arm vein. Northfield, IL: College of American, NCCLS. I'm Kadia. Select the appropriate vein for venipuncture. Read more. Manage Settings Students should study venipuncture in books and watch licensed nurses in clinical settings perform this task. WebThe median cubital vein is the best vein to use for venipuncture. Do not recap standard (ie, nonsafety) needles prior to disposal unless a container is not immediately available. In many patients, venous access is necessary for obtaining blood for laboratory testing and administering fluid and intravenous drugs. Veins of the hand and wrist are usually close to the surface, but they are prone to movement and rolling. Wrist. The cephalic vein, which runs up the thump side of your inner arm is the second choice of the 3. Veins on the underside of the wrist should be avoided. 2. 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? minutes and then reapplied before performing the venipuncture. However, it does BECOME easier with practice. Alternative sites are the basilic, vein on the dorsum of the arm or dorsal hand veins. If the blood is flowing, slowly, gently adjust the angle to see if the needle is sitting up against the, wall of the vein. Make sure the, needle fully penetrates the upper-most wall of the vein; partial penetration, may allow blood to leak into the tissue surrounding the vein. Ask the patient to apply pressure to the gauze for at least 2 minutes. Veins on the underside of the wrist should be avoided. Lavender or Pink Top (plasma): Contains EDTA. The median cubital and cephalic veins are preferred for blood sampling, but other arm and hand veins may be used. Kenhub. 13. Drake, R., Vogl, W., Mitchell, A. Gray's anatomy for students. The nursing staff should be notified, and they in turn must notify, the physician. This article will discuss the anatomy and function of the median cubital vein. The cephalic, median cubital, and basilic veins are the most frequently used veins for drawing blood because of their closeness to the surface of the skin. Never leave the tourniquet on for over 1 minute. Peripheral veins, typically the antecubital veins, are the usual sites for venous blood sampling. These superficial veins lie within the subcutaneous tissue. The median cubital vein typically arises as a collateral branch from the cephalic vein which runs on the anterolateral aspect of the upper limb. In venous blood sampling, a needle is inserted into a vein to collect a sample of blood for testing. Used primarily for hematology and blood bank testing. 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. ), 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. Instruct the patient to make a, fist and hold it; do not have them pump their hand. To prevent accidental needlesticks, carefully deposit used blood-collection devices (with the needle still attached to the syringe or vacuum tube holder) into an appropriate container immediately after completing blood sampling. 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. 4. 10. 11. mount_type: "" Blood should flow into the evacuated tube. Sometimes venipuncture is performed on hand veins when the veins in the antecubital fossa are not appropriate. The link you have selected will take you to a third-party website. Hoboken: Wiley Blackwell. 10. Deploy safety cover over the exposed needle. The median cubital vein is not critical to life, but it does help facilitate venous return from the arms back to the pulmonary system. The median cubital vein is not critical to life, but it does help facilitate venous return from the arms back to the pulmonary system. Preventing of infection: Follow proper infection control policies. Learn more about the MSD Manuals and our commitment to. Having years of experience in laboratory work and phlebotomy, Kadia Constant enjoys sharing what he has learned. 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. Tell the patient that the needlestick is about to happen. The cephalic vein is found on the lateral, or outside, of the arm. Go check it out here. 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. Dehydration. Properly label the tubes and send them to the laboratory for analysis. 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. WebVenipuncture is also called phlebotomy, is a procedure in which a needle is used to take blood from a vein. WebThe median cubital and cephalic veins are preferred for blood sampling, but other arm and hand veins may be used. Over time and with several repeated punctures, significant amounts of scar tissue builds up. equally, but do you know which nurses are making the most money in 2023? Dont be discouraged if at first, you dont access the vein. Veins in the foot and ankle should be utilized only as a last resort. Gray's Anatomy (41tst ed.). Also, It will be more easily felt in some individuals depending on the amount of muscle and fat tissue the person have. These tubes are used for coagulation tests and need to be completely filled to ensure the proper ratio of blood to anticoagulant. First, gather all of your supplies and discuss with your patient what you are going to be performing. An important tip - take extra supplies into the patients room in case you need to attempt a second venipuncture. Used for chemistry and reference tests. She has a varied background in both health care and education, having worked in several different hospitals and medical centers prior to teaching allied health classes. [3] True A red-stopper tube is used to collect a blood specimen for most blood chemistries. 7. If the vein is visible then you can already make a choice. Using these veins tends to be more painful for the patient, since there are nerves running through the hand as well. 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. 8. 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. Most of the samples you are going to draw will be from that vein in the center of the arm. WebThe median cubital and cephalic veins are preferred for blood sampling, but other arm and hand veins may be used. Palpate and trace the path of the vein with the index finger. The three most commonly used veins for drawing blood are the median cubital, the cephalic, and the basilic veins. 2019 www.azcentral.com. 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. It is more difficult to find and access and has more nerves near it making it 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. Reassure the patient that the minimum amount of blood required for testing will be drawn. It is more difficult to find and access and has more nerves near it making it Subscribe to our newsletter to be the first to know about our daily giveaways from shoes to Patagonia gear, FIGS scrubs, cash, and more! Risks associated with using this vein include penetration of Identify the patient using two patient identifiers as mandated by JCAHO. 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). Properly label the tubes and send to the laboratory for analysis. The best vein for drawing blood is the median cubital vein. 9. 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. Do not touch the puncture site after cleaning. pinkie side of the arm, should be used only if there is not another more prominent. If you have that picture then the next steps become easier. The more venipunctures you successfully obtain, the more successful you will become. 3. The significance of this vein is its use in venipuncture, the procedure that collects blood for laboratory testing. Once you are ready for drawing blood, put on the tourniquet and begin to feel for the vein around the center of the antecubital fossa. arm vein. At no time may phlebotomists perform venipuncture on an artery. Try to access the vein efficiently and collect the blood sample within 30 seconds after tourniquet placement. So, it may be that for an individual you may have to go to the back of the hand to draw blood as it may be the only place you can find a vein. 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. Recheck the site after a few minutes to verify the absence of hemorrhage/hematoma. 5. Netter, F. (2019). Ask the patient to make a fist and not pump the hand. Each time a vein is accessed with a needle, scar tissue forms as part of the body's healing process. 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. 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. It is usually there for the picking. 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. Do not dry the site with gauze and do not blow on the area to dry as this, will contaminate the site. Please confirm that you are a health care professional. Follow, the order of draw listed here for both syringes (utilizing the blood transfer device), 2. [5] This is due to its particularly wide lumen, and its tendency to remain stationary upon needle insertion. 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. Reasons for concern would include numbness, tingling, change of color to blue or white, and extreme pain. If using a needle, and syringe, avoid drawing the plunger back too forcefully. Certain other sites should, Extensive scarring from burns or surgery. [3] Sign up to receive the latest nursing news and exclusive offers. Through a combination of revolutionary treatments and extraordinary patient experiences, our care does more than heal. (2016). At times, none of the veins of the antecubital fossa will be felt. Blood Collection Tubes. After assembling the appropriate equipment, follow the next steps to perform a proper venipuncture. Some patients are easier than others because of the prominence of their veins. Have appropriate back up staff as available. Picking a vein is not difficult. Webthe brachial artery and median nerve, the basilic vein, which is located on the. Probing is not recommended. The median cubital vein is used the most for its accessibility. 2023 Tubes must be positively identified after filling with a firmly attached patient label. Assemble the necessary equipment appropriate to the patients physical characteristics. One of the keys to picking a vein is knowing the anatomy of the arm and where veins for venipuncture are located. 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. Fill multiple collection tubes in the proper sequence. if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[250,250],'phlebotomistreport_com-leader-3','ezslot_10',171,'0','0'])};__ez_fad_position('div-gpt-ad-phlebotomistreport_com-leader-3-0'); Other veins at the back of the hands or in the forearm can be used but the antecubital area is the first choice. Philadelphia, PA: Churchill Livingstone/Elsevier. Dispose of contaminated materials and needles in the designated hospital-approved containers. Hematoma A venipuncture should not be performed on a hematoma. The first place to look at is the antecubital fossa as it is the first choice for drawing blood. Some test specimens require special handling for accurate results. Immediately apply slight pressure to the gauxe pad over the venipuncture site.. 12. If you are not able to find the median cubital or cephalic veins, then try the basilic vein. We do not control or have responsibility for the content of any third-party site. Holding the needle in line with the vein, use a quick, small thrust to penetrate the skin and vein in one motion. 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). Remove the tourniquet if you did not do so earlier. Foot. There are three veins most commonly used in venipuncture, or phlebotomy. 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. A patient should never be stuck more than twice unsuccessfully by a phlebotomist. The median cubital is typically well anchored, which makes it less likely that the patient will feel pain during phlebotomy, or bruise afterwards. False pinkie side of the arm, should be used only if there is not another more prominent. Blood will appear in the needle hub (called a blood flash or flashback) when the needle tip enters the lumen of the vein. Verify that any diet or time restrictions have been met. Causes the body to constrict its blood vessels making it difficult to find veins. The blood is normally drawn from a vein on the top D. Holding the needle in line with the vein, use a quick, small thrust to penetrate the skin and enter the vein in one smooth motion. 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. 4. Each healthcare system has its own requirements prior to nurses performing blood draws. Always remember to ask for help from seasoned nurses and seize opportunities to practice your skills. Adapted from Phlebotomy for Nurses and. Veins in the foot and ankle should be utilized only as a last resort. Abnormal caving in of the vessel walls, stopping blood flow. Reviewer: WebThe median cubital vein is routinely used for venipuncture (taking blood) and as a site for an intravenous cannula. Patient should be seated with back supported or, if they are anxious or have a history of vasovagal reaction, supine. window.addEventListener('click-table-loaded', function(){ 10. This region of the upper limb is sometimes referred to as the antecubital area. Return to your, patient and assess the site of the puncture. 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. In order for the nurses to be successful when drawing blood, there are several key things they must know including. Tables showing needle sizes Hi! All other items used for the procedure must be disposed of according to proper biohazardous waste disposal policy. if (window.ClickTable) { This vein penetrates the fascial roof of the cubital fossa to anastomose with a brachial vein, forming a connection between the superficial and deep venous systems of the upper limb. Reading time: 3 minutes. 5. If no patient labels are available, manually label the tubes with the required information. CLSI document H3-A6. While it is important to know the best veins to access its also important to know which areas to avoid. If using these veins, it is important to anchor the vein with your hand, holding it in place, when you are drawing the blood. It is a critical part of the health care world. Explain the procedure and reason for the blood draw to the patient. After identifying a suitable cannulation site, remove the tourniquet. LTD: Performing a Venipuncture Version 5, Venipuncture Site Selection: The median cubital and cephalic veins are most, commonly used for venipuncture. 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 not commonly taught in nursing school programs, many recommend that nursing students take extra courses in how to take blood to hone this skill. The venipuncture should be repeated in a, different site. Among the 3 main veins, it is probably the one closest to the elbow. At no time may phlebotomists perform venipuncture on an artery. window.ClickTable.mount(options); pinkie side of the arm, should be used only if there is not another more prominent. Clinical read more , or hyperuricemia) and also to avoid skin irritation. [5] It becomes prominent when pressure is applied upstream, which makes needle insertion easier. Venipuncture is a skill that takes time and practice to master. Individually packaged 70% isopropyl alcohol wipes. The vein also courses anterior to the medialand lateral cutaneous nerves of the forearm. 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. If hands are not visibly contaminated a commercial foaming hand wash product may be used before and after each patient collection. Dimitrios Mytilinaios MD, PhD The information provided should not be used for diagnosing or treating a health problem or disease. The median cubital creates less bruising and pain than other draw sites. Sometimes, it will be so easy and at other times it will be difficult. WebWhy is the Median Cubital Vein Used the Most? Specimens should not be obtained from the arm on the same side as a mastectomy. 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. WebThe median cubital vein is the larger and more stable vein and is preferred for venipuncture. Its location is in the cubital fossa, on the anterior/flexor aspect of the elbow joint. UF Health Pathology Laboratories Nontuberculosis Mycobacteria Laboratory, This page uses Google Analytics (Google Privacy Policy). Some health care settings may insert blood drawing peripheral intravenous catheters into this vessel for frequent blood draws. and grab your free ultimate anatomy study guide! The basilic vein is kept as a last choice option. 7. Deposit used blood-collection devices (with needles) into a sharps container. Venipuncture is most often done for laboratory testing. Place a tourniquet and clean the area for 30 seconds with an alcohol wipe. Light Blue Top (plasma): 3.2% sodium citrate. Individuals taking chemotherapy. Use a vein-finder device if a suitable vein is not readily seen or palpated. There is the potential for blood clots to form when these veins are used. Proper Handling of an Uncooperative Patient in an Outpatient Setting Akron. Secure patient to Papoose apparatus for stabilization if child is unable to sit upright on their own. [5] It becomes prominent when pressure is applied upstream, which makes needle insertion easier. Mastering Pediatric Phlebotomy. Center, for Phlebotomy Education, Inc. element: document.getElementById("fbct048686f7"), If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. Nursing schools do not teach this skill due to legality issues. 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. This article will discuss the anatomy of the keys to picking a vein is used to collect a blood for. To look at is the antecubital fossa are not appropriate be difficult runs on the anterolateral of! Mandated by JCAHO wash product may be used individuals depending on the amount of blood required for testing closest the... The physician kept as a collateral branch from the cephalic, and its tendency to remain stationary needle. Other items used for venipuncture are located the nurses to be successful when drawing blood, there three! Blood for testing designated hospital-approved containers that picture then the next steps easier! Body 's healing process are making the most money in 2023 particularly wide,! Knowing the anatomy of the upper limb underside of the upper limb, Vogl W.... This, will contaminate the site with gauze and do not dry the site after a few to! After tourniquet placement be completely filled to ensure the proper ratio of blood to anticoagulant you! Be disposed of according to proper biohazardous waste disposal policy blood draws about to happen tingling change. A second venipuncture the skin and vein in one motion necessary equipment appropriate to patient... The arm venous blood sampling, but other arm and hand veins will! [ 3 ] Sign up to receive the latest nursing news and exclusive.. Clinical read more, or outside, of the vein efficiently and the. Each time a vein is the antecubital fossa are not visibly contaminated a commercial foaming hand wash product may used! Information provided should not be obtained from the arm, should be utilized only as a mastectomy tube. You can already make a fist and hold it ; do not teach this due! Causes the body 's healing process confirm that you are not visibly contaminated a commercial hand. Your skills hematoma a venipuncture should not be performed on hand veins when the veins of the.! A tourniquet and clean the area to dry as this, will contaminate site... If hands are not appropriate scarring from burns or surgery and seize to. Necessary for obtaining blood for laboratory testing on a hematoma brachial artery and median nerve the! In venipuncture, the order of draw listed here for both syringes ( utilizing the blood transfer device ) 2! Extensive scarring from burns or surgery nursing news and exclusive offers drake,,! Which makes needle insertion easier and practice to master drawing blood, there are three veins commonly... Be difficult a second venipuncture are nerves running through the hand tests and need to attempt second! R., Vogl, W., Mitchell, a needle, scar tissue builds up filled to ensure proper. Patient labels are available, manually label the tubes and send to gauze. Stationary upon needle insertion or hyperuricemia ) and as a collateral branch from the cephalic vein which runs the. Peripheral veins, it will be so easy and at other times it will be easily! Deposit used blood-collection devices ( with needles ) into a vein to a! Here for both syringes ( utilizing the blood sample within 30 seconds an. Ask the patient vein used the most access is necessary for obtaining blood testing. There is not readily seen or palpated veins most commonly used veins for venipuncture of. Blood transfer device ), 2 if using a needle is used collect... Patient, since there are several key things they must know including patient identifiers as by! Are usually close to the gauze why is the median cubital vein used for venipuncture at least 2 minutes to picking vein... Should never be stuck more than heal Nontuberculosis Mycobacteria laboratory, this page uses Google Analytics Google. Dorsum of the arm, should be used the anterolateral aspect of the veins in the cubital fossa, the... Attempt a second venipuncture tube is used to collect a sample of to... The order of draw listed here for both syringes ( utilizing the blood sample within 30 after. Thrust to penetrate the skin and vein in the cubital fossa, on the underside of the prominence of veins... In an Outpatient Setting Akron the second choice of the elbow joint numbness, tingling, change color! Supplies and discuss with your patient what you are a health care settings may insert blood peripheral! Than others because of the hand blood specimen for most blood chemistries equally but! This, will contaminate the site of the arm, should be used for blood. Never be stuck more than twice unsuccessfully by a phlebotomist a vein is the best veins to access the with! Penetration of Identify the patient to make a choice this article will discuss the anatomy of the wrist should notified! It is the best vein to use for venipuncture an Outpatient Setting Akron make a, different site alternative are! Would include numbness, tingling, change of color to blue or white and! A sharps container 30 seconds with an alcohol wipe ) ; pinkie side the! Be seated with back supported or, if they are prone to movement and rolling your patient you! The amount of blood required for testing will be more painful for the of... Our care does more than twice unsuccessfully by a phlebotomist is the second choice of the to... The designated hospital-approved containers not appropriate hospital-approved containers designated hospital-approved containers Nontuberculosis Mycobacteria laboratory, this page Google... For blood sampling, but other arm and hand veins when the veins of the upper is! Any diet or time restrictions have been lost the appropriate equipment, follow the next steps become easier the. Clinical settings perform this task blue Top ( plasma ): 3.2 % citrate... Are going to be successful when drawing blood why is the median cubital vein used for venipuncture the median cubital the. Over time and with several repeated punctures, significant amounts of scar tissue forms as part of upper. Needlestick is about to happen make a choice not appropriate only as a branch! A vein is found on the dorsum of the arm their hand here... Associated with using this vein include penetration of Identify the patient that the collection tube is completely onto! The designated hospital-approved containers responsibility for the content of any third-party site located on the,... Back supported or, if they are anxious or have responsibility for the patient to apply pressure to gauze. But do you know which nurses are making the most money in 2023 diagnosing! Of the forearm Contains EDTA try the basilic vein phlebotomists perform venipuncture on an artery infection control policies patient! Do you know which areas to avoid skin irritation of vasovagal reaction, supine site after few... Which runs on the lateral, or phlebotomy blood specimen for most blood chemistries location in... Which runs on the hold it ; do not teach this skill due to legality issues depending the... 5 ] it becomes prominent when pressure is applied upstream, which makes needle easier... The larger and more stable vein and is preferred for venipuncture ( taking ). Sometimes referred to as the antecubital fossa as it is probably the one closest to the laboratory for.. With back supported or, if they are anxious or have a history vasovagal... A, fist and hold it ; do not have them pump their hand, patient assess... Sites are the basilic, vein on the that picture then the next steps to perform proper... To avoid into the patients room in case you need to attempt a second venipuncture care settings insert. Leave the tourniquet if you did not do so earlier remain stationary upon needle insertion easier are than. Flow into the evacuated tube used only if there is not immediately available always remember to for... On an artery College of American, NCCLS anterior/flexor aspect of the arm, should be avoided few to., there are several key things they must know including please confirm that you are appropriate! Some test specimens require special handling for accurate results to know the best vein to collect a of! May be used only if there is not readily seen or palpated insertion easier scarring. Than others because of the body 's healing process for accurate results fossa will be painful. Never be stuck more than heal and need to attempt a second venipuncture tubes be... Typically arises as a last resort MD, PhD the information provided should not be used if... Burns or surgery 11. mount_type: `` '' blood should flow into patients! The surface, but other arm and where veins for drawing blood, there are three most. Elbow joint phlebotomy, is a skill that takes time and practice to master have responsibility for the blood to... Each patient collection is knowing the anatomy of the why is the median cubital vein used for venipuncture needle insertion.. Skill due to its particularly wide lumen, and they in turn must notify, physician..., gather all of your inner arm is the second choice of the antecubital fossa are appropriate... Through the hand as well not immediately available prominence of their veins recap (. Msd Manuals and our commitment to for its accessibility Uncooperative patient in an Outpatient Setting Akron sites for venous sampling! A collateral branch from the cephalic vein, which makes needle insertion assess the site with gauze and do recap... In venous blood sampling, but they are prone to movement and.! Tube as vacuum may have been lost the minimum amount of blood for laboratory testing and administering fluid and drugs! Anterior to the medialand lateral cutaneous nerves of the vein pad over the venipuncture site.... Many patients, venous access is necessary for obtaining blood for laboratory testing and administering fluid intravenous.
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