Quick Things to Consider Before Starting an IV:
#Venipuncture sites diagram how to
Learn more about how to prevent rolling veins. To help prevent this, have the patient make a light fist to keep the veins from moving. However, these veins will easily roll if not stabilized. These veins are great for blood draws and IVs. In addition, watch for this vein rolling and being deep on patients who have a lot of subcutaneous fat.ĭorsal Venous Network: these are the superficial veins found on the top of the hand. Problem: it is not as large as the previous two veins so it may not hold an 18 gauge. Median Vein of the Forearm (median antebrachial vein): this vein comes out of the palm of the hand and runs along of the inner part of the forearm. Tip: when going for this vein for an IV go below the bend of the arm rather than in the bend.
It is relatively large so this vein can hold an 18 gauge and easily a 20 or 22 gauge IV. For instances, I use this site if this is the only IV site the patient has (or the patient refuses to have an IV anywhere else) OR the patient needs an 18 gauge IV in a large vein for a test (ex: CT PE Protocol).Īccessory Cephalic Vein: this vein comes off the cephalic vein (hence its name) and is easy to stabilize. I only use this site for an IV when I have to. IVs in this site will be very uncomfortable for the patient and infiltration can occur. Problems with this vein: It’s in the bend of the arm, so it’s not that great for IVs. In most patients, it is very large and easy to access. This vein is a gold standard for blood draws.
Medial Cubital: it’s located in the bend of the arm where the cephalic and basilic veins connect. In addition, to the vein’s quirks: what gauge of needle can it usually handle and does this vein tend to be a “roller”. Know your veins! What I mean is that you must know the name of the veins in the arm and their locations. Where safety-engineered devices are not available, skilled use of a needle and syringe is acceptable.To be successful at drawing blood or starting IVs you must: Annex B provides further information on infection prevention and control, safety equipment and best practice Annex C provides a comprehensive guide to devices available for drawing blood, including safety-engineered equipment.įor settings with low resources, cost is a driving factor in procurement of safety-engineered devices. Before selecting a safety-engineered device, users should thoroughly investigate available devices to determine their appropriate use, compatibility with existing phlebotomy practices, and efficacy in protecting staff and patients ( 12, 33). Not all safety devices are applicable to phlebotomy. However, the use of such devices should be accompanied by other infection prevention and control practices, and training in their use. Several safety-engineered devices are available on the market such devices reduce exposure to blood and injuries. decanting blood to recycle laboratory tubes). Make available sufficient laboratory sample tubes to prevent dangerous practices (e.g.
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