VenipunctureVenipuncture

Done by : Salwa MaghrabiTeacher assistant

Nursing department

Out lineOut line Definition of venipuncture.Site of Venipuncture In appropriate site for Venipuncture

Complication of Venipuncture Procedure.

ObjectivesObjectivesIdentify venipuncture .List the site of venipuncture .List the in appropriate site for

venipuncture .List the complication of

venipuncture .Understand venipuncture

procedure .

DefinitionDefinition: :

The process of obtaining intravenous access for the purpose of intravenous therapy or obtaining a sample of venous blood.

Site of VenipunctureSite of Venipuncture

1- Median cubical vein.2- Cephalic vein.3- Basilic vein.

Anatomy of veins over Anatomy of veins over the hands and feetthe hands and feet

Main Veins of the ArmMain Veins of the Arm

Superficial veins of the legsSuperficial veins of the legs

In appropriate site for In appropriate site for VenipunctureVenipuncture

1- Arm on side of Mastectomy.2- Edematous areas.3- Hematomas. 

4- Arm in which blood is being transfused.

5- Scarred areas.6- Arms with fistulas or vascular

grafts. 7- Sites above an IV cannula.

Complication of Complication of VenipunctureVenipuncture Local and systemic infections. Phlebitis. Thrombus. Air Embolism. Accidental insertion into an

artery. Bleeding if disconnected. Extravasations

ProcedureProcedure : :

Equipment :1- Tourniquet .2- Disposable gloves .3- Antiseptic swab ( alcohol

swab ) .

Cont’ EquipmentCont’ Equipment: :

4- Cannula .5- Normal saline solution. 6- Tap .7- Transparent IV dressing.8- Three way stop cock.

Preparatory PhasePreparatory Phase

1- Prepare the equipment .2- Hand washing .3- Explain the procedure to the

patient.4- Maintain the patient privacy.5- Select a site for insertion .6- Apply tourniquet 5 to 7 cm

above the insertion site .

Cont’ preparatory phaseCont’ preparatory phase

7- Have the patient to open and close his fist several time .

8- Clean the site with alcohol swab.

Performance PhasePerformance Phase

1- Remove the needle guard .2- Hold the patient arm so your

thumb is positioned approximately 2 inch from the site.

3- Insert the needle, bevel up , through the skin at an angle .

Cont’ Performance PhaseCont’ Performance Phase

4- When the needle is inserted inside the vein , lower the cannula to the skin level.

5- Advance the cannula 0.5 to 1.5 cm in to the vein .

Cont’ Performance Phase Cont’ Performance Phase

6- Pull back on needle to separate needle from the catheter about 0.25 cm and advance the catheter into the vein.

Cont’ Performance PhaseCont’ Performance Phase

7- Apply pressure on the vein beyond the catheter tip , release the tourniquet and slowly remove the needle .

8- immediately connect the three way stop cock and flush the catheter to make sure that the canula is intact .

Cont’ Performance PhaseCont’ Performance Phase 9- Apply the transparent IV dressing

and adhesive tap to secure the cannula .

10- label the strip of tape with an arrow indicating :

The date The time . The nurse initial signature .

Follow up phaseFollow up phase Assess the site of IV cannula

insertion for sign of hematoma , bleeding , or any complication .

Monitor patency of the cannula by flushing it with 2-1 ml normal saline .Standard dwell time for a short peripheral catheter is 3 days . Nursing documentation on the patient file .