Though it is rare to puncture an artery in an attempt to cannulate a vein, it does happen. The brachial artery is located near the basilic vein, and is one that is of importance since it is in an area that may be selected for venipuncture. Because arteries are deeper than veins these events most…
How many times should an alcohol swab be used? An alcohol swab should only be used once. Though alcohol is a disinfectant once the swab has been removed from it’s package it is no longer sterile. It is important to use care while handling the swab and make sure only to use it on one…
This topic has been revisited several times by several outlets. Should IVs be left alone and not changed unless there is cause or reason to change them? Well a recent study attempted to link IV dwell times with Phlebitis development and found… “The results of this study show that catheters can be used for longer…
We’ve heard that BP cuffs are occasionally used in lieu of a tourniquet a when starting an IV. Inflating and releasing to about 30-40mm Hg tends to provide sufficient distention without increased discomfort to the patient. When using a blood pressure cuff instead of a tourniquet, care must be exercised not to start the IV…
UF Health Shands Hospital, a U.S. News & World Report top-ranked children’s hospital, recently completed a study which took place in six nursing units, evaluating the impact of AccuVein vein visualization on the number of times it was necessary to escalate a PIV start to central resource staff. Study results showed a 45% reduction in…
Cannulating a bariatric patient can be very difficult due to excess adipose tissue. It is important to do a full assessment to locate a suitable vein. AccuVein vein visualization technology can help with locating and assessing suitable veins in all patients, including those that are heavy-set or obese. But sometimes there are those cases where the veins are just…
Almost three quarters of patients spontaneously look away during venipuncture. Does this help to minimize the pain? It turns out that pain ratings of these patients are almost twice that of the quarter of patients who look. It is unclear why this may be, but previous experimental studies indicate that observing the body when a…
Sepsis is a consequence of infection that can be difficult to identify and treat. According to the CDC, “patients who develop sepsis have an increased risk of complications and death and face higher healthcare costs and longer treatment”. Sepsis “stems from another medical condition such as an infection in the lungs, urinary tract, skin, abdomen…
Elderly patients can be even more difficult to cannulate and are more likely to bruise than younger patients. Aging causes reduced circulation and deterioration of the vein walls. These tips are suggested to increase effectiveness of cannulation attempts and reduce the possibility of bruising. Be gentle Use the smallest catheter possible Go in shallow Anchor…
It is important to avoid nerves while performing venipuncture. Knowing where they are located and how they differ from the vasculature can assist a clinician in identifying and avoiding nerves while performing venipuncture. Two nerves that are located in common areas for venipuncture are the radial and median nerves. “The radial nerve passes along the…