I don't use the site rite (we use the sonosite) but the best way I can describe it is it resembles a piece of honeycomb cereal. It does not compress and sometimes can be moved from side to side when over top of a vessel. I usually find these located near the brachial veins or artery, but have seen them near the Basilic as well.
Vascular Access Specialist
Sharp Memorial Hospital San Diego, CA
You usually run into this with accessing the Brachial veins. Unfortunately you rarely can see the nerves on the Site Rite (it is better with the 5 & 6 versions, below that don't even try to find them). Sometimes they appear as bright white little circles on top of the veins or in between the vein and the artery.
Michael Drafz RN, CRNI, VA-BC
Clinical Lead Vascular Access Service
Sharp Metropolitan Medical Campus
San Diego, CA
Usually they are most commonly found with the Brachial verses the basilic.
Anytime you see a vein that won't squish or you can't smash with pressure and it won't beat back at you like an artery would while applying pressure..... suspect a nerve and don't go through it! Usually it will be pretty small, although I've see fairly large ones sometimes..
The only other option is a clotted vein but usually if its deep running with the brachial artery, that won't be the case, it will be a nerve.
Trying to see silver linings etc is much more dependent upon the quality of ultrasound and image..... I have never been able to trust such findings... I go more with the above method.
Always remember that you're unique. Just like everyone else.
The second mouse gets the cheese!
Cheryl Kelley RN BSN, VA-BC