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 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

Sorry to hear that.

Omg same girl I’m like in a school that’s a joke

☠️

Same here! 🥹

Lol same

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

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.

Thank you and thank you for watching.

Monika Jatti Thank you. Glad you enjoyed it.

Thank you for watching. 🙏

Mitch Har You are welcome. Glad it helped.

Thank you for watching. I’m glad the videos are helping.

Thank you! I appreciate your comment. Please consider becoming a member and get access to our student page with more videos and digital ebooks.

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?

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.

Vlad Matos You are welcome. Glad it helped.

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.

Rana Allan Glad it helped.

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 !

Thank you for watching.

JUGULAR????? Say WHAT????? Hell NO!!! Are you nuts?

❤

My pleasure.

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.

Anything below the ACF and above the wrist is the forearm. Of limits.

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.

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.

Dionne Lowe Glad it helped.

Duh_Its_Rebi #Rebecca You are welcome. Glad it helped. Don’t forget to visit our website and check out our resources.

Thank you for watching.

You won’t hit a nerve as long you stay away from the basilic vein. The other two veins are not near any nerves.

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

It’s possible you are feeling either tendons or damaged veins that hardened.

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.

It’s my opinion that reading the text book with videos helps. Have both is good.

The order of veins remain the same to avoid injury to the nerves or risking the puncture of the arteries.

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.

It’s better to find a program that gives you at least 40+ hours of lecture and skills in the classroom.

@@PhlebotomySolutions 😊

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

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.

Which link is that?

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.

Stonefalconetti you are welcome. Glad it helped.

Thank you for watching.

You are very welcome.

The order of veins is set by CLSI.

@@PhlebotomySolutions you're absolutely right! thank you

Capotă cu stil Then you need to stop using that vein. Bruising and soreness can happen when a vein is used frequently.

Welcome.

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."

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!!!

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.

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.

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.

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

Anatomically all veins are in those three areas.

On practice

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 for watching.

yemmsy Olanipekun You are welcome.

You are welcome.

concept Trick Hub You are welcome.

Thank you and thank you for watching.

The sound has been checked. Please check your computer.

Marketing World Thank you. This information comes directly from CLSI.

Phlebotomy Solutions sir can u suggest me some books for complete phlebotomy guideline .

Marketing World We only use “Phlebotomy Essentials” volume 6. This text book was put together by CLSI and Ruth McCall.

Selene Sherrer I’m glad it helped.

xdhitalks It depends on how severe the damage is.

How do get the videos they are unavailable on Amazon

@@joansmith9452 We don’t have them on Amazon any more since they stopped seeing DVDs. They are only available through our website on a flash drive.

You can get the videos through our website.

@@PhlebotomySolutions What's the website and how much does it cost

@@joansmith9452 You can go to either PhlebotomySolutions.org or VictorValleyPhlebotomy.com I believe the price is $99

It’s against CLSI guidelines and there are more nerves in the forearm.

Pakai Ahmadi Thank you, I’m glad it helped.

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

Dev Aryan You are welcome

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

Thank you for watching my videos.

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.

ahmad Albeltagy “MD approval” refers to “Medical Doctor Approval”

Basically, you need a doctor's order to draw from that site.

elizabeth smith yes, if you plan on drawing blood outside of the sites mentioned. The foot requires a MD approval.

He explained in the video.

Thank you.

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.

Thank you.

The hand will be the dorsal metacarpal veins.

What?! 👂 lol

@@PhlebotomySolutions I had my volume set to 100% and you were whispering :( So I couldnt watch your entire video because I couldnt hear you well.

@@PhlebotomySolutions by the way good videos. I am currently trying to learn what tube to use for what test. Do you have any recommendations? I already know the order of draw but I still find this tricky. They make it conducing by having so many different tubes that depending on location are or are not used... Could you recommend me something that could make my life easier?

@@MadManX668 Thank you for watching. I’m not sure why it’s hard to hear. You are the only one who has that problem. Watch our video on the order of draw. I give a story method to help remember.

@@PhlebotomySolutions I remember the order of draw but what I dont understand is what tude to use for what test. Thats what I am having trouble with learning

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.

It was our old logo. Phlebotomists are typically called vampires because they take people’s blood.🩸

Phlebotomist are known as vampires

@@qiana0180 don’t forget they’re also called day walkers.

السلام عليك

The video mentions where each vein is located. For example, your thumb side is where your cephalic vein is etc.

So, is the basillic vein always going to be on the inside of the arm? towards the patient's chest?@@PhlebotomySolutions

@@cosmic-snips Correct.