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Phlebotomy is the process of making a puncture in a vein, usually in the arm, with a cannula for the purpose of drawing blood. [1] The procedure itself is known as a venipuncture , which is also used for intravenous therapy .
In medicine, venipuncture or venepuncture is the process of obtaining intravenous access for the purpose of venous blood sampling (also called phlebotomy) or intravenous therapy. In healthcare, this procedure is performed by medical laboratory scientists , medical practitioners , some EMTs , paramedics , phlebotomists , dialysis technicians ...
In human anatomy, the median cubital vein (or median basilic vein) is a superficial vein of the arm on the anterior aspect of the elbow. It classically connects the cephalic vein and the basilic vein. It is typically the most prominent superficial vein in the human body, and is visible when all other veins are hidden by fat or collapsed during ...
There are two ways by which the veins can be grasped. Into the vein itself with a sharp instrument or around the vein with a blunt instrument. The phlebectomy hook is inserted through an incision and the varicose veins is hooked, extracted, and subsequently fixed with a clamp (e.g. Mosquito clamp).
In 2001, California enacted phlebotomy licensure following a public health outcry about an on-the-job trained phlebotomist that re-used needles. [15] [16] California has two levels of phlebotomy licensure: Certified Phlebotomy Technician I (CPT I) – authorized to perform skin puncture and venipuncture blood collection. [17]
The butterfly's precise placement facilitates venipuncture of thin, "rolling", fragile, or otherwise poorly accessible veins. The butterfly's shallow-angle insertion design facilitates venipuncture of very superficial veins, e.g. hand, wrist, or scalp veins (hence name "scalp vein" set).
Along with other superficial veins in the forearm, the basilic vein is an acceptable site for venipuncture.Nevertheless, IV nurses sometimes refer to the basilic vein as the "virgin vein", since with the arm typically supinated during phlebotomy the basilic vein below the elbow becomes awkward to access, and is therefore infrequently used.
Phlebotomy licensure is the process by which various regulatory bodies regulate the practice of phlebotomy within its jurisdiction through licensure. In many countries a license is not required, or is obtained through other broader qualifications (such as a medical license), while in others, professional phlebotomists are separately licensed.