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Phlebotomy Training / IV Training / Injection of Contrast Training
Nursing
Radiology
Laboratory Medicine
3.3 billion venipuncture each year in the USA
.
Venipuncture: The technological foundation of Dx and Tx in the Practice of Medicine. (Blood work, X-rays, IVs)
Bad and/or failed venipuncture can adversely affect the medical outcome - altering results/delaying treatment.
Science, Technology, Engineering, and Math applied makes this invasive surgical procedure a science-based procedure - the STEM 21cVA Technique.
The CCIF(s)
CCIF(s) of Current Venipuncture Practices
Complications, Compromises, Injuries & Failures - ccif(s)
*Multiple Stick Events
* Celluitis
*Vein Rupture
* Volkmann's Contracture
* Infiltrations
* HAI(s)
* Hemoconcentration
* Delay in Diagnosis
*Extensive Vein Wall Injury
* Inaccurate Diagnosis
* Hemolysis
* Delay in Treatment
* Hemodilution (POC proc. only)
* Inaccurate Treatment
* Insufficient Quantity Sampling
* Amputation
* Crush Injuries
* Increased LOS
* Bruising
* Increased Costs
* Psychological/Physical Pain
* Phlebitis
* OSHA risks of Accidental Sticks
* Increased PICC Line Insertions
* Increased Liability
The consequence of bad venipuncture.
About the STEM Venipuncture Method
21cVA Palpation Technique
VeniCuff instead of the Tourniquet
VeniCuff instead of the Tourniquet
There is a new palpation technique for Locating, Dilating, and Grading veins - without a Tourniquet, without smacking, slapping, flicking, or tapping.
VeniCuff instead of the Tourniquet
VeniCuff instead of the Tourniquet
VeniCuff instead of the Tourniquet
No more painful tourniquet that causes a FORCED distention of the vein; frequently resulting in vein rupture, and certainly resulting in Infiltration and Hemoconcentration- some of those ccif(s).
Needle Angle of Entry
VeniCuff instead of the Tourniquet
Needle Angle of Entry
STEM dictates a 45 degree angle of entry - this reduces friction grab and drag and an entry 'friction-less give' tells us when we're in, and reduces the amount of vein wall damage, reducing vein rupture and bruising.
Any improvement you make is better than none....just ask any patient.
STEM Content
Anatomy
Physiology
Physiology
Q. Why is it important to know that the vein wall has three layers of tissue, and one of them is innervated; and that vein wall thickness/thinness varies throughout the body; and that ALL structures have structural limits? Know the Anatomy of the vein before you perform any procedure on it.
Physiology
Physiology
Physiology
Venous blood has a 'normal' blood pressure, too, just like arterial blood. Q. What happens to that segment of vein and the venous homeostasis when the BP exceeds normal? Which venipuncture tool causes the vein BP to rise above normal? Know how the structure functions - the Physiology - before you perform any procedure on it.
Chemistry
Physiology
Chemistry
The #1 cause of vein access failure - is failure to locate a healthy vein. A tool currently used for prepping a vein access/venipuncture site is now used as a palpating tool for locating veins. What is the chemistry behind 70% Isopropyl Alcohol and the affect that it has on the neuroanatomy of the sense of touch in palpation?
Physics
Engineering
Chemistry
STEM Physics: Understanding FRICTION and the impact that it has on locating a vein with the new STEM palpation technique and the new needle insertion technique will improve the success rate of venipuncture and reduce the CCIF(s) markedly, if not completely.
Q. Where does GRAVITY take EVERYTHING? A. Down. Then why do the medical people point the finger UP for the blood sugar test? [Now they have to SQUEEZE to get the blood UP - and this falsely elevates the blood sugar level, etc., etc., etc]
GRAVITY says 'point the finger DOWN'.
Engineering
Engineering
Engineering
Understanding Starling's Equilibrium and the importance of maintaining vein wall integrity and a normal blood pressure for that segment of vein determines the amount of externally applied pressure to that superficial vein. And Science says that the external pressure cannot exceed 20 mm Hg.
Given those conditions: a tool that applies only 20 mm Hg pressure, and self limiting to avoid human error, resulted in the invention of the veniCuff.
For details about the veniCuff, and how to make your own, see the upcoming video instruction.
Math
Engineering
Engineering
Quickly and simply look and compare the affected areas by the different angles of entry.
Math tells us that the steeper the angle of entry, the less area affected. The lower the angle of entry, the more area affected.
If were talking about a needle insertion through an innervated vein wall, the steeper angle (45 degrees) will produce less discomfort and less damage. This means less bleeding/bruising, a quicker clot time and a quicker healing time.
The Missing INformation
Cadaver Anatomy of STEM Venipuncture
The Current Vein Blocks are NOT anatomically correct for wall thickness.
The Current Vein Blocks are NOT anatomically correct for wall thickness.
Understanding the real Anatomy of the Vein and the Antecubital Region brings a dimension to venipuncture that no one has ever presented before - advancing the knowledge, the skill, and the performance of this procedure. See the dissection video - FIND OUT MORE.
The Current Vein Blocks are NOT anatomically correct for wall thickness.
The Current Vein Blocks are NOT anatomically correct for wall thickness.
The Current Vein Blocks are NOT anatomically correct for wall thickness.
Vein Wall thickness is a critical factor when penetrating that vein with a needle. Understanding the structure will prevent vein rupture upon venipuncture. Compare the vein wall thickness of a block to the real vein in a cadaver!
The vein blocks are 'artery wall' thick - not vein wall thin. Hint: Imagine the wall thinness of a non-distended long skinny water balloon - now you know vein wall thinness.
VEIN ACCESS TECH - TRAINING PROGRAMS
Phlebotomy - Lab
X-ray Injection of Contrast
Phlebotomy - Lab
A compromised sample of blood results in a compromised lab test result - avoid hemolysis, hemoconcentration & NSQ with the 21cVA way.
Nursing IVs
X-ray Injection of Contrast
Phlebotomy - Lab
If that fluid/med is INFILTRATING into the SQ tissue, it's not doing any good, in fact, it is causing harm. Avoid the IV ciff(s) with the 21cVA method.
X-ray Injection of Contrast
X-ray Injection of Contrast
Blood Transfusion/ Donation/ Plasmapheresis
Poor perfusion may be poor infusion - avoid contrast errors due to bad venipuncture - use the 21cVA technique.
Blood Transfusion/ Donation/ Plasmapheresis
Blood Transfusion/ Donation/ Plasmapheresis
Blood Transfusion/ Donation/ Plasmapheresis
These are the other vein access procedures that no one is thinking about - except the donor. No more bruises, no more pain, no more fear - just a successful blood or plasma donation/ and blood transfusion.
Factor VIII Injections
Blood Transfusion/ Donation/ Plasmapheresis
Point-of-Care Blood Collection
Because locating a vein, accessing that vein, and injecting Factor VIII into that vein - is critical to your life... do it the 21cVA way - no more rubber hose & thump, no more vein rupture, no more vein injuries.
Point-of-Care Blood Collection
Blood Transfusion/ Donation/ Plasmapheresis
Point-of-Care Blood Collection
This current ANTI-GRAVITY method results in hemolysis and NQS - the new 21POC Technique GRAVITY method works every time - with no ccif(s) - an accurate, quantity sufficient sample of blood, with no bruise.
CEII Reviews for the STEM 21cVA Technique
Vein Access Technologies / M. Gail Stotler presented The Future of Vein Access to over 400 nurses, x-ray techs, and lab techs on the new STEM 21cVA Technique. Read the reviews - click the FIND OUT MORE button below.
publications
STEM 21cVA is making the NEWs.
See the ASCLS Newsletter 2012 publication of the VAT article A Scientific Explanation For Why There Are So Many IV, Blood Draw, Injection of Contrast, and Blood Donation Failures, by M. Gail Stotler
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