Using BP cuff to access certain veins?

I've used a BP cuff instead, occasionally, in addition to a regular tourniquet.

I had my shift supervisor, who I totally respect, tell me years ago that the wider cuff does a better job of compressing an arm than a "rubber band". That's why I always (if possible) put the tourniquet on the humerus, rather than the forearm. In my humble opinion, you can't compress the arm as well because of the ulna and radius, versus one single bone in the upper arm.

I've used a cuff on people especially larger pts', that others have alread had trouble with.

I sometime use the multiple tourniquet trick too. Starting with the cuff or touniquet high on the arm, then a second lower down, often above the AC, release the top, moving it below the AC, then "get 'er done".

I have not used a BP cuff either in some time, partially because I guess I have not needed it, or, with the increased usage of electronic cuffs, the old fashioned BP cuffs are not as easily available!!

Mike

In nursing school we were taught to use a bp cuff on elderly patients to minimize bruising and blowing of fragile veins.

What CRNAwant2be said...I use it on just one pt when we draw her PT/INR to reduce bruising.