What isthe best way to avoid a haematoma forming when undertaking venepuncture?

  • Tap the vein hard which will ‘get the vein up’, especially if the patient has fragile veins. This will avoid bruising afterwards.

  • It is unavoidable and an acceptable consequence of the procedure. This should be explained and documented in the patient’s notes.

  • Choosing a soft, bouncy vein that refills when depressed and is easily detected, and advising the patient to keep their arm straight whilst firm pressure is applied.

  • Apply pressure to the vein early before the needle is removed, then get the patient to bend the arm at a right angle whilst applying firm pressure