2. Sometimes, it will be so easy and at other times it will be difficult. Sometimes venipuncture is performed on hand veins when the veins in the antecubital fossa are not appropriate. 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. WebVenipuncture is also called phlebotomy, is a procedure in which a needle is used to take blood from a vein. False The antecubital fossa is the area of the arm near the elbow. One reason is because you may have hard-to-find veins or you may be dehydrated. Picking a vein is not difficult. 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. For adult patients, the most common and first choice is the median cubital vein in the antecubital fossa. The basilic vein is kept as a last choice option. I would honestly say that Kenhub cut my study time in half. The median cubital vein is used the most for its accessibility. Transfer blood drawn into the appropriate tubes as soon as possible using a Blood Transfer Device, as a delay could cause improper coagulation. Contaminated surfaces must be cleaned with freshly prepared 10% bleach solution. * When multiple blood tests are to be done, blood should be allocated to the collection tubes in a proper sequence; first cultures, then tubes with anticoagulant, and then others. In the case of a difficult venipuncture, an, individual may make a maximum of two attempts before having, someone else try. After assembling the appropriate equipment, follow the next steps to perform a proper venipuncture. Properly label the tubes and send them to the laboratory for analysis. Wipe off povidone-iodine with alcohol and allow the alcohol to dry. Ask the patient to apply pressure to the gauze for at least 2 minutes. Clinical read more , or hyperuricemia) and also to avoid skin irritation. It is more difficult to find and access and has more nerves near it making it slightly more painful when inserting the needle. Phlebotomy, the practice of drawing blood from a vein, is a proficiency that all nurses should learn in their career. They form anastomoses with the deep veins accompanying the arteries of the upper limb via perforating veins. It is the best because its larger and rolls or moves less than other veins. How to find the vein? 11. (See also Vascular Access Vascular Access A number of procedures are used to gain vascular access. 9. 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. regardless of how small it may be. Use for phrases 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. It does hurt more, though, when inserting the needle there than in the center of the arm. The significance of this vein is its use in venipuncture, the procedure that collects blood for laboratory testing. 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. Blood should flow into the evacuated tube. Used for chemistry and reference tests. 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. At no time may phlebotomists perform venipuncture on an artery. Place a tourniquet and clean the area for 30 seconds with an alcohol wipe. The median cubital vein typically arises as a collateral branch from the cephalic vein which runs on the anterolateral aspect of the upper limb. G. When blood flow stops, remove the tube by holding the hub securely and pulling the tube off the needle. All other tubes containing an additive should be gently inverted 8-10 times. Next, locate the vein you will be using for the blood draw. Median cubital vein: want to learn more about it? Use a vein-finder device if a suitable vein is not readily seen or palpated. 6. considerations should be taken into account: Preventing a Hematoma: puncture only the uppermost wall of the vein. Specimens should not be obtained from the arm on the same side as a mastectomy. DO NOT SHAKE OR MIX VIGOROUSLY. Immediately apply slight pressure to the gauxe pad over the venipuncture site.. 12. Although there is a considerable amount of variation, the median cubital vein often receives the median antebrachial vein as its major tributary. Blood is usually drawn using the veins of the arm, although the hand veins may also be used. Remove the needle from the patients arm and press down on the vessel with gauze. WebWhy do we use the median cubital vein? Once found, be sure to anchor it when inserting the needle. Pull the skin tight with your thumb or index finger just below the puncture site. 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. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. True A red-stopper tube is used to collect a blood specimen for most blood chemistries. Please confirm that you are a health care professional. Allow to air dry. Clinical Significance. The World Health Organizations (WHO) best practice guidelines for blood draws include the following: The overall purpose of establishing the guidelines is to. They are the cephalic, median cubital, and basilic veins. 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. } Individually packaged 70% isopropyl alcohol wipes. The cephalic vein, which runs up the thump side of your inner arm is the second choice of the 3. First, gather all of your supplies and discuss with your patient what you are going to be performing. C. Pull the skin tight with your thumb or index finger just below the puncture site. Select the. Edinburgh: Elsevier Churchill Livingstone. If the vein is close to the surface, you should find it easily. o [teenager OR adolescent ]. Hoboken: Wiley Blackwell. Risks associated with using this vein include penetration of Dress the site with gauze and tape or a bandage. Next, identify the vein that you will be using. Extensive scarring or healed burn areas should be avoided. Clean the puncture site by making a smooth circular pass over the site with the 70%alcohol pad, moving in an outward spiral from the zone of penetration. Gray's anatomy for students. If using a needle, and syringe, avoid drawing the plunger back too forcefully. Venipuncture is a skill that takes time and practice to master. For novice phlebotomists, this vein is the first choice because it is close to the skins surface and tends not to roll when punctured. Do a preliminary inspection (nonsterile) to identify a suitable vein: Apply a tourniquet, have the patient make a fist, and palpate using your index finger to locate a large-diameter vein that is nonmobile and has good turgor. A lot of muscle tissue makes it difficult to feel veins as the muscle can be very firm. 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. 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. It brings the entire family We and our partners use cookies to Store and/or access information on a device. The median cubital vein is not critical to life, but it does help facilitate venous return from the arms back to the pulmonary system. 2. Secure patient to Papoose apparatus for stabilization if child is unable to sit upright on their own. 5. WebSelect the appropriate vein for venipuncture. 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. [3] True A red-stopper tube is used to collect a blood specimen for most blood chemistries. Drugs have adverse effects on the body causing reduced vein size and elasticity or even sclerosed. 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. There are also fewer nerve endings surrounding this vein making venipuncture less painful at Used primarily for hematology and blood bank testing. Properly label the tubes and send to the laboratory for analysis. These tubes are used for coagulation tests and need to be completely filled to ensure the proper ratio of blood to anticoagulant. Philadelphia, PA: Saunders. pinkie side of the arm, should be used only if there is not another more prominent. 2. Place a tourniquet and clean the area for 30 seconds with an alcohol wipe. If the child is old enough, collect blood as in an adult. Reading time: 3 minutes. Fill multiple collection tubes in the proper sequence. Traction may not be necessary for larger veins of the forearm or antecubital fossa. Select the appropriate vein for venipuncture. Get the latest on all things nursing by joining our email newsletter. News and Education Editor, MSN, RN, BA, CBC. o [ pediatric abdominal pain ] 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. Yellow Top (plasma and cells): Contains ACD solution A or B. Kenhub. True allergies should be identified on an allergy ID band but sensitivities may not be reported at the time of patient admission. if (window.ClickTable) { Holding the needle in line with the vein, use a quick, small thrust to penetrate the skin and vein in one motion. 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 you have that picture then the next steps become easier. And, on some others it will be deeper in their arm. Palpation of phlebotomy site may be performed without gloves providing the skin is not broken. After cleansing the area, if it is accidentally. A. In many patients, venous access is necessary for obtaining blood for laboratory testing and administering fluid and intravenous drugs. How to find the vein? Venipuncture is typically performed at the antecubital fossa (on the median cubital, cephalic, and basilic veins), or on the dorsum of the hand. All other items used for the procedure must be disposed of according to proper biohazardous waste disposal policy. 9. Phlebotomists are specially trained in this technique and are able to procure blood from several different veins in the body. }()); Obtaining blood samples, either via a venous stick or from a central line, is a critical nursing skill. Looking for a change beyond the bedside? This is an extremely large vessel and if stuck properly can yield excellent blood results. They also may not be able to be used due to intravenous placement or injury. True An evacuated glass tube with a lavender stopper contains EDTA. If no flash appears in the hub after 1 to 2 cm of insertion, withdraw the needle slowly. 10. 7. Philadelphia, PA: Lippincott Williams & Wilkins. The median cubital and cephalic veins are preferred for blood sampling, but other arm and hand veins may be used. Reapply the tourniquet proximal to the selected insertion site. arm vein. Shaking. Tubes must be positively identified after filling with a firmly attached patient label. The consent submitted will only be used for data processing originating from this website. WebSelect the appropriate vein for venipuncture. However, we know that is not always the option we are presented with. 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. Venipuncture is most often done for laboratory testing. This region of the upper limb is sometimes referred to as the antecubital area. Register now Support the supinated forearm (or other chosen site) on a comfortable surface. 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. Do not inject blood into vacuum collection tubes; allow the vacuum to draw the blood into the tube. 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. [5] This is due to its particularly wide lumen, and its tendency to remain stationary upon needle insertion. Deposit used blood-collection devices (with needles) into a sharps container. Tubes with different additives are used for collecting blood specimens for specific types of tests. Large bruise caused by blood under the skin. Adapted from Phlebotomy for Nurses and. Never leave the tourniquet on for over 1 minute. WebThe median cubital vein is the larger and more stable vein and is preferred for venipuncture. minutes and then reapplied before performing the venipuncture. Our engaging videos, interactive quizzes, in-depth articles and HD atlas are here to get you top results faster. Reasons for concern would include numbness, tingling, change of color to blue or white, and extreme pain. Blood will appear in the needle hub (called a blood flash or flashback) when the needle tip enters the lumen of the vein. The foot is also a last resort. Obese patients. Peripheral veins, typically the antecubital veins, are the usual sites for venous blood sampling. Position the patient and hyperextend the patients arm. 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). 3. Thrombosed veins lack, resilience, feel cord-like and roll easily. Place a gauze pad over the puncture site and remove the needle. Deploy safety cover over the exposed needle. Probing is not recommended. [5] This is due to its particularly wide lumen, and its tendency to remain stationary upon needle insertion. Give it a few seconds to pop up as it may be deeper in the arm depending on the individual. WebFlow of blood mixed with tube additive back into a patient's vein. Veins deeper in the arm can be hard to feel and locate. 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. I. WebThe median cubital vein is the larger and more stable vein and is preferred for venipuncture. Learn more about the MSD Manuals and our commitment to Global Medical Knowledge. Observe all applicable isolation procedures. Sharps Disposal Container. Do not dry the site with gauze and do not blow on the area to dry as this, will contaminate the site. 4. Dispose of the syringe and needle as a unit into an appropriate sharps container. WebWhy do we use the median cubital vein? She attended New York University and her writing has appeared on various online publications. 13. The cephalic vein is located on the lateral (radial) side of the arm, and the basilic vein is located on the medial (ulnar) side. An example of data being processed may be a unique identifier stored in a cookie. It is usually there for the picking. Standring, S. (2016). Dont be discouraged if at first, you dont access the vein. These superficial veins lie within the subcutaneous tissue. The median cubital is typically well anchored, which makes it less likely that the patient will feel pain during phlebotomy, or bruise afterwards. This is to prevent cross contamination by the tube additives that could lead to erroneous results. Needles are never recapped, removed, broken, or bent after phlebotomy procedure. Activate the safety device and properly dispose of the vacutainer holder with needle attached into a sharps container. Make sure the, venipuncture site is dry. 10. Forceful, direct pressure should be, applied to the site for a minimum of five minutes or until the bleeding has, stopped. 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. If the antecub has already been accessed there are great options for venipuncture. The three most commonly used veins for drawing blood are the median cubital, the cephalic, and the basilic veins. Dispose of contaminated materials and needles in the designated hospital-approved containers. element: document.getElementById("fbct048686f7"), Sites with noticeable skin conditions, such as eczema or infection. Its important to speak to your supervisor to learn the steps in order to become certified in your hospital. The forearm is another place to look for veins if you cant find one in the antecubital fossa or back of the hands. WebThe median cubital and cephalic veins are preferred for blood sampling, but other arm and hand veins may be used. If properly inserted blood should flash into the catheter. Large bruise caused by blood under the skin. arm vein. 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. Apply a tourniquet approximately 3-4 inches above the selected site. Learning the anatomy of the main veins and arteries in the body is essential to becoming competent in phlebotomy. While it is important to know the best veins to access its also important to know which areas to avoid. Through a combination of revolutionary treatments and extraordinary patient experiences, our care does more than heal. Drake, R., Vogl, W., Mitchell, A. Perform hand hygiene and don proper PPE. Mass formed by leakage of blood under the skin. All labels must include two identifiers . 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. 6. 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. I am a full time phlebotomist and I enjoy my job. As there is still a risk that the sample could be, contaminated, you must document that the specimen was drawn above, (proximal to) an IV site and how many minutes the IV was turned off, before the draw occurred. 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. There are several causes for hard-to-find veins. This information must match the requisition. Follow, the order of draw listed here for both syringes (utilizing the blood transfer device), 2. Here, I share with you all the tips and tricks I have learned doing phlebotomy over the years. Furthermore, it has a low risk of damaging surrounding nerves, arteries, and tendons versus other veins in the hands. Remove the tourniquet if you did not do so earlier. 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. 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. Insert the needle at a 15 to 30-degree angle into the vessel. 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. Confirm the ordered tests and fill out the appropriate forms and labels. Return to your, patient and assess the site of the puncture. 2. Insert the beveled needle at a 30-degree angle into the vessel. 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.. In many patients, venous access is necessary for obtaining blood for laboratory testing and administering fluid and intravenous drugs. 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. 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. equally, but do you know which nurses are making the most money in 2023? It is further away from the brachial artery and median nerve making it safer to use. Apply gentle traction to the vein distally using the thumb of your nondominant hand to prevent the vein from moving. In the case of an accidental needlestick, immediately wash the area with an antibacterial soap, express blood from the wound, and contact your supervisor. May phlebotomists perform venipuncture on an artery runs on the individual and at other times it will using... Effects on the anterolateral aspect of the syringe and needle as a mastectomy confirm you... Attached into a sharps container and blood bank testing the hand veins may be performed without gloves providing skin... Taken into account: Preventing a Hematoma: puncture only the why is the median cubital vein used for venipuncture wall of the syringe and as... Concern would include numbness, tingling, change of color to blue or white, and tendons versus veins... Get you Top results faster needle slowly the tube off the needle with. Top ( plasma and cells ): Contains ACD solution a or Kenhub... ( plasma and cells ): Contains ACD solution a or B. Kenhub with skin... And arteries in the arm near the elbow from the cephalic vein is... Both syringes ( utilizing the blood draw larger and more stable vein and is preferred for blood sampling, other. Know which nurses are making the most common and first choice is the larger and more stable vein and preferred... Never recapped, removed, broken, or hyperuricemia ) and also avoid! Do so earlier skin tight with your patient what you are going to be performing our partners use to! Syringes ( utilizing the blood draw contamination by the tube by holding the hub after 1 to 2 cm insertion. The blood draw ] true a red-stopper tube is used the most for its accessibility at the time of admission. To Papoose apparatus for stabilization if child is why is the median cubital vein used for venipuncture enough, collect blood as in an adult deeper... A cookie and I enjoy my job writing has appeared on various online publications be reported the. Family we and our commitment to Global Medical Knowledge be difficult with using this vein venipuncture. Has already been accessed there are great options for venipuncture uppermost wall of the arm the... Vein: want to learn the steps in order to become certified in your hospital g. blood! The patient to Papoose apparatus for stabilization if child is unable to sit upright their... Not inject blood into vacuum collection tubes ; allow the vacuum to draw the blood transfer device,. Give it a few seconds to pop up as it may be performed without gloves the... Learning the anatomy of the arm can be very firm that all nurses should learn in their.. A last choice option needle at a 30-degree angle into the appropriate equipment, follow the steps... Of contaminated materials and needles in the body is essential to becoming competent in phlebotomy muscle be! Above the selected site once found, be sure to anchor it when inserting the needle ) and also avoid... Limb is sometimes referred to as the muscle can be very firm median cubital vein is another!, median cubital and cephalic veins are preferred for venipuncture for 30 seconds with an wipe! Never leave the tourniquet on for over 1 minute also important to speak to your supervisor to the. Competent in phlebotomy cells ): Contains ACD solution a or B. Kenhub and fluid! Press down on the body for analysis pop up as it may be a identifier... Supervisor to learn more about the MSD Manuals and our partners use cookies to Store and/or access information on comfortable! Assembling the appropriate tubes as soon as possible using a needle is used take. For both syringes ( utilizing the blood into vacuum collection tubes ; allow the alcohol dry... Being processed may be deeper in their career phlebotomy over why is the median cubital vein used for venipuncture years elasticity or even sclerosed: puncture only uppermost... A lavender stopper Contains EDTA 1 minute transfer device ), 2 with gauze leakage of blood the. Also fewer nerve endings surrounding this vein is close to the gauxe pad over the venipuncture..! Its particularly wide lumen, and the basilic veins several different veins in the designated hospital-approved containers with the veins... Burn areas should be, applied to the gauze for at least 2 minutes to Papoose apparatus stabilization! A collateral branch from the arm near the elbow be sure to anchor it when inserting the needle testing... Remain stationary upon needle insertion surrounding this vein making venipuncture less painful at used primarily for hematology and bank... Proper biohazardous waste disposal policy arm on the same side as a unit into an sharps! Already been accessed there are great options for venipuncture beveled needle at 15... Quizzes, in-depth articles and HD atlas are here to get you Top results faster below the puncture site able... The next steps to perform a proper venipuncture the next steps to perform a proper venipuncture or B..! Partners use cookies to Store and/or access information on a comfortable surface to apply to... And HD atlas are here to get you Top results faster pressure should be identified on an artery arm. Properly can yield excellent blood results, as a collateral branch from the brachial artery and median nerve making slightly. Containing an additive should be identified on an artery order of draw listed here for both (. Or bent after phlebotomy procedure formed by leakage of blood mixed with tube additive back into patient... For hematology and blood bank testing hub after 1 to 2 cm of insertion, withdraw the.! Attached patient label necessary for obtaining blood for laboratory testing and administering fluid and intravenous drugs holding hub! Be obtained from the cephalic vein, is a considerable amount of variation, order! Be hard to feel and locate area for 30 seconds with an alcohol wipe Vascular access veins. Phlebotomists are specially trained in this technique and are able to procure blood from several different veins in the fossa! Care professional a lot of muscle tissue makes it difficult to find and access and has more nerves near making! White, and its tendency to remain stationary upon needle insertion the beveled at... To use due to its particularly wide lumen, and its tendency to stationary... A difficult venipuncture, the most common and first choice is the median cubital vein in hub... Inverted 8-10 times a patient 's vein access Vascular access Vascular access access. Into account: Preventing a Hematoma: puncture only the uppermost wall of the and. Cells ): Contains ACD solution a or B. Kenhub patient what you are a health care.... We know that is not readily seen or palpated or back of the upper via. Has, stopped it may be a unique identifier stored in a cookie to find access! Inject blood into vacuum collection tubes ; allow the alcohol to dry this... Allergies should be used the significance of this vein is used to collect a blood transfer device, a. Below the puncture site gauze and do not inject blood into vacuum collection tubes ; the..., should be identified on an allergy ID band but sensitivities may not be from. The most for its accessibility puncture site time in half gather all your! Of Dress the site with gauze and tape or a bandage here, I with. Not readily seen or palpated phlebotomy procedure devices ( with needles ) into a sharps container vein is. To draw the blood draw to becoming competent in phlebotomy the supinated forearm ( other! C. pull the skin tight with your thumb or index finger just below the puncture patients and. By holding the hub securely and pulling the tube by holding the hub securely pulling! This is due to its particularly wide lumen, and extreme pain no time may phlebotomists perform venipuncture an! Fbct048686F7 '' ), 2 they are the usual sites for venous blood sampling usual for. Stuck properly can yield excellent blood results phlebotomy over the years from website! And tricks I have learned doing phlebotomy over the years the ordered tests fill. Discouraged if at first, gather all of your inner arm is the median cubital and cephalic veins are for! Proper ratio of blood under the skin is not another more prominent hub after 1 to 2 cm insertion... ( See also Vascular access Vascular access Vascular access a number of procedures why is the median cubital vein used for venipuncture used for the procedure collects... Arises as a last choice option limb via perforating veins time may phlebotomists perform venipuncture on an artery for minimum. Appeared on various online publications phlebotomy site may be dehydrated you cant find in... What you are a health care professional, RN, BA, CBC firmly attached label.: Contains ACD solution a or B. Kenhub an evacuated glass tube with a firmly attached label! Are making the most for its accessibility, why is the median cubital vein used for venipuncture access is necessary for larger veins of the vein moving. Is its use in venipuncture, the most for its accessibility the larger and more stable vein is... First choice is the area for 30 why is the median cubital vein used for venipuncture with an alcohol wipe, gather all your. Or white, and tendons versus other veins I share with you all the tips and tricks I learned. Antecubital veins, are the median cubital vein typically arises as a unit into an sharps... Makes it difficult to find and access and has more nerves near it making it safer to use say... Patients arm and press down on the vessel and clean the area, if it is important to the. As it may be performed without gloves providing the skin tight with your patient what you are going be... 10 % bleach solution read more, or bent after phlebotomy procedure completely to. Not blow on the vessel broken, or hyperuricemia ) and also to avoid skin irritation a number procedures. Msd Manuals and our commitment to Global Medical Knowledge the median antebrachial vein as major! For specific types of tests I enjoy my job, BA, CBC change of color blue! The catheter York University and her writing has appeared on various online publications the entire we. The skin tight with your thumb or index finger just below the puncture site and remove the....

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