Go Back   Just Us Nurses! A Forum for Nurses. Learn, Share, Discuss, Conversate. The Choice is Yours. Join Us Today! > Nursing Today > General Nursing Discussions

User Tag List

Reply
 
LinkBack Thread Tools Display Modes
  #1  
Old 10-14-2009, 02:13 PM
crunch's Avatar
Senior Member
 
Join Date: Jul 2008
Location: Texas, have lived all over
Posts: 3,090
Thanks: 225
Thanked 2,093 Times in 1,401 Posts
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Default Phlebotomy tips part two!

Ok, so I took my class last february, got some tips here, and now have done at least 70 draws. I am decent, but now I want to be better than that.

My problems are those women (they are all post menopausal women in my study) with those skinny itsy bitsy torturous veins that you really cannot hardly feel, but can see a little. And then the other problem are those women you just cannot palpate or see anything.

Advanced tricks and tips please! Actually, basic ones are great too.

I am using butterflies.
Reply With Quote Go to top
Nursing Forum, Nursing Education, Nursing School, Nursing Chat, Nursing Bulletin Board, Nursing Vent, RN, LPN
  #2  
Old 10-15-2009, 07:58 AM
crunch's Avatar
Senior Member
 
Join Date: Jul 2008
Location: Texas, have lived all over
Posts: 3,090
Thanks: 225
Thanked 2,093 Times in 1,401 Posts
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Default

Hello? Anybody out there?
Reply With Quote Go to top
Nursing Forum, Nursing Education, Nursing School, Nursing Chat, Nursing Bulletin Board, Nursing Vent, RN, LPN
  #3  
Old 10-15-2009, 10:54 AM
Poliopioneer's Avatar
Senior Member
 
Join Date: Jun 2008
Posts: 7,477
Thanks: 5,417
Thanked 5,786 Times in 3,765 Posts
My Mood:
Mentioned: 0 Post(s)
Tagged: 2 Thread(s)
Default

Sorry, but I don't have any tips for you. I have performed exactly one (count it) successful venipuncture, and this guy hada nice, big fat one right on the back of his hand.

C'mon, people...
Reply With Quote Go to top
Nursing Forum, Nursing Education, Nursing School, Nursing Chat, Nursing Bulletin Board, Nursing Vent, RN, LPN
  #4  
Old 10-16-2009, 01:44 AM
loricatus's Avatar
Senior Member
 
Join Date: May 2009
Posts: 1,118
Thanks: 1,432
Thanked 1,604 Times in 804 Posts
My Mood:
Mentioned: 0 Post(s)
Tagged: 2 Thread(s)
Default

Have them lie down and dangle the arm down for at least 5 minutes. If you have a way to get warm blankets or towels, wrap the arm from the ac to the hand with them. Try feeling the wrist (start at the base of the thumb and follow up yill you hit the that wrist bone bump) for a very common vien that most women have-you probably won't see it.

Once you have the needle in and don't get flashback, feel around for the vein and and move the needle to where you feel the vein, while also trying to stabilize the vein.

If everything else fails, go for the deep ac veins by feel----there is always one somewhere there.

You will learn to go more by feel than by sight, the more you get to do. I have many times turned my head away and just felt around the arm to locate the deep veins.
Reply With Quote Go to top
Nursing Forum, Nursing Education, Nursing School, Nursing Chat, Nursing Bulletin Board, Nursing Vent, RN, LPN
  #5  
Old 10-16-2009, 07:32 AM
crunch's Avatar
Senior Member
 
Join Date: Jul 2008
Location: Texas, have lived all over
Posts: 3,090
Thanks: 225
Thanked 2,093 Times in 1,401 Posts
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Default

Thanks so much Loricatus and Polio!

I do most by palpation rather than sight, but sometimes i just can't feel those tiny little squigly suckers...
Reply With Quote Go to top
Nursing Forum, Nursing Education, Nursing School, Nursing Chat, Nursing Bulletin Board, Nursing Vent, RN, LPN
  #6  
Old 10-16-2009, 09:05 AM
Alice's Avatar
Junior Member
 
Join Date: Sep 2008
Location: Wonderland
Posts: 51
Thanks: 26
Thanked 34 Times in 29 Posts
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Default

This is the worst tip (cuz it's really something you can't control), but also the best (cuz it's the most effective) - it's all about confidence. I learned that on this site about a year ago when I couldn't hit a vein to save my life. A few folks told me "confidence" and I was like, "Great...that's really going to help me..." But it's the truth - maybe fake it 'till ya make it, as far as the confidence goes... Ever since I got my confidence back, I haven't missed a single vein.

My other tip is (this sounds kinda awful), but I'm all about digging around in there once I've broken the skin and I'm not getting any flashback - I've never had a resident appear to be in pain when I do this (a few of them actually encourage it) and it usually works pretty well. I don't do this if I've clearly missed the vein - I only do it when I was able to palpate the vein, the vein didn't move, the needle isn't to the side of the vein and for whatever reason, I'm just not getting any flashback.
__________________
Curiouser and curiouser!
Alice, RN
Reply With Quote Go to top
Nursing Forum, Nursing Education, Nursing School, Nursing Chat, Nursing Bulletin Board, Nursing Vent, RN, LPN
  #7  
Old 10-16-2009, 09:22 AM
crunch's Avatar
Senior Member
 
Join Date: Jul 2008
Location: Texas, have lived all over
Posts: 3,090
Thanks: 225
Thanked 2,093 Times in 1,401 Posts
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Default

Thanks Alice. Even though I started out petrified I am very confident now. I know that I will get the majority of sticks now.

It's just that 20% of people that I cannot seem to get because i cannot palpate anything that are driving me nuts!123
Reply With Quote Go to top
Nursing Forum, Nursing Education, Nursing School, Nursing Chat, Nursing Bulletin Board, Nursing Vent, RN, LPN
Reply

Bookmarks

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are On


All times are GMT -5. The time now is 10:41 AM.


Powered by vBulletin® Version 3.7.2
Copyright ©2000 - 2019, Jelsoft Enterprises Ltd.
Search Engine Optimization by vBSEO 3.6.0
User Alert System provided by Advanced User Tagging v3.2.4 (Lite) - vBulletin Mods & Addons Copyright © 2019 DragonByte Technologies Ltd.

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
verify here.



Search only trustworthy HONcode health websites:

     
//-->