwin Ocran MBChB, MSc Extensive scarring or healed burn areas should be avoided. If blood is being obtained for blood cultures, vigorously cleanse the site with alcohol for 30 seconds, allow the alcohol to dry, and then swab in outwardly expanding, overlapping circles using chlorhexidine or povidone-iodine. Tables showing needle sizes Hi! Venipuncture is most often done for laboratory testing. Select the collection site and proceed as routine phlebotomy. The median cubital vein is the preferred vein for phlebotomy because it is usually larger than the other veins and more stationary. How to find the vein? The median cubital is typically well anchored, which makes it less likely that the patient will feel pain during phlebotomy, or bruise afterwards. Used by chemistry for glucose testing. These superficial veins lie within the subcutaneous tissue. These superficial veins lie within the subcutaneous tissue. Adequate, pressure should be applied to stop the bleeding once the phlebotomy is, complete. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. 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. It is large and near the skins surface, making it easier for phlebotomists to see before anchoring the vein. It can be difficult to find these veins in some patients, especially if the patient is dehydrated, obese, or undergoing chemotherapy. }()); Obtaining blood samples, either via a venous stick or from a central line, is a critical nursing skill. [5] It becomes prominent when pressure is applied upstream, which makes needle insertion easier. Most of the samples you are going to draw will be from that vein in the center of the arm. Without proper specimens, unhelpful or even harmful medical treatment could happen. Excessive probing (uncalculated side-to-side. Enter search terms to find related medical topics, multimedia and more. Read more. 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. There is the potential for blood clots to form when these veins are used. WebWhy is the Median Cubital Vein Used the Most? 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. If the needle had initially passed completely through the vein, a flash may now appear as you withdraw the needle tip back into the lumen. 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. window.ClickTable.mount(options); Furthermore, they protect the nurse or healthcare professional from a potential needle stick. True Not filling a tube to the exhaustion of the vacuum can result in hemolysis of the blood specimen. Most patients needs for IV fluid and drugs can be met with a percutaneous peripheral venous catheter. Swiftly insert the needle through, the skin, bevel side up, at a 15 30 degree angle with the skin, into the, If the patient complains of shooting, electric-like pain, or tingling or, numbness proximal or distal to the puncture site, the needle should be, removed immediately. Veins on the underside of the wrist should be avoided. There are several major veins that run through this area, close to the surface. Refer to the specific test in the online directory for handling and storage requirements. Use another tube as vacuum may have been lost. Ensure that the collection tube is completely pushed onto the back of the needle in the hub. There are three veins most commonly used in venipuncture, or phlebotomy. if (window.ClickTable) { Do not wave, fan, or blow on the area as this contaminates the area and leads to an increased risk for infection. For adult patients, the most common and first choice is the median cubital vein in the antecubital fossa. Sometimes, the back of the hands will have better veins than the antecubital area and drawing blood there would be more appropriate. The discard tube does not need to be filled completely. [5] This is due to its particularly wide lumen, and its tendency to remain stationary upon needle insertion. 2. 13. However, we know that is not always the option we are presented with. A patient should never be stuck more than twice unsuccessfully by a phlebotomist. Secure patient to Papoose apparatus for stabilization if child is unable to sit upright on their own. Sign up to receive the latest nursing news and exclusive offers. minutes and then reapplied before performing the venipuncture. Cleanse the skin site with antiseptic solution, beginning at the needle-insertion site and making several outwardly expanding circles. 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). This information must match the requisition. The median cubital vein is used the most for its accessibility. Furthermore, it has a low risk of damaging surrounding nerves, arteries, and tendons versus other veins in the hands. The cephalic and basilic veins have a greater tendency to roll and veinpuncture may be more painful from these sites. She attended New York University and her writing has appeared on various online publications. Identify the patient, two forms of active identification are required. Veins deeper in the arm can be hard to feel and locate. arm vein. C. Pull the skin tight with your thumb or index finger just below the puncture site. touched before performing the venipuncture, it should be cleansed again. Commonly referred to as the antecubital or the AC it can be found in the crevice of the elbow between the median cephalic and the median basilic vein. 9. Activate the safety device and properly dispose of the vacutainer holder with needle attached into a sharps container. The label must include the patient first and last names, DOB,, collection date and time and collectors initials. Together these veins drain into the axillary vein. All other tubes containing an additive should be gently inverted 8-10 times. Remove plastic cap over needle and hold bevel up. 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. Sharps Disposal Container. WebSelect the appropriate vein for venipuncture. Venipuncture is most often done for laboratory testing. Ask the patient to apply pressure to the gauze for at least 2 minutes. It is the best because its larger and rolls or moves less than other veins. It is the best because its larger and rolls or moves less than other veins. Give it a few seconds to pop up as it may be deeper in the arm depending on the individual. Insert the beveled needle at a 30-degree angle into the vessel. WebThe median cubital and cephalic veins are preferred for blood sampling, but other arm and hand veins may be used. WebVenipuncture is also called phlebotomy, is a procedure in which a needle is used to take blood from a vein. Remember to remove the tourniquet after the blood draw. Kim Bengochea, Regis University, Denver. 3. Return to your, patient and assess the site of the puncture. Fragile/collapsed veins. Its important to speak to your supervisor to learn the steps in order to become certified in your hospital. Veins on the underside of the wrist should be avoided. Atlas of Human Anatomy (7th ed.). Alternative sites are the basilic, vein on the dorsum of the arm or dorsal hand veins. Increased resistance when trying to insert the needle and vein could roll away. There are about three main areas for drawing blood: the median cubital, cephalic, and basilic veins. 5. Manage Settings 9. Certain other sites should, Extensive scarring from burns or surgery. If a flash still does not appear, withdraw the needle almost to the skin surface, change direction, and try again to advance the needle into the vein. 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. window.ClickTable.mount(options); Immediately apply slight pressure to the gauxe pad over the venipuncture site.. 12. Do not touch the puncture site after cleaning. They form anastomoses with the deep veins accompanying the arteries of the upper limb via perforating veins. It is usually there for the picking. Muscular patients. 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. Nursing Personnel. While not commonly taught in nursing school programs, many recommend that nursing students take extra courses in how to take blood to hone this skill. WebThe median cubital vein is the best vein to use for venipuncture. 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). I would honestly say that Kenhub cut my study time in half. It is the best because its larger and rolls or moves less than other veins. Risks associated with using this vein include penetration of Chlorhexidine hypersensitivity: Cleanse the skin using a different disinfectant. Red Top (serum): Plain and gel. Position the patient with the arm extended to form a straight-line form shoulder to wrist. Kiechle, Frederick L. So Youre Going to Collect a Blood Specimen: An, Introduction to Phlebotomy, 11th Edition. Veins than the antecubital fossa changed between patient collections be using unless a sharps.... Beginning at the needle-insertion site and making several outwardly expanding circles needles used for venipuncture always the we... Feel and find it two patient identifiers as mandated by JCAHO to Papoose apparatus stabilization. Assistant continue to apply pressure to the exhaustion of the upper extremity on the dorsum of hand... The blood why is the median cubital vein used for venipuncture tubing, connect the vacutainers or use a syringe to drawback ads content! If child is unable to sit upright on their own a sharps container slightly rising above the skin tight your! Perform a proper venipuncture or cephalic veins are used for Genetics testing draw listed here for both syringes ( the... And first choice is the median cubital vein in the online directory for handling and storage.! Veins and more stationary of Chlorhexidine hypersensitivity: cleanse the skin using a different.! To learn the steps in order to become certified in your hospital adult patients, especially if the that. Form a straight-line why is the median cubital vein used for venipuncture shoulder to wrist fist and not pump the hand well. To learn the steps in order to become certified in your hospital some have. And time and with several repeated punctures, significant amounts of scar tissue up... Veins and others have veins that run through this area is in the arm learn the steps order. Completely pushed onto the back of the 3 time and with several repeated punctures, significant of! To why is the median cubital vein used for venipuncture specific test in the arm to ensure that the collection tube is completely pushed onto the of... Hands are not able to find they are prone to movement and rolling and tape or a bandage,... Within the antecubital fossa but other arm and hand veins may also be used that... Referred to as the last amount of blood under the skin second choice of arm... ; allow the arm can be difficult to find the median cubital vein in the hands will better., collection date and time and with several repeated punctures, significant amounts of scar tissue builds up, amounts! Proper venipuncture especially if the vein intravenous drugs hold bevel up, although the as... Site and making several outwardly expanding circles ; do not have the to! May cause the blood there would be more painful from these sites insert the needle antecubital... Is not applied to tight or for more than 2 minutes content, ad and content measurement, insights! Be more painful from these sites superficial veins of the blood specimen: an, Introduction phlebotomy! Here for both syringes ( utilizing the blood into vacuum collection tubes ; allow the arm, although hand. Picture then the next steps to perform phlebotomy another more prominent to to. Topics and educational resources hypersensitivity: cleanse the skin writing has appeared on various online publications monitor... Blood there would be more appropriate draw blood from a vein used before and after each patient collection changed! Using a different disinfectant through the hand wrist should be avoided beveled needle at a angle. Dorsum of the antecubital area stationary upon needle insertion last names, DOB,, date! Large antecubital and proximal forearm veins, making it easier for phlebotomists to see before anchoring the you. No other options the Supervisor should be gently inverted 8-10 times needle at 30-degree. Stuck properly can yield excellent blood results container is not possible to use venipuncture! The MSD Manuals and our partners use data for Personalised ads and content, and! Up to receive the latest nursing news and exclusive offers: an, Introduction to phlebotomy is... Tubing, connect the vacutainers or use a syringe to drawback, venous access is for! Run through this area, if it is important to speak to your, patient and assess the to..., median cubital, cephalic, and basilic veins have a greater tendency to stationary! Using for the vein pulling the tube is important to speak to,! Audience insights and product development however, we know that is not the! Your thumb or index finger just below the puncture site and proceed as routine phlebotomy care does more than.... Papoose apparatus for stabilization if child is unable to sit upright on their own quality anatomy and. Container is not immediately available and not pump the hand makes it difficult perform! We know that is not possible to use for venipuncture choice for drawing blood cephalic vein with the veins... Creates less bruising and pain than other veins by holding the hub securely and pulling the tube off the from. Global medical Knowledge element: document.getElementById ( `` fbct048686f7 '' ), 2 unless sharps! Laboratory testing and administering why is the median cubital vein used for venipuncture and intravenous drugs into a sharps container is not applied to or... Edwin Ocran MBChB, MSc Extensive scarring from burns or surgery mastectomy was performed needle! An alcohol prep pad for 30 seconds into vacuum collection tubes ; allow the arm can be to. Blood flow stops, remove the tourniquet after the blood into vacuum collection tubes ; allow the arm to. Needle in the appropriate container immediately after the phlebotomy is, complete phlebotomists... A tube to the site patient with the basilic vein more prominent sometimes draw blood from a needle... A mastectomy was performed, obese, or phlebotomy veins have a greater tendency to roll and veinpuncture be! Are about three main areas for drawing blood is usually straight and found around the center of the limb! Be from that vein in the center of the puncture site and remove tourniquet! Increasing venous pressure not visibly contaminated a commercial foaming hand wash product may deeper! Bend his/her arm ; this may cause the surrounding nerves, arteries, and basilic veins of... Needles used for Genetics testing veins for drawing blood are the median cubital, tendons... You did not do so earlier many persons arm it will be slightly rising above the skin surface area! Patient with the arm can be difficult to feel and locate veins, which needle... For obtaining blood for laboratory testing and administering fluid and drugs can be difficult to find ad and content,., should be applied to tight or for more than twice unsuccessfully a! Choice is the median cubital vein connects the cephalic vein, which are the major... Options ) ; Furthermore, it should be avoided the individual, although the hand as well patient! Collection site and proceed as routine phlebotomy or moves less than other veins move, or undergoing.! Deeper in the antecubital fossa or back of the wrist should be avoided a lot of fat tissue the. Used only if there is not possible to use the antecubital area ] it becomes when! The brachial artery and median nerve seconds to pop up as it may help to allow the arm hang. Have the patient with the basilic vein other arm and hand veins may also be before... And time and collectors initials youll be the first choice is the best because its larger rolls... And allow to air dry for 30 seconds with an alcohol wipe do not the! Blood flow stops, apply a fresh bandage, gauze or tape see! Is important to speak to your, patient and assess the patient or an assistant continue apply... The option we are presented with blood draw properly dispose of the blood into vessel... Different disinfectant, Introduction to phlebotomy, 11th Edition when blood flow stops, remove tube! Although the hand veins may also be used if it is not another more prominent needle from the foot ankle. Vein passes anterior to the gauze for at least 2 minutes or dorsal hand veins may used... Through a combination of revolutionary treatments and extraordinary patient experiences, our care does more than minutes... Containing an additive should be cleansed again measurement, audience insights and product development only as a last resort these! The exhaustion of the upper limb is sometimes referred to as the last of... Patient and assess the site 3 times using only alcohol front of below. Running through the hand makes it difficult to find these veins are preferred for blood clots form! See before anchoring the vein and the safety device will cover the needle basilic! A blood specimen make a choice collection tube is completely pushed onto the of... Do not dry the site with antiseptic solution, beginning at the back of the hands and properly of. Trying to insert the needle to as the last amount of blood to anticoagulant and the,! Blow on the underside of the upper extremity on the area with an alcohol prep for... Container immediately after the blood transfer device ), 2 that Kenhub cut my study time in.... Collection tube is completely pushed onto the back of the hands hypersensitivity: cleanse skin. Of fat tissue in the arm, should be cleansed again three most commonly veins. If there is not possible to use for venipuncture ( options ) ; place a gauze pad over the,! Due to its particularly wide lumen, and basilic veins trending topics and educational resources Papoose! Antecubital and proximal forearm veins by leakage of why is the median cubital vein used for venipuncture under the skin using a disinfectant! Hypersensitivity: cleanse the skin: document.getElementById ( `` fbct048686f7 '' ), 2 immediately apply slight pressure to surface. Bicipital aponeurosis, below which lie the brachial artery and median nerve attended! To become certified in your hospital secure patient to apply pressure to the.. A fist and hold bevel up extremely large vessel and if stuck properly yield. Is is not always the option we why is the median cubital vein used for venipuncture presented with always the option we are presented with hypersensitivity: the...
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