Vein Access Technologies
has STEM analyzed
the Venipuncture procedure.
Bloodletting was the first 'mal' practice (bad practice) in vein access; the Rubber Hose & a Thump was the second 'mal' practice (bad practice) in vein access. And now we have the third era of vein access - the STEM venipuncture / vein access technique - and all is finally good.
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 venipuncture is a predictable, repeatable, and successful procedure - all the hallmarks for Standards of Care.
Without STEM, the venipuncture results in a multitude of compromises, complications, injuries, and failures. See the list below.
Complications, Compromises, Injuries & Failures - ccif(s)
*Multiple Stick Events
* Volkmann's Contracture
* Delay in Diagnosis
*Extensive Vein Wall Injury
* Inaccurate Diagnosis
* Delay in Treatment
* Hemodilution (POC proc. only)
* Inaccurate Treatment
* Insufficient Quantity Sampling
* Crush Injuries
* Increased LOS
* Increased Costs
* Psychological/Physical Pain
* OSHA risks of Accidental Sticks
* Increased PICC Line Insertions
* Increased Liability
The consequence of bad venipuncture.
There is a new palpation technique for Locating, Dilating, and Grading veins - without a Tourniquet, without smacking, slapping, flicking, or tapping.
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).
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.
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.
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.
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?
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'.
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.
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.
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.
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.
STEM+M: STEM + Medicine
Whether you want to be a medical or science Writer, Videographer, Editor, Historian, Professor, Teacher, Doctor, Nurse, Lab Tech, X-ray Tech, Paramedic, Medical Assistant, or Phlebotomist
- this site is for YOU.
THE NEXT GENERATION
The STEM+M GENERATION!
A compromised sample of blood results in a compromised lab test result - avoid hemolysis, hemoconcentration & NSQ with the 21cVA way.
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.
Poor perfusion may be poor infusion - avoid contrast errors due to bad venipuncture - use the 21cVA technique.
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.
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.
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.
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.
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