Picking a vein is not difficult. The cephalic vein is the second choice usually, since it is fairly well anchored. Preventing of infection: Follow proper infection control policies. The blood is normally drawn from a vein on the top C. Pull the skin tight with your thumb or index finger just below the puncture site. Excessive probing (uncalculated side-to-side. Sign up to receive the latest nursing news and exclusive offers. 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. Prep the venipuncture site by cleansing the area with an alcohol prep pad for 30 seconds and allow to air dry for 30 seconds. Rolling veins. regardless of how small it may be. These superficial veins lie within the subcutaneous tissue. Tubbs, R. S., Shoja, M. M., Loukas, M., & Bergman, R. A. They form anastomoses with the deep veins accompanying the arteries of the upper limb via perforating veins. It is large and near the skins surface, making it easier for phlebotomists to see before anchoring the vein. If this does not happen then the needle has either not punctured the vein or the needle went through the vessel. 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. We've looked at programs nationwide and determined these are our top schools. True allergies should be identified on an allergy ID band but sensitivities may not be reported at the time of patient admission. The discard tube does not need to be filled completely. True An evacuated glass tube with a lavender stopper contains EDTA. Having years of experience in laboratory work and phlebotomy, Kadia Constant enjoys sharing what he has learned. [5] It becomes prominent when pressure is applied upstream, which makes needle insertion easier. Similar anastomotic connections are seen in other areas of the upper limb. 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 the best because its larger and rolls or moves less than other veins. Gray's Anatomy (41tst ed.). The antecubital fossa is the area of the arm near the elbow. If multiple tubes are needed, follow the proper order of draw. A third stick is allowable if a partial sample has been, obtained and you as the drawer feel reasonably confident that you can, When the collection is complete, remove the tourniquet and place gauze, over the venipuncture site. Place a gauze pad over the puncture site and remove the needle. Secure patient to Papoose apparatus for stabilization if child is unable to sit upright on their own. On others it will be just below the surface. 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. 13. Deep veins. 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. A patient should never be stuck more than twice unsuccessfully by a phlebotomist. Among the 3 main veins, it is probably the one closest to the elbow. If rapid local swelling occurs, blood is extravasating. WebThe median cubital vein is the best vein to use for venipuncture. Gray Top (plasma): Contains sodium fluoride/potassium oxalate. In many patients, venous access is necessary for obtaining blood for laboratory testing and administering fluid and intravenous drugs. minutes and then reapplied before performing the venipuncture. Veins in the foot and ankle should be utilized only as a last resort. Tables showing needle sizes Hi! Webthe brachial artery and median nerve, the basilic vein, which is located on the. Make sure the, venipuncture site is dry. The median cubital vein (antecubital vein) is a prominent superficial upper limb vessel. Use for phrases 7. Sometimes venipuncture is performed on hand veins when the veins in the antecubital fossa are not appropriate. It is usually easy to find as its near the surface of the skin and is usually larger than the basilic vein. If properly inserted blood should flash into the catheter. Check for any allergies or sensitivities with the patient regarding antiseptics, adhesives, or latex. Kiechle, Frederick L. So Youre Going to Collect a Blood Specimen: An, Introduction to Phlebotomy, 11th Edition. Philadelphia, PA: Saunders. For children, swab the site 3 times using only alcohol. Apply a band-aid or CoFlex to, the site. I'm Kadia. 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. Large bruise caused by blood under the skin. She attended New York University and her writing has appeared on various online publications. When using vacuum tubes, push each tube fully into the tube holder, use care to avoid dislodging the needle from the vein. [3] The cephalic and basilic veins are only used if the medial cubital vein is not felt or is damaged in some way. Observe universal (standard) safety precautions. Veins in the foot and ankle should be utilized only as a last resort. Hand veins may be used if it is not possible to use the antecubital veins. At times, none of the veins of the antecubital fossa will be felt. Na Citrate Coagulation tubes light blue top tube, 4. WebThe median cubital and cephalic veins are preferred for blood sampling, but other arm and hand veins may be used. False 4. Reasons for concern would include numbness, tingling, change of color to blue or white, and extreme pain. It is usually there for the picking. All surfaces are cleaned daily with bleach. equally, but do you know which nurses are making the most money in 2023? This is an extremely large vessel and if stuck properly can yield excellent blood results. Do not leave the tourniquet on for > 1 minute. That makes them more visible and easier to locate and feel for venipuncture. Perform good hand hygiene and don appropriate PPE. When using a syringe, pull back on the plunger gently to avoid damaging the blood cells or collapsing the vein. 7. 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. The median cubital vein is not critical to life, but it does help facilitate venous return from the arms back to the pulmonary system. Venipuncture is most often done for laboratory testing. At no time may phlebotomists perform venipuncture on an artery. 11. WebVenipuncture is also called phlebotomy, is a procedure in which a needle is used to take blood from a vein. Bergman's comprehensive encyclopedia of human anatomic variation. The cephalic vein is located on the lateral (radial) side of the arm, and the basilic vein is located on the medial (ulnar) side. For adult patients, the most common and first choice is the median cubital vein in the antecubital fossa. WebThe median cubital vein, a superficial vein that forms a connection point between the cephalic and basilic veins of the arm is large, and therefore easier to see and feel. Venipuncture is most often done for laboratory testing. 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. Reapply the tourniquet proximal to the selected insertion site. }; Increase in ratio of blood components to plasma. Burnt areas. The venipuncture should be repeated in a, different site. Moore, K. L., Dalley, A. F., & Agur, A. M. R. (2014). For adult patients, the most common and first choice is the median cubital vein in the antecubital fossa. Sometimes venipuncture is performed on hand veins when the veins in the antecubital fossa are not appropriate. At no time may phlebotomists perform venipuncture on an artery. Identify the patient using two patient identifiers as mandated by JCAHO. If you cant find a vein in those areas then you may have to employ a few techniques to help you find a vein. 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. How to find the vein? Next, locate the vein you will be using for the blood draw. If the antecub has already been accessed there are great options for venipuncture. The least best is the basilic vein. Drake, R., Vogl, W., Mitchell, A. Most times it will be big and plump but the size will vary depending on each individual. The median cubital creates less bruising and pain than other draw sites. }()); Obtaining blood samples, either via a venous stick or from a central line, is a critical nursing skill. Median cubital vein: want to learn more about it? The upper extremity on the side that a mastectomy was performed. window.ClickTable.mount(options); window.addEventListener('click-table-loaded', function(){ arm vein. 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 worn during all phlebotomies, and changed between patient collections. Phlebotomy is the act of taking a blood sample from the vein of a patient for laboratory examination and analysis. 5. The WHO has best practices that are key to preventing infection and being successful during blood draws. Over time and with several repeated punctures, significant amounts of scar tissue builds up. 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. Dimitrios Mytilinaios MD, PhD Gray's anatomy for students. The following order of draw is the approved order as established by CLSI. 5. The median cubital vein is used the most for its accessibility. We worked with CreditCards.com to help nurses find the right card to fit their lifestyle. 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. Some test specimens require special handling for accurate results. There are also fewer nerve endings surrounding this vein making venipuncture less painful at Holding the needle in line with the vein, use a quick, small thrust to penetrate the skin and vein in one motion. Perform hand hygiene and don proper PPE. Put on the tourniquet and feel for the vein. The median cubital vein is the preferred vein for phlebotomy because it is usually larger than the other veins and more stationary. WebThe median cubital vein is routinely used for venipuncture (taking blood) and as a site for an intravenous cannula. Wipe off povidone-iodine with alcohol and allow the alcohol to dry. pinkie side of the arm, should be used only if there is not another more prominent. They form anastomoses with the deep veins accompanying the arteries of the upper limb via perforating veins. Nursing schools do not teach this skill due to legality issues. Venipuncture is typically performed at the antecubital fossa (on the median cubital, cephalic, and basilic veins), or on the dorsum of the hand. 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 an extremely large vessel and if stuck properly can yield excellent blood results. All other items used for the procedure must be disposed of according to proper biohazardous waste disposal policy. 8. One reason is because you may have hard-to-find veins or you may be dehydrated. Large bruise caused by blood under the skin. 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. Additionally, these steps only apply to the adult and pediatric population and not neonates. The median cubital vein connects the cephalic and basilic veins, which are the two major superficial veins of the upper limb. I hope you find my posts helpful. In the above situations, use another site (eg, the opposite arm) for venipuncture. 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. Immediately apply pressure. The World Health Organizations (WHO) best practice guidelines for blood draws include the following: The overall purpose of establishing the guidelines is to. Shaking. It is a critical part of the health care world. 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). Insert the beveled needle at a 30-degree angle into the vessel. Assemble the necessary equipment appropriate to the patients physical characteristics. Looking for a change beyond the bedside? Presently, needles are the predominant way of getting blood drawn for blood tests. Wayne, PA: Clinical and Laboratory Standards Institute; 2007. Youll be the first to know about nursing news, trending topics and educational resources. Enter search terms to find related medical topics, multimedia and more. 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. Dispose of the syringe and needle as a unit into an appropriate sharps container. Phlebotomy, the practice of drawing blood from a vein, is a proficiency that all nurses should learn in their career. If a suitable vein is difficult to locate, try lowering the extremity and/or applying warm compresses or nitroglycerin ointment to help dilate veins. Deliver blood specimens to the laboratory promptly. Muscular patients. Follow, the order of draw listed here for both syringes (utilizing the blood transfer device), 2. When a person has veins that are hard to find or difficult to obtain a sample from, they are a hard stick. Preventing injury from improper immobilization Immobilize the patient, with care. If the child is old enough, collect blood as in an adult. When that happens it can be difficult to locate veins. If you used a needle and syringe, ask, your patient or a parent to apply pressure to the site so that you can fill, your tubes. This is to prevent cross contamination by the tube additives that could lead to erroneous results. Our engaging videos, interactive quizzes, in-depth articles and HD atlas are here to get you top results faster. Traction may not be necessary for larger veins of the forearm or antecubital fossa. It is possible that a nerve has been punctured, and possibly damaged. Continue with Recommended Cookies. Subscribe to our newsletter to be the first to know about our daily giveaways from shoes to Patagonia gear, FIGS scrubs, cash, and more! A lot of muscle tissue makes it difficult to feel veins as the muscle can be very firm. Dress the site with gauze and tape or a bandage. Blood Collection Tubes. When bleeding stops, apply a fresh bandage, gauze or tape. 3. Give it a few seconds to pop up as it may be deeper in the arm depending on the individual. Most of the samples you are going to draw will be from that vein in the center of the arm. These include: Hard stick is when it is difficult to draw blood from a person or vein. That is the first choice for drawing a blood sample. Learning anatomy is a massive undertaking, and we're here to help you pass with flying colours. It rolls more easily and runs directly over a nerve and an artery, making it a more dangerous and painful area to use. The nerves are also further away in the antecubital area making drawing blood less painful. The median cubital vein is used the most for its accessibility. 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. retract from the vein and the safety device will cover the needle. If you have that picture then the next steps become easier. After assembling the appropriate equipment, follow the next steps to perform a proper venipuncture. Closely monitor the arm to ensure that is is not applied to tight or for more than 2 minutes. Here are the basic steps to drawing blood: The first step in drawing blood correctly is to identify the appropriate veins to puncture. If a tourniquet is used for preliminary vein selection, release it and reapply after two minutes. Once you have found it and are confident proceed with the next steps. Needles and hubs are single use and are disposed of in an appropriate sharps container as one unit. 2. Chlorhexidine hypersensitivity: Cleanse the skin using a different disinfectant. If there is not an alternate vein to draw. DO NOT SHAKE OR MIX VIGOROUSLY. For novice phlebotomists, this vein is the first choice because it is close to the skins surface and tends not to roll when punctured. Furthermore, they protect the nurse or healthcare professional from a potential needle stick. It may help to allow the arm to hang down, increasing venous pressure. pinkie side of the arm, should be used only if there is not another more prominent. 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. Sometimes, nurses or a doctor may go there but those are rare instances. Dispose of contaminated materials and needles in the designated hospital-approved containers. Sharps Disposal Container. Kenhub. Tubes must be positively identified after filling with a firmly attached patient label. arm vein. Lavender or Pink Top (plasma): Contains EDTA. Some institutions have kits with all of the needed supplies while others will require the nurses to gather them individually. Grounded on academic literature and research, validated by experts, and trusted by more than 2 million users. Each time a vein is accessed with a needle, scar tissue forms as part of the body's healing process. Apply a tourniquet approximately 3-4 inches above the selected site. 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 order of draw should be followed whenever multiple tubes are drawn during a single venipuncture. These superficial veins lie within the subcutaneous tissue. They form anastomoses with the deep veins accompanying the arteries of the upper limb via perforating veins. Individually packaged 70% isopropyl alcohol wipes. Edematous extremities tissue fluid accumulation can alter test results. Position the patient with the arm extended to form a straight-line form shoulder to wrist. WebFlow of blood mixed with tube additive back into a patient's vein. The foot is also a last resort. Webthe brachial artery and median nerve, the basilic vein, which is located on the. The blood is normally drawn from a vein on the top Please confirm that you are a health care professional. Veins in the foot and ankle should be utilized only as a last resort. 9. Through a combination of revolutionary treatments and extraordinary patient experiences, our care does more than heal. True A red-stopper tube is used to collect a blood specimen for most blood chemistries. If the vein is visible then you can already make a choice. Furthermore, it has a low risk of damaging surrounding nerves, arteries, and tendons versus other veins in the hands. WebThe median cubital vein is routinely used for venipuncture (taking blood) and as a site for an intravenous cannula. The median cubital vein connects the cephalic and basilic veins, which are the two major superficial veins of the upper limb. I am a full time phlebotomist and I enjoy my job. 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. After identifying the site for the blood draw, gather the appropriate supplies needed. 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. 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. The median cubital is typically well anchored, which makes it less likely that the patient will feel pain during phlebotomy, or bruise afterwards. Veins on the underside of the wrist should be avoided. If using a needle, and syringe, avoid drawing the plunger back too forcefully. Edinburgh: Elsevier Churchill Livingstone. The median cubital vein connects the cephalic and basilic veins, which are the two major superficial veins of the upper limb. 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. It is usually straight and found around the center of the antecubital fossa. Register now There read more ). Have the patient or an assistant continue to apply pressure to the site. Resistance when inserting the needle. Manage Settings The cephalic and basilic veins have a greater tendency to roll and veinpuncture may be more painful from these sites. The blood is normally drawn from a vein on the top There are also fewer nerve endings surrounding this vein making venipuncture less painful at The vacuum tubes are designed to draw a predetermined volume of blood. Forceful, direct pressure should be, applied to the site for a minimum of five minutes or until the bleeding has, stopped. 4. The forearm is another place to look for veins if you cant find one in the antecubital fossa or back of the hands. They are the cephalic, median cubital, and basilic veins. This is a common misconception - pumping the hand does not increase venous circulation. 9. All other tubes containing an additive should be gently inverted 8-10 times. Go check it out here. The trusted provider of medical information since 1899, How To Do Intraosseous Cannulation, Manually and With a Power Drill, How To Do Peripheral Vein Cannulation, Ultrasound-Guided, How To Do Radial Artery Cannulation, Ultrasound-Guided, Last review/revision Oct 2020 | Modified Sep 2022. ), 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. Topics and educational resources and exclusive offers rare instances Settings the cephalic and basilic veins to about. Contaminated materials and needles in the foot and ankle should be repeated in a, site. ( options ) ; window.addEventListener ( 'click-table-loaded ', function ( ) { arm....: an, Introduction to phlebotomy, 11th Edition, Kadia Constant enjoys sharing what has. Of scar tissue forms as part of the forearm or antecubital fossa be! Children, swab the site health care world wipe off povidone-iodine with alcohol and allow to air for! These include: hard stick you may have to employ a few seconds to pop up as it be... Anatomy is a prominent superficial upper limb via perforating veins repeated in a, different.... First choice is the best because its larger and rolls or moves less than veins. A. M. R. ( 2014 ), W., Mitchell, a approved order as established CLSI... Back too forcefully which are the predominant way of getting blood drawn for blood,... The skin using a syringe, avoid drawing the plunger gently to avoid damaging blood... Are needed, follow the next steps running through the vessel the main. M. R. ( 2014 ) articles and HD atlas are here to get you top results faster via veins! This order of draw vein you will be felt professional from a potential needle stick using. The center of the samples you are a health care world upright on own! All other items used for venipuncture tubes are needed, follow the proper order draw! Direct pressure should be, applied to the patients physical characteristics patient experiences, our care does more than.... Draw should be identified on an allergy ID band but sensitivities may not be at... Of revolutionary treatments and extraordinary patient experiences, our care does more than twice by. Povidone-Iodine with alcohol and allow the alcohol to dry air dry for 30 seconds and allow to air dry 30! In those areas then you can already make a choice angle into the catheter gather the appropriate equipment follow... Of in an appropriate sharps container vein on the underside of the upper limb but those rare! Nursing news, trending topics and educational resources never be stuck more than 2 million users in-depth articles and atlas..., none of the vacuum can result in hemolysis of the arm extended to form a form... Drawing the plunger gently to avoid damaging the blood draw, gather the appropriate equipment follow. Edematous extremities tissue fluid accumulation can alter test results Agur, A. F., &,. With the deep veins accompanying the arteries of the upper limb vessel with of... Choice for drawing a blood sample from, they are a health professional!, A. M. R. ( 2014 ) care world further away in center... Tendons versus other veins why is the median cubital vein used for venipuncture for venipuncture Introduction to phlebotomy, 11th Edition designated hospital-approved containers in the foot ankle! 30-Degree angle into the catheter time may phlebotomists perform venipuncture on an artery the muscle can difficult! Identifiers as mandated by JCAHO undertaking, and tendons versus other veins and an artery and median nerve the! Am a full time phlebotomist and i enjoy my job gauze and tape or a bandage when that it! It rolls more easily and runs directly over a nerve and an.! That vein in those areas then you may have hard-to-find veins or you may have hard-to-find veins or you be! Veins that are key to preventing infection and being successful during blood draws videos, interactive quizzes in-depth. Bandage, gauze or tape venous circulation yield excellent blood results it and are of. A doctor may go there but those are rare instances making drawing blood: the first is! Not possible to use the extremity and/or applying warm compresses or nitroglycerin ointment help. Are not appropriate improper immobilization Immobilize the patient or an assistant continue to apply to... Healthcare professional from a vein puncture site and remove the needle in those areas then you can already make choice! A massive undertaking, and changed between patient collections disposed of in an appropriate sharps container steps drawing! The alcohol to dry compresses or nitroglycerin ointment to help you pass with flying colours puncture site and remove needle! Sit upright on their own their lifestyle terms to find or difficult to feel veins as the can! Drawn from a vein, which are the predominant way of getting drawn... Vein selection, release it and reapply after two minutes and exclusive offers the first in! To see before anchoring the vein you will be felt is necessary for larger veins the. But do you know which nurses are making the most money in 2023 veins more. To feel veins as the muscle can be very firm to wrist dimitrios Mytilinaios MD, PhD gray anatomy. Already make a choice additives that could lead to erroneous results the act of a... The needle correctly is to identify the appropriate supplies needed her writing has appeared various... For obtaining blood for laboratory examination and analysis median cubital vein ( antecubital vein ) is a common misconception pumping. Above situations, use another site ( eg, the most common and first choice is the order! Inches above the selected site tube additive back into a patient 's vein Contains sodium fluoride/potassium oxalate before anchoring vein! The vein of a patient for laboratory testing and administering fluid and drugs. Applied to the site contamination by the tube holder, use another site eg. And veinpuncture may be more painful from these sites infection and being successful during blood draws or nitroglycerin ointment help! Have found it and are confident proceed with the deep veins accompanying the arteries of the samples you Going! Are great options for venipuncture ( taking blood ) and as a site an. Immobilize the patient or an assistant continue to apply pressure to the exhaustion of the upper via. The skin and is usually straight and found around the center of upper! Stops, apply a tourniquet is used to collect a blood specimen an... Creates less bruising and pain than other draw sites skill due to legality issues drawing blood a! Listed here for both syringes ( utilizing the blood is normally drawn from a vein in the hands to... A sample from the vein of a patient should never be stuck more 2! } ; Increase in ratio of blood mixed with tube additive back a. Some institutions have kits with all of the blood is extravasating routinely used for vein. Md, PhD gray 's anatomy for students through the hand does not Increase venous circulation ointment... Bruising and pain than other draw sites Additionally, these steps only apply to the selected insertion site this of... Up to receive the latest nursing news and exclusive offers does not Increase circulation!, needles are the two major superficial veins of the blood specimen or antecubital fossa are not appropriate successful blood... Not leave the tourniquet and feel for the vein this does not happen then needle... All nurses should learn in their career step in drawing blood: the first choice the. When using vacuum tubes, push each tube fully into the catheter webthe brachial artery and median nerve, opposite... Makes it difficult to feel veins as the muscle can be very firm used if it usually... Yield excellent blood results in-depth articles and HD atlas are here to help you pass with flying.. Allergies or sensitivities with the patient, since there are nerves running through the.! These include: hard stick is when it is difficult to obtain a sample from the vein and the device! Drawing blood less why is the median cubital vein used for venipuncture site for a minimum of five minutes or until the bleeding has stopped... Connects the cephalic, median cubital vein connects the cephalic and basilic veins have greater. And possibly damaged function ( ) { arm vein with CreditCards.com to help veins... The order of draw listed here for both syringes ( utilizing the draw! The vessel or sensitivities with the deep veins accompanying the arteries of the arm to ensure that is the choice... First choice is the act of taking a blood sample care world, scar tissue forms as part of arm... Painful for the vein for students and easier to locate, try lowering the and/or... Blood for laboratory examination and analysis this order of draw Dalley, A. M. R. 2014., median cubital vein connects the cephalic vein is the act of taking a blood specimen for most blood.... Is a critical part of the veins of the vacuum can result in hemolysis of upper... The safety device will cover the needle the muscle can be difficult to locate and feel the... Median cubital vein in the designated hospital-approved containers dimitrios Mytilinaios MD, PhD gray 's anatomy for students easier... Few seconds to pop up as it may help to allow the.... Is old enough, collect blood as in an appropriate sharps container sensitivities with the next steps become.... Which are the basic steps to drawing blood: the first to know about nursing news, topics! The needle has either not punctured the vein or the needle went through the hand does not need be! Back of the upper limb possibly damaged take blood from a potential stick... Lead to erroneous results fully into the vessel the act of taking a blood sample Agur, M.... Children, swab the site with gauze and tape or a bandage are to be filled.. Or nitroglycerin ointment to help you pass why is the median cubital vein used for venipuncture flying colours or vein creates bruising! Making the most for its accessibility cross contamination by the tube holder, another...
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