Your account has been so helpful! We too have an awful phlebotomy teacher and most of us are coming home and teaching ourselves or learning at work. You've helped so many of us! Thanks again for your content!
I really appreciate the time you are taking to help all us refresh our minds about all the stuff that we where taught but sometimes forget. I love my job and all my fellow phlebotomist out there. ❣
I cannot state enough how much an IV nurse appreciates a great phlebotomist. Their knowledge would make mine easier. A member of “ hard vein “ team, if IV RN missed one would have seen one of us 8 out of 40 IV RN’s, covering 1000+ bed hospital. Occasionally, I would get call from lab, when phlebotomist missed. I knew I was in for a challenge. Lastly, my wife RN hates getting her blood drawn. A good one saves her from yes- getting lightheaded. I realize blood draw is different than true phlebotomy. You all are VERY MUCH appreciated. Regards
I went to school 1 extra year to be IV nurse RN. Knowing anatomy is so important. Feel also, it’s there. Although as you stated basic last option for IV insertions , it was one missed by many, I was taught to stand behind patient, ulnar bone acts as natural splint. Well explained great video. We all have to start somewhere. There will be missed, but as one evolves, one truly can become very good saving time & discomfort. Used all sites & from 16ga to 30 ga. I realize this is phlebotomy, ( which I did) but be careful in ACF. Now even RN’s access first. Ruining that, makes starting distal moving proximal is gone if infiltration. I have done foot as well with MD approval. Outstanding video
@@PhlebotomySolutions Thank you for an outstanding video. We all work together. The chart & your explanation was educational, concise & presented well. Regards
Having just started phlebotomy course and also having horrendous veins, I have been told my veins are hidden, my hand vein is not very big and have had blood drawn from my foot in the past, but very painful. This video explains the process very well thank you
I'm a new phlebotomist and I cringe when I think of drawing blood from ANYWHERE other than the arm or hand..feet, fingers neck and etc really freaks me out..I truly hope I can get over it or just don't have to do them.
I am a beginner and really bad at phlebotomy but trying to work it out, and often can't manage do draw adequate amount of blood. Good to know now I can also puncture and artery.
Niko Kuparinen There is no restriction on how deep. But you cant go over the angle of insertion which is 15 to 30 degrees. Watch my skills video on straight needle draws.
I swear that's what they are I remember being admitted into the hospital and it seemed like they were coming around every 30 minutes to draw blood I couldn't even sleep good.
In Sweden there is no such thing as a vein order which is interesting. Nurses here are extremely self dependent in most areas and have a huge span of what we can decide on our own without a doctors approval
There isn't here, (in the real world, outside of the textbook) either. The ONLY reason you look at the AC vein first is because it's the most likely to be the best naturally anchored vein and be the least "painful" to access. But this is OFTEN not at all the case.
make sure you apply a pressure dressing. If you have a good vein, ideally you would like to use it again in a few days. bruising because of blood leaking through will render that good vein useless for many days or more. So take care of it.
Not true. Only if you want to go through it for while blood and coag draws. You want avoid sucking a clot into the tube. A bruised area is often a sign the previous draw was difficult, for any number of reasons. But, if it's all you've got, quick, deliberate, control insertion.
We draw blood from 4 veins usually (cephalic, jugular, and the 2 saphenous veins internal/external) but we dont consider order, it mostly comes to the preferences of the one drawing, if will put a catheter or not (mainly in cephalic) or the species. For cats its easier to approach the jugular and saphenous and dogs for cephalic). Oh im a vet btw :)
I agree! It royally peeves me off when I'm a patient & my median digital is more than prominent but yet if the Baillie happens to look bigger phlebs will automatically wanna use it & tell them NO
Marthe Endresen You should of been trained as a phlebotomists that the outer part of the arm is the cephalic vein. The inner part of the arm towards the body is the basilic vein.
This helped a lot thanks. Started class 2 weeks ago so far so good just hate the fact that the teacter came back after a year of being out I'm studing notes n reading the book Idk what else to do I wanna make sure i pass on the first try 😊 any recommendations would help thanks again
This is good as a general guideline for beginners, but as I've gained experience this became less important. I go with the best vein I can find. If they have small cubital and a large hand vein, I will use the hand. Same goes for basilic. If the basilic vein is easily accessible and you know how to position yourself / the patient properly, I do not see it as a "last resort". Pillow or cushion under the elbow and slight pressure with the anchoring hand on forearm or wrist goes a long way towards preventing any jumps or jerking away
Same! REAL WORLD, phlebs should NEVER draw feet and forearms are daily in my work because it's the best we've got for so many patients. It doesn't matter.
The video is great. Just one clarification as it made me confused. When you looking at back of hand, what do you mean by no to blood drawing in forearm and back of wrist? Thanks
I've never heard of the median cubital vein being the primary vein, and I've never been drawn their 1st. it's always the cephalic accessory cephalic vein.
@@davishawkey8129 I understand but again, for any arm the standard is the same. I don’t think I need to identify the arm for the order of veins. I explain the location of the veins which doesn’t change.
Isn’t the vein that you have labeled as the median cubital vein actually the median cephalic vein ? I thought the median cubital vein was a very short structure which runs between the median basilic and cephalic veins ?
Thank you for your question. The label is correct based on the placement of the veins on the arm. You will see an M shape or an H shape type of vein. But every arm is different as to where the veins are located anatomically.
Oh boy.I have to do this regularly.As they test my lithium levels.Its really a challenge to find my veins and get enough blood out of them.I drank about a litre of water as they say this makes it easier.Is there something else I can do.Not really fond of hand method either.Sometimes wish I can draw my own blood.I think I must allso do more exercise.Envious of the males here.more veiny😊
Oh my goddddd….. are you saying that “Three technician” harmed my arm this way. Seriously, I got anxiety now because 3 technician harmed me in the last 5 years what the fuck… I finally know why. Every fukin doctors didn’t tell me what happened. Why didn’t they tell me what happened???? This video explained exactly why everytime someone drew blood from my basilic vein - I got a huge extended shock and couldn’t use my arm for over 3 months. A
Sorry for the confusion. I believe the video explains each location of the veins on both arms. The basilic vein is always in the inside of the arm next to the brachial artery.
I start my phlebotomy course, please I need your advise for what is the best application might help me to understand the anatomy of human body , thank you
Hello. There isn’t a lot of human anatomy in the training. If you have the correct text book then you should be okay. I recommend “Phlebotomy Essentials” 7th edition by Ruth McCall.
I have a Question, please!🙏 You recommend using the wrist to draw blood. BUT anytime anybody has tried to go with my wrists it's a HUGE NOOO from me!! Because it burns like liquid 🔥 Fire just as soon as the needle pierces the skin! So the needle Must be hitting nerves, correct??? One nurse did it anyways and my whole fore-arm was Numb for days! And YES, it Hurt like Hell!!!
The only part on the wrist that anyone should draw on is the top part where the watch goes. They should not draw under the wrist or on the sides. You have more nerves in those areas plus the radial artery.
@@PhlebotomySolutions Thank YOU. She drew from the side of my wrist and it was Crazy Painful! I am a cancer survivor and so I don't have many good veins to choose from due to so much dang chemotherapy. BUT, I instinctively knew that that was a BAD move!! It felt different and hurt different than Any of my prior blood draws! And believe me, I have had MANY prior blood draws!😉
So last week i had a blood test and they took blood from my basilic vein and they even told that it was the most sensitive vein, they did it because they couldn't find other veins, sure it did hurt like hell and even got swollen. My vein is hard to be found :(
Did they tell you not to lift anything heavy for about an hour? Or they were rough drawing the blood. If you did lift after that could be the reason for the swelling too. A lot of factors are at play.
@@stefaniaakter3971 A sensitive vein? Did they hurt it’s feelings? That makes no sense. It sounds like they screwed up the blood draw. Sorry to hear how they hurt you.
Hi sir my name is Srikanth from India i complete bsc mlt course and i look search for phlebotomist job but they asked is there any phlebotomy certificate for phlebotomy but i don't have any phlebotomy certificate and i interest to study in msc (msc phlebotomy) is there any msc phlebotomy course are available sir please make on phlebotomy course and college lists 😊
I'm curious- why no draws from the forearm? I'm a paramedic student and when it comes to IV access, we in EMS will take whatever we can get, with a preference for the arm (which here I mean to include AC, hand, forearm, even upper arm). If nothing works in either arm, we'll consider the external jugular or IO, but obviously no one going to be doing routine phlebotomy draws from either of those. I've started plenty of IV's in pt's forearms- its a standard part of my vein search, along with AC and hand. IV lines in such sites are considered just as effective as any other placement- what is it that makes them a no-go for draws?
Donovan Corcoran Hello, for phlebotomists they are not allowed to draw outside their scope of practice which include forearm and inside wrist area. This is because there is a higher chance of pt injury involving nerve or artery damage. Those draws are against CLSI standards for phlebotomists only. Nurses, paramedics, PAs and MDs are not under those guidelines. I hope this helps. Thank you for a great question.
For IV lines the forearm is the preferred site - the cannula will last longer and you have avoided areas of flexion which cause damage to veins. As a vascular access specialist, I always use ultrasound and can see the nerves and arteries and avoid them. When drawing blood only I will go for the AC again under ultrasound. If you can't feel or palpate a vein and have a IV team using ultrasound please call them before going to feet - I have never had to resort to the feet.
Everyone freken person who specialize in this needs to know this crap. Because all of these hospital has no clue “how I got injured” and had no explanation. Now I know why. That’s exactly the same spot that every freken nurse hurt me.
sooooo i cant puncture a nerve if i dont go too deep right? is there a chance that i might puncture a nerve even if i dont go too deep?? i just wanna learn this types of things so i can be careful when drawing blood in the future :))
First time I experienced a nurse or phlebotemist draw blood from basilic vein. Found it strange. It was a dull sting puncture. I have felt sick since then. How do it inquire about nerve damage. Or should I. Just asking. 63 years old and never has a phlebotimist not find a median vein. Was awkward! : //
@@PhlebotomySolutions ok thank you.... Thank GOODNESS no pain where she put the needle... PAIN everywhere else.... Head sore throat back ache that's me getting way to old! 🤔🤔 The way she pricked my arm stung bad so that's why I was concerned!!! And location. Im good though thank you sooo much!!!
Kem Friddle The forearm and inside wrist cannot be used because you have less vein access in the forearm with more possible nerves damage and the radial artery in the inner wrist area. They both are areas to avoid by CLSI standards.
Kem Friddle Yes, most phlebotomy training schools have no clue when it comes to CLSI standards or the standard of care policies. The only action you have at this time is to seek legal council for possible damages. You may have a case against them. I am sorry for your bad experience and this why it is important for people to get educated in this field.
@@PhlebotomySolutions Sometimes that's all a patient has. If an 85-year comes with with most of his ACF veins scarred and miniscule dorsals but decent forearms... it becomes a question of one stick in the forearm or three to four struggling with scarred veins
@@jonathanasdell9310 Then when you hurt a patient and they seek damages it won’t matter what you say, they will follow the CLSI guidelines and you will not win.
Why not the forearm i wonder. Im a super hard stick. Sucks so bad. Ive been through needle hell many times. Ill probably end up dieing because they have such a hard time with me and every second counts when it comes to living or dieing so greatttttttt😮
Hi, Sometimes i feel strong structure just beneath the viens, and its very painful if touched with needle. What are these structures. This i just found in 1 from 10 patients. Accordingly i am not feeling the viens, but also other structures that i feel underneath the viens. But i am not sure what are these. Can you give me an explain?
Thank you for the question. It’s not my suggestion but it’s against CLSI standards. The inside of the wrist has the radial artery and the forearm is not a site for veins.
I'm a little confused. You said don't ever use the wrist area or back of hand to draw, then you say to do it if Basilic is your only choice. Can you please clarify?
Janet Sadeghi You can never use the inside of the wrist. You can draw from the back of the hand which are the dorsal metacarpal veins. I also stated that the Basilica vein is only to be considered if no other veins can be used including the back of the hand.
Hello, I like your videos and now I bought the exams to practice questions. The answers that come in numbers and with the abc are the correct answers for each question??
@@PhlebotomySolutions yes, the artery brings oxygen rich blood to the body and veins take deoxygenated blood back to heart as a way to circulate it to the lungs to become oxygenated again.
Hello. I recently got my Bachelors of science, and would like to become a phlebotomist before applying for the medical laboratory sciences. However, I don't know what's the best way to study for this, what's the certification process and if there are any courses available or something. If anybody could answer these questions, please. Thanks
Hi, Sandra here is some information regarding Texas Phlebotomy requirements. Texas is one of the states that does not require phlebotomists to be state or nationally certified. There are also no federally mandated licensing requirements. Employers in Texas may require applicants for phlebotomist positions and also employees to hold a national certification, however. This may be done for a wide range of reasons, the top one being to establish a minimum threshold of experience and competency among their staff. A number of national phlebotomist certification agencies do exist that offer the opportunity for certification like American Medical Technologists (AMT), and National Healthcareer Association (NHA). The only thing I can help you with is getting certified online for didactic only. You would have to find a place to do extern after and or get some skills done for blood draws. Visit site for more information about our online programs. Hope this helps. www.phlebotomysolutions.org
If you've already got a bachelors of science I would try to get straight into a laboratory technician program. You do not have much opportunity for advancement in most phlebotomy positions beyond going from phleb to supervisor phleb; it's very much a stepping stone for most people
Your account has been so helpful! We too have an awful phlebotomy teacher and most of us are coming home and teaching ourselves or learning at work. You've helped so many of us! Thanks again for your content!
Thank you for that wonderful comment and support. I’m glad that my videos are helping you and everyone like you who are trying to learn Phlebotomy.
I really appreciate the time you are taking to help all us refresh our minds about all the stuff that we where taught but sometimes forget.
I love my job and all my fellow phlebotomist out there. ❣
I cannot state enough how much an IV nurse appreciates a great phlebotomist. Their knowledge would make mine easier. A member of “ hard vein “ team, if IV RN missed one would have seen one of us 8 out of 40 IV RN’s, covering 1000+ bed hospital. Occasionally, I would get call from lab, when phlebotomist missed. I knew I was in for a challenge. Lastly, my wife RN hates getting her blood drawn. A good one saves her from yes- getting lightheaded. I realize blood draw is different than true phlebotomy. You all are VERY MUCH appreciated. Regards
@@aircavmedicand it looks like 😂l😂lkkkoko😂oNikki
He has good veins I remember drawing my first patient I was terrified thanks for this video it’s all coming back to me
I went to school 1 extra year to be IV nurse RN. Knowing anatomy is so important. Feel also, it’s there. Although as you stated basic last option for IV insertions , it was one missed by many, I was taught to stand behind patient, ulnar bone acts as natural splint. Well explained great video. We all have to start somewhere. There will be missed, but as one evolves, one truly can become very good saving time & discomfort. Used all sites & from 16ga to 30 ga. I realize this is phlebotomy, ( which I did) but be careful in ACF. Now even RN’s access first. Ruining that, makes starting distal moving proximal is gone if infiltration. I have done foot as well with MD approval. Outstanding video
Thank you for the comment and for watching. 🙏
@@PhlebotomySolutions Thank you for an outstanding video. We all work together. The chart & your explanation was educational, concise & presented well. Regards
Having just started phlebotomy course and also having horrendous veins, I have been told my veins are hidden, my hand vein is not very big and have had blood drawn from my foot in the past, but very painful. This video explains the process very well thank you
I'm a new phlebotomist and I cringe when I think of drawing blood from ANYWHERE other than the arm or hand..feet, fingers neck and etc really freaks me out..I truly hope I can get over it or just don't have to do them.
Just started class and my instructor is new to instructing sooo this is helpful ty
Thank you for watching. I’m glad the videos are helping.
Thank you so much. Your tutorial is so clear and easy to memorize. Thumbs up!
Thank you and thank you for watching.
Thank you so much. My instructor is NO HELP
Sorry to hear that.
Omg same girl I’m like in a school that’s a joke
☠️
Same here! 🥹
Lol same
I am a beginner and really bad at phlebotomy but trying to work it out, and often can't manage do draw adequate amount of blood.
Good to know now I can also puncture and artery.
Just avoid that vein and you will be fine. 😉
@@PhlebotomySolutions I DID IT! Thanks for all this help ♥️
Asma Haque You are welcome. Great job!
Niko Kuparinen The basilic vein which is in the inner part of the arm. It’s near the brachial artery. Watch the video again.
Niko Kuparinen There is no restriction on how deep. But you cant go over the angle of insertion which is 15 to 30 degrees. Watch my skills video on straight needle draws.
You are a really good teacher! Thank you for making this content!
Thank you for watching. 🙏
The vampire looming in the background 🤣 👌
I swear that's what they are I remember being admitted into the hospital and it seemed like they were coming around every 30 minutes to draw blood I couldn't even sleep good.
Honey a hospital isnt for sleep, they will never let u sleep
Thank you for this very clear explanation and guidance..... 😊
Mitch Har You are welcome. Glad it helped.
In Sweden there is no such thing as a vein order which is interesting. Nurses here are extremely self dependent in most areas and have a huge span of what we can decide on our own without a doctors approval
Nurses don’t have an order of veins here either, this is for phlebotomists 😊
Its a phelopotomy
There isn't here, (in the real world, outside of the textbook) either. The ONLY reason you look at the AC vein first is because it's the most likely to be the best naturally anchored vein and be the least "painful" to access. But this is OFTEN not at all the case.
I thought I was alone here in Kenya struggling .
@@futuregoalsetter are you s nurse lad?
make sure you apply a pressure dressing. If you have a good vein, ideally you would like to use it again in a few days. bruising because of blood leaking through will render that good vein useless for many days or more. So take care of it.
Not true. Only if you want to go through it for while blood and coag draws. You want avoid sucking a clot into the tube. A bruised area is often a sign the previous draw was difficult, for any number of reasons. But, if it's all you've got, quick, deliberate, control insertion.
Great content. You voice is that of a good speaker. That helped a lot. Silly to mention that.. but it is true for me.
Thank you! I appreciate your comment. Please consider becoming a member and get access to our student page with more videos and digital ebooks.
AWESOME VIDEO... thank you so much for being so detailed.. 👌🏻👌🏻
Monika Jatti Thank you. Glad you enjoyed it.
We draw blood from 4 veins usually (cephalic, jugular, and the 2 saphenous veins internal/external) but we dont consider order, it mostly comes to the preferences of the one drawing, if will put a catheter or not (mainly in cephalic) or the species. For cats its easier to approach the jugular and saphenous and dogs for cephalic). Oh im a vet btw :)
JUGULAR????? Say WHAT????? Hell NO!!! Are you nuts?
❤
I agree! It royally peeves me off when I'm a patient & my median digital is more than prominent but yet if the Baillie happens to look bigger phlebs will automatically wanna use it & tell them NO
Good vid but please start by telling us if it’s a left or right hand in the 1st picture
You should know by the order of the veins in the picture.
Thank you for this video. But pls make it better picture of the arm. I cant recognize the left or right arm. Thanks
Thank you. Remember, the order of veins do not change regardless of what arm you are looking at.
@@PhlebotomySolutions wow great, asap reply! Thank you! God bless.
@@PhlebotomySolutions still cant tell whats the "outside" of the arm (facing out) tho. So not really all that helpful
Marthe Endresen You should of been trained as a phlebotomists that the outer part of the arm is the cephalic vein. The inner part of the arm towards the body is the basilic vein.
@@PhlebotomySolutions Well you Are assuming people watching this have already started their phlebotomy course. Some watch to learn ahead of time
This helped a lot thanks. Started class 2 weeks ago so far so good just hate the fact that the teacter came back after a year of being out I'm studing notes n reading the book Idk what else to do I wanna make sure i pass on the first try 😊
any recommendations would help thanks again
Ana hello. Just keep watching the videos and reading the book. Complete the work in the text book too. You should be good.
@@PhlebotomySolutions thank you so much !
This was very interesting to watch
Thank you for watching.
This is good as a general guideline for beginners, but as I've gained experience this became less important. I go with the best vein I can find. If they have small cubital and a large hand vein, I will use the hand. Same goes for basilic. If the basilic vein is easily accessible and you know how to position yourself / the patient properly, I do not see it as a "last resort". Pillow or cushion under the elbow and slight pressure with the anchoring hand on forearm or wrist goes a long way towards preventing any jumps or jerking away
The order of veins is based on CLSI guidelines. That is what we teach.
Same! REAL WORLD, phlebs should NEVER draw feet and forearms are daily in my work because it's the best we've got for so many patients. It doesn't matter.
@@hbic3 foot draws are allowed as long as you have doctor's approval
Very good explanation!!
Imagine a night without a doctor then you fail to locate vain . Thanks allot for this it help me allot
On practice
The video is great. Just one clarification as it made me confused. When you looking at back of hand, what do you mean by no to blood drawing in forearm and back of wrist? Thanks
@@1987monzi According to CLSI you may not draw above the wrist area or the inner part of the wrist. This includes the forearm.
I've never heard of the median cubital vein being the primary vein, and I've never been drawn their 1st. it's always the cephalic accessory cephalic vein.
The order of veins is set by CLSI.
@@PhlebotomySolutions you're absolutely right! thank you
great video the pulse trick was extremely helpful
I would suggest for your tutorial, for people just learning that you first indicater if it's he L or R arm.
It doesn’t matter which arm because the standard is the same in the order of veins.
@@PhlebotomySolutions precise identification easy for the student comes before you can even achieve the standard, that was my point
@@davishawkey8129 I understand but again, for any arm the standard is the same. I don’t think I need to identify the arm for the order of veins. I explain the location of the veins which doesn’t change.
Thank you sir 🌹
You are very welcome.
Isn’t the vein that you have labeled as the median cubital vein actually the median cephalic vein ? I thought the median cubital vein was a very short structure which runs between the median basilic and cephalic veins ?
Thank you for your question. The label is correct based on the placement of the veins on the arm. You will see an M shape or an H shape type of vein. But every arm is different as to where the veins are located anatomically.
Oh boy.I have to do this regularly.As they test my lithium levels.Its really a challenge to find my veins and get enough blood out of them.I drank about a litre of water as they say this makes it easier.Is there something else I can do.Not really fond of hand method either.Sometimes wish I can draw my own blood.I think I must allso do more exercise.Envious of the males here.more veiny😊
@@IlseKershoff Try a heating pad before the draw.
Thank you
@@RajniChauhan-ni2of Thank you for watching.
Oh my goddddd….. are you saying that “Three technician” harmed my arm this way.
Seriously, I got anxiety now because 3 technician harmed me in the last 5 years what the fuck… I finally know why. Every fukin doctors didn’t tell me what happened. Why didn’t they tell me what happened???? This video explained exactly why everytime someone drew blood from my basilic vein - I got a huge extended shock and couldn’t use my arm for over 3 months. A
Thanks for the information was helpful .
Gratitude 🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏
@@jalmeidaalmeida Thank you for watching.
A phlebotomist stuck me in my wrist 2 inches behind my thumb. It burned, and now feels like a bad sunburn on the back of my hand ?
Thank you so much for your help.
Thank you for watching.
The diagram is hard for me to read. Is the arm upside down as if I'm looking at my own arm? Arm? Plantar palm up? Right? Left?
Sorry for the confusion. I believe the video explains each location of the veins on both arms. The basilic vein is always in the inside of the arm next to the brachial artery.
ive never heard not to draw the forearm
@@JanaeaStephenson-t9f Yes, it’s against CLSI guidelines.
I'm interested in purchasing DVDs volume 1-4, please.
@@jiorphia you can purchase the videos volume 1-6 by ordering over the phone. 800-972-5705
so by forearm do you mean the extensor surface of the forearm? Because the antecubital fossa is also part of the forearm.
Anything below the ACF and above the wrist is the forearm. Of limits.
I start my phlebotomy course, please I need your advise for what is the best application might help me to understand the anatomy of human body , thank you
Hello. There isn’t a lot of human anatomy in the training. If you have the correct text book then you should be okay. I recommend “Phlebotomy Essentials” 7th edition by Ruth McCall.
Great explanation
Thank you and thank you for watching.
That was helpful, thank you!
Thank you for watching.
Great video! Thank u very much 💙
My pleasure.
Thank you so much sir
Thank you for watching.
Very helpful!! Thanks!
Rana Allan Glad it helped.
I have a Question, please!🙏 You recommend using the wrist to draw blood. BUT anytime anybody has tried to go with my wrists it's a HUGE NOOO from me!! Because it burns like liquid 🔥 Fire just as soon as the needle pierces the skin! So the needle Must be hitting nerves, correct??? One nurse did it anyways and my whole fore-arm was Numb for days! And YES, it Hurt like Hell!!!
The only part on the wrist that anyone should draw on is the top part where the watch goes. They should not draw under the wrist or on the sides. You have more nerves in those areas plus the radial artery.
@@PhlebotomySolutions Thank YOU. She drew from the side of my wrist and it was Crazy Painful! I am a cancer survivor and so I don't have many good veins to choose from due to so much dang chemotherapy. BUT, I instinctively knew that that was a BAD move!! It felt different and hurt different than Any of my prior blood draws! And believe me, I have had MANY prior blood draws!😉
@@gloriamaryhaywood2217 I’m sorry to hear about your bad experience. Don’t let them draw on the side.
Hi are these still available on Amazon?
@@jiorphia No, but you can order through our 800 number. 800-972-5705
Nice. Very helpfull, thanks a lot!
Vlad Matos You are welcome. Glad it helped.
Hey! Thank you for this video!! Why not wrists though?
Great question . Wrist veins are not part of the order. I focused on the primary veins for the order that most people don’t know.
So last week i had a blood test and they took blood from my basilic vein and they even told that it was the most sensitive vein, they did it because they couldn't find other veins, sure it did hurt like hell and even got swollen. My vein is hard to be found :(
Did they tell you not to lift anything heavy for about an hour? Or they were rough drawing the blood. If you did lift after that could be the reason for the swelling too. A lot of factors are at play.
@@PhlebotomySolutions No they just told if the vein swells it's normal because that was a sensitive vein. They didn't give any other instruction.
@@stefaniaakter3971 A sensitive vein? Did they hurt it’s feelings? That makes no sense. It sounds like they screwed up the blood draw. Sorry to hear how they hurt you.
Hi sir my name is Srikanth from India i complete bsc mlt course and i look search for phlebotomist job but they asked is there any phlebotomy certificate for phlebotomy but i don't have any phlebotomy certificate and i interest to study in msc (msc phlebotomy) is there any msc phlebotomy course are available sir please make on phlebotomy course and college lists 😊
I'm curious- why no draws from the forearm?
I'm a paramedic student and when it comes to IV access, we in EMS will take whatever we can get, with a preference for the arm (which here I mean to include AC, hand, forearm, even upper arm). If nothing works in either arm, we'll consider the external jugular or IO, but obviously no one going to be doing routine phlebotomy draws from either of those.
I've started plenty of IV's in pt's forearms- its a standard part of my vein search, along with AC and hand. IV lines in such sites are considered just as effective as any other placement- what is it that makes them a no-go for draws?
Donovan Corcoran Hello, for phlebotomists they are not allowed to draw outside their scope of practice which include forearm and inside wrist area. This is because there is a higher chance of pt injury involving nerve or artery damage. Those draws are against CLSI standards for phlebotomists only. Nurses, paramedics, PAs and MDs are not under those guidelines. I hope this helps. Thank you for a great question.
For IV lines the forearm is the preferred site - the cannula will last longer and you have avoided areas of flexion which cause damage to veins. As a vascular access specialist, I always use ultrasound and can see the nerves and arteries and avoid them. When drawing blood only I will go for the AC again under ultrasound. If you can't feel or palpate a vein and have a IV team using ultrasound please call them before going to feet - I have never had to resort to the feet.
@@PhlebotomySolutions Thanks for the clarification. I'm an RN and the forearm (and hand) veins are my "go-tos."
Informative
Thank you for watching my videos.
What courses for phlebotomy are better ?
the 2 day courses
or the one that last several weeks or months?
It’s better to find a program that gives you at least 40+ hours of lecture and skills in the classroom.
@@PhlebotomySolutions 😊
Thank you!
Welcome.
Thank you so much very helpful
Dionne Lowe Glad it helped.
Thank you
Thank you for watching.
One more question
Does it help to study about phlebotomy from a textbook or these vids?
What do you think?
It’s my opinion that reading the text book with videos helps. Have both is good.
Very good practice😢
Everyone freken person who specialize in this needs to know this crap. Because all of these hospital has no clue “how I got injured” and had no explanation. Now I know why. That’s exactly the same spot that every freken nurse hurt me.
Thank you very much for explication,was very helpful for me
Duh_Its_Rebi #Rebecca You are welcome. Glad it helped. Don’t forget to visit our website and check out our resources.
sooooo i cant puncture a nerve if i dont go too deep right? is there a chance that i might puncture a nerve even if i dont go too deep?? i just wanna learn this types of things so i can be careful when drawing blood in the future :))
You won’t hit a nerve as long you stay away from the basilic vein. The other two veins are not near any nerves.
First time I experienced a nurse or phlebotemist draw blood from basilic vein. Found it strange. It was a dull sting puncture. I have felt sick since then. How do it inquire about nerve damage. Or should I. Just asking. 63 years old and never has a phlebotimist not find a median vein. Was awkward! : //
If you’re still feeling pain where the phlebotomist drew your blood; consult with your doctor to check for nerve damage.
@@PhlebotomySolutions ok thank you.... Thank GOODNESS no pain where she put the needle... PAIN everywhere else.... Head sore throat back ache that's me getting way to old! 🤔🤔
The way she pricked my arm stung bad so that's why I was concerned!!! And location. Im good though thank you sooo much!!!
Why can't the forearm be used?
Kem Friddle The forearm and inside wrist cannot be used because you have less vein access in the forearm with more possible nerves damage and the radial artery in the inner wrist area. They both are areas to avoid by CLSI standards.
Kem Friddle Yes, most phlebotomy training schools have no clue when it comes to CLSI standards or the standard of care policies. The only action you have at this time is to seek legal council for possible damages. You may have a case against them.
I am sorry for your bad experience and this why it is important for people to get educated in this field.
Kem Friddle you are welcome. And don’t wait to long. Seek legal counsel and see if you have options for damages. It seems you might.
@@PhlebotomySolutions Sometimes that's all a patient has. If an 85-year comes with with most of his ACF veins scarred and miniscule dorsals but decent forearms... it becomes a question of one stick in the forearm or three to four struggling with scarred veins
@@jonathanasdell9310 Then when you hurt a patient and they seek damages it won’t matter what you say, they will follow the CLSI guidelines and you will not win.
Good sir
Thanks
In the diagram of veins, the arm is that of the right arm, correct? It does not say.
B L
Correct, but the veins are the same in regards to location no matter which arm you use.
Yes, the veins are the same but their arrangement are mirror images of each other. The basilic vein is on the medial aspect of the arm.
B L but remember also that you have a median basilic vein as well.
Why my veins is different? Did I accidentally move my veins?
Anatomically all veins are in those three areas.
Thanks man.
concept Trick Hub You are welcome.
Thanks
Thank you for watching.
Thanks
You are welcome.
please if someone could know can answer me I would be grateful , thank you
Thank you
yemmsy Olanipekun You are welcome.
Why not the forearm i wonder.
Im a super hard stick. Sucks so bad. Ive been through needle hell many times. Ill probably end up dieing because they have such a hard time with me and every second counts when it comes to living or dieing so greatttttttt😮
@@vanillasmerk5742 The Forearm is against CLSI standards.
Why’d you put the Amazon link in description
Which link is that?
Hi,
Sometimes i feel strong structure just beneath the viens, and its very painful if touched with needle. What are these structures. This i just found in 1 from 10 patients. Accordingly i am not feeling the viens, but also other structures that i feel underneath the viens. But i am not sure what are these. Can you give me an explain?
It’s possible you are feeling either tendons or damaged veins that hardened.
Cool
Thank you.
Why do you suggest avoiding forearm and inside of wrist
Thank you for the question. It’s not my suggestion but it’s against CLSI standards. The inside of the wrist has the radial artery and the forearm is not a site for veins.
Thank you Sir
You are welcome.
I really religion for the collection blood group sample
Can u helped me my hands is full of veins and it's my very big problem for now and I need to get rid of this so pls kind people helped me
Very helpful. Thank you!
Stonefalconetti you are welcome. Glad it helped.
What is the reason why we can't use forearm? I am sorry to ask
It’s against CLSI guidelines and there are more nerves in the forearm.
I'm a little confused. You said don't ever use the wrist area or back of hand to draw, then you say to do it if Basilic is your only choice. Can you please clarify?
Janet Sadeghi You can never use the inside of the wrist. You can draw from the back of the hand which are the dorsal metacarpal veins. I also stated that the Basilica vein is only to be considered if no other veins can be used including the back of the hand.
Phlebotomy Solutions thank you
What is the order for cannula insertion,thanks
The order of veins remain the same to avoid injury to the nerves or risking the puncture of the arteries.
Can't concentrate on the information because of the eyes behind the information. :(
Hello, I like your videos and now I bought the exams to practice questions. The answers that come in numbers and with the abc are the correct answers for each question??
Hello. The answers are broken up. The first 100 questions have the answers right after. The last 145 questions are in the back in letters.
@@PhlebotomySolutions oh ok Thank you for answering me your videos are amazing 🤩excellent job obrigada🙏
@@mayasantanna260 Thank you for watching.
Your awesome 8
Thank you.
Good explain..but sount is very low
Helped a lot!
Selene Sherrer I’m glad it helped.
can you make one with better sound
The sound has been checked. Please check your computer.
Why would foot draws require an MD's approval
This is not necessary where we practice, it's not even ever considered.
Foot draws need MD approval. That is a CLSI standard. The foot is outside the standard of draw area.
@@PhlebotomySolutions Maybe in America, like I said. Good luck.
@@Ice.muffin no luck needed. We follow patient standard of care.
As do we. And luck is sometimes indeed needed, humans are not infallible. To each their own, by all means.
Because the patient might be diabetic
What if my Cephail vein hurts when I am doing exercices ?
Capotă cu stil Then you need to stop using that vein. Bruising and soreness can happen when a vein is used frequently.
what happens if it hit the nerve ? Will it be heal ?
xdhitalks It depends on how severe the damage is.
what if while drawing blood you hit an artery thinking its a basilic vein?
You need to pull out immediately and stop the draw.
@@PhlebotomySolutionscan you explain why you would stop the draw instead of continuing?
@@Kuntresss Do you know the different between an artery and vein?
@@PhlebotomySolutions yes, the artery brings oxygen rich blood to the body and veins take deoxygenated blood back to heart as a way to circulate it to the lungs to become oxygenated again.
@@PhlebotomySolutions oh you know what…I honestly figured it out why nevermind thank you
What are some good study books
Phlebotomy Essentials by Ruth McCall has great study materials.
@@PhlebotomySolutions thank you & your videos are SO HELPFUL !!
@@aprilreyes9653 Thank you for watching. ❤️
I looked it up on amazon 124$ it said 7th edition will that be the correct one ?
@@aprilreyes9653 Look for the workbook combo.
Hello.
I recently got my Bachelors of science, and would like to become a phlebotomist before applying for the medical laboratory sciences.
However, I don't know what's the best way to study for this, what's the certification process and if there are any courses available or something.
If anybody could answer these questions, please.
Thanks
Sandra Duarte First, what state do you live in?
Phlebotomy Solutions thank you for answering. I live In San Antonio, Texas.
Hi, Sandra here is some information regarding Texas Phlebotomy requirements.
Texas is one of the states that does not require phlebotomists to be state or nationally certified. There are also no federally mandated licensing requirements. Employers in Texas may require applicants for phlebotomist positions and also employees to hold a national certification, however. This may be done for a wide range of reasons, the top one being to establish a minimum threshold of experience and competency among their staff. A number of national phlebotomist certification agencies do exist that offer the opportunity for certification like American Medical Technologists (AMT), and National Healthcareer Association (NHA).
The only thing I can help you with is getting certified online for didactic only. You would have to find a place to do extern after and or get some skills done for blood draws.
Visit site for more information about our online programs. Hope this helps.
www.phlebotomysolutions.org
Thank you very much for the info.
If you've already got a bachelors of science I would try to get straight into a laboratory technician program. You do not have much opportunity for advancement in most phlebotomy positions beyond going from phleb to supervisor phleb; it's very much a stepping stone for most people